ATI pharm proctored exam, ATI Pharmacology Proctored Question and Answers 2022 Grade A+

ATI pharm proctored exam, ATI Pharmacology Proctored
Question and Answers 2022
Grade A+
Question:-An immunizing agent that confers active immunity protects by:
{{{Answer}}} (providing antibodies obtained from immune humans or animals.)

Question:-Antacids should be given one hour apart from most other drugs. Which is the
rationale?
{{{Answer}}} (Antacids may interfere with absorption of drugs taken at the same time.)

Question:-Vancomycin should not be used to treat minor infections because it:
{{{Answer}}} (can cause "red man syndrome", a hypertensive crisis that is almost always
fatal.)

Question:-The antagonist for a client who has overdosed on morphine is:
{{{Answer}}} (narcan.)

Question:-The most serious adverse reaction to oral contraceptives is:
{{{Answer}}} (thromboembolism.)

Question:-When a client develops tolerance to a drug, the nurse would expect:
{{{Answer}}} (higher dose needed to achieve same effect.)

Question:-Antihyperglycemic agents are prescribed for clients with:
{{{Answer}}} (Type 2 diabetes mellitus.)

Question:-The nurse assesses a client shortly after an intravenous infusion of the
osmotic diuretic mannitol is started. Which finding represents an early adverse effect of
mannitol?
{{{Answer}}} (Bounding pulse)

Question:-Compared to other beta adrenergic blockers, cardioselective beta adrenergic
blockers:
{{{Answer}}} (are less likely to cause bronchoconstriction.)

Question:-A client who experiences motion sickness during airplane flights obtains a
prescription for meclizine (Antivert). When is the best time to take the drug?
{{{Answer}}} (One hour before the flight)

Question:-Before prescribing a cephalosporin, the nurse practitioner asks if the client is
allergic to penicillin. Why is this important to assess?
{{{Answer}}} (A client who is allergic to penicillin can have a cross sensitivity to
cephalosporins.)

,Question:-The use of which class of antibiotics should be avoided in children?
{{{Answer}}} (Tetracyclines)

Question:-In a walk-in clinic, clients are often given intramuscular injections. Which drug
should be readily available in case a client has an anaphylactic reaction?
{{{Answer}}} (Epinephrine)

Question:-Thiazide and loop (high ceiling) diuretics are similar in that both:
{{{Answer}}} (decrease tubular reabsorption of sodium and water.)

Question:-Which of the statements by the nurse most accurately describes the effects of
declined plasma albumin levels in older adults?
{{{Answer}}} ("There is an increased risk for adverse effects.")

Question:-To prevent oral fungal infections, the nurse should instruct the client who
uses a beclomethasone inhaler to take which action?
{{{Answer}}} (Rinse the mouth after each use.)

Question:-A client takes ethinyl estradiol/norgestimate (Ortho Tri-Cyclen) birth control
pills. She calls the clinic and relates that she missed her medication yesterday. Which
instructions will the nurse give?
{{{Answer}}} ("Take two pills today then continue on a daily basis.")

Question:-The nurse may administer acetylcysteine (Mucomyst) inhalation to:
{{{Answer}}} (facilitate mucus expectoration.)

Question:-Development of a chronic cough is an adverse effect associated with which
class of anti-hypertensive drugs?
{{{Answer}}} (Angiotensin converting enzyme (ACE) inhibitors)

Question:-The nurse may administer baclofen (Lioresal) for the treatment of which
condition?
{{{Answer}}} (Protracted muscle spasticity)

Question:-Oral diazepam (Valium), a benzodiazepine, has been prescribed for a client
who has anxiety and muscle spasms. Which nursing intervention is appropriate for the
care of this client?
{{{Answer}}} (Assess for incoordination and daytime drowsiness.)

Question:-The nurse practitioner prescribed anhydrous theophylline (Theo-Dur) for the
client with chronic bronchitis. With which disorder would the nurse practitioner
reconsider the use of this medication?
{{{Answer}}} (Hypertension)

,Question:-When a client is receiving intravenous fluid with supplementary potassium
chloride, it is especially important for the nurse to monitor for which potential adverse
effect?
{{{Answer}}} (Cardiac dsyrhythmias)

Question:-Which adverse effect is common for a client being treated with the
antidepressant fluoxetine (Prozac)?
{{{Answer}}} (Sexual dysfunction)

Question:-After giving a dose of dextromethorphan, an antitussive, which data reflects
evaluation of the drug's effectiveness?
{{{Answer}}} (Client states that cough has been relieved.)

Question:-Prior to giving a client a dose of digoxin, the nurse counts the apical pulse. If
the rate is 62 bpm and regular, which is the appropriate nursing action?
{{{Answer}}} (Give the drug and document the heart rate.)

Question:-Digoxin is started for a client with an atrial arrhythmia. Within three days, the
client's heart rate has decreased from 94 to 74. What action of digitalis explains this
change?
{{{Answer}}} (Slowed impulse conduction)

Question:-One mechanism by which antihypertensive drugs lower blood pressure is to:
{{{Answer}}} (dilate peripheral blood vessels.)

Question:-There are many agents that are useful in the treatment of gastric ulcers.
Which agent reacts with hydrochloric acid to form a viscous protective barrier over the
ulcer?
{{{Answer}}} (Sucralfate (Carafate))

Question:-A client whose asthma has been poorly controlled is prescribed cromolyn
sodium (Intal) for inhalation. Client teaching should include which statement by the
nurse?
{{{Answer}}} ("Using this drug regularly will reduce the frequency of acute attacks.")

Question:-The combination of aluminum and magnesium in many antacids decreases
the risk of:
{{{Answer}}} (diarrhea or constipation.)

Question:-A client who is taking one daily dose of a thiazide diuretic should be
instructed to:
{{{Answer}}} (take the medication in morning to avoid nighttime voiding.)

Question:-Which phase of pharmacokinetics is affected most by abnormal liver
function?
{{{Answer}}} (Metabolism)

, Question:-A medication order is written for ciprofloxacin (Cipro). For which client should
the nurse question use of this medication?
{{{Answer}}} (Child age 10)

Question:-A home health client tells the nurse that she is taking triamterene (Dyrenium)
for fluid retention. She tells the nurse she is using a salt substitute so she will not retain
so much water. What is the most appropriate nursing response?
{{{Answer}}} ("Using a salt substitute with this medication could cause you to have too
much potassium.")

Question:-Orders are written for anticholinergic drugs for each of the following clients.
Which order should the nurse question?
{{{Answer}}} (Atropine combined with opioid analgesics to relieve pain in a 30-year-old
client with urinary calculi.)

Question:-A client with Type I diabetes mellitus is given an injection of neutral protamine
hagedorn (NPH) insulin at 7:00 a.m. In order to prevent a hypoglycemic reaction, the
client should have:
{{{Answer}}} (a mid-afternoon snack.)

Question:-Why is carbidopa-levodopa preferred over levodopa alone?
{{{Answer}}} (It decreases the amount of levodopa needed.)

Question:-Which findings are most likely in the client who has taken a toxic dose of a
salicylate (aspirin)?
{{{Answer}}} (Tinnitus and dizziness)

Question:-Which nursing intervention is specifically important when a client is taking an
alpha- blocker, such as doxazosin (Cardura) for hypertension?
{{{Answer}}} (Teach the client how to manage orthostatic hypotension.)

Question:-A client reports taking large amounts of vitamins because she believes they
increase her energy level and will prevent various diseases. Client teaching should
include which nursing response?
{{{Answer}}} ("Large amounts of fat-soluble vitamins can be toxic.")

Question:-An elderly client is prescribed a new drug. Because of the age-related
changes in the kidneys and liver, it is most important that the nurse assess for:
{{{Answer}}} (signs of drug toxicity.)

Question:-Evidence of effective treatment with a nucleoside reverse transcriptase
inhibitor (NRTI), such as zidovudine is:
{{{Answer}}} (decreased HIV RNA level.)