ATI Pharmacology Practice Exam Quesions
Luminal (seizures) have what kind of half-life and sholdl be administered how many times a day? Correct
Answer: long half life: take once a day
Trough blood draw should be taken when? Correct Answer: immediately before next dose
Peak blood draw should be taken when? Correct Answer: IV - 30 minutes after completion
Meds have to bind with what? Correct Answer: receptors
Med dosages need to be decreased in what 2 circumstances? Correct Answer: if in liver failure or
concurrent use of meds metabolized by the same pathway
Eye drop administration requires what kind of technique? Correct Answer: surgical aseptic technique
What are the nurses legal responsibilities? (3) Correct Answer: skill competency
monitor adverse effects
safe guard meds
What should the nurse do when the /patient refuses meds? (4) Correct Answer: determine reason
provide info of the risks
notify MD
document
Nurse notes MD has doubled previous dose, what should they do? Correct Answer: check w/MD
What kind of meds are given on regular schedule? Correct Answer: routine order
1. red line on affected extremity
2. palpable, hard mass or band on insertion site
3. pain at site
These are signs of what? Correct Answer: phlebitis
What is a catheter embolism? Correct Answer: small portion of catheter breaks off and enter venous
system
How do you minimize risk of catheter embolism? Correct Answer: once in vein, never put stylet back
through the catheter
Symptoms of fluid overload? (3) Correct Answer: shortness of breath
crackles in lungs
distended neck veins
Concurrent use of coumadin and aspirin causes? Correct Answer: increases risk of bleeding
, First dose of penicillin, the client says rash developed last time they took it. What should the nurse do?
Correct Answer: withhold and notify MD
When administering antihypertensives, teach the client to? Correct Answer: change positions slowly
(orthostatic hypotension)
Fewer protein-binding sites (infant) leads to what? Correct Answer: medication effects will be increase
w/greater potential of toxicity
Breastfeeding mom does not want to take antimicrobial medication because it may harm her baby.
What teaching is needed? Correct Answer: taking the medication immediately after breastfeeding will
mimize effects on the baby
Reduced hepatic functions causes what in regards to medications? Correct Answer: prolongs half life of
a medication and increases length of response
Antidote for benzodiazepine? Correct Answer: Flumazinel (Romazicon)
Effective teaching of benzodiapines includes? Correct Answer: I will not stop taking the drug abruptly
Buspirone (Buspar) is unique because? Correct Answer: does not cause physical or psychological
dependence
A client taking Buspar for 3 days calls and says it is not helping to sleep or with anxiety. How should the
nurse respond? Correct Answer: The initial response to Buspar takes 1 week. Several weeks to reach
therapeutic peak
A client taking Paxil complains of teeth grinding (Bruxism). How does the nurse respond? (3) Correct
Answer: add Buspar
use a mouthguard
any SSRI caused bruxism, so change class
Client taking Nardil for depression should be monitored for? Correct Answer: orthostatic hypotension
(all MAOIs can cause orthostatic hypotension)
Side effects of Elavil (2) Correct Answer: orthostatic hypotension
dry mouth
Drug class that interacts with tyramines? Correct Answer: MAOIs
What is an adverse affect of Prozac? Correct Answer: sexual dysfuntion
Signs of seratonin sydrome? (3) Correct Answer: change in mental status
tremors
hyperreflexia
Lithium levels (norm)? Correct Answer: 0.4 - 1.0
Luminal (seizures) have what kind of half-life and sholdl be administered how many times a day? Correct
Answer: long half life: take once a day
Trough blood draw should be taken when? Correct Answer: immediately before next dose
Peak blood draw should be taken when? Correct Answer: IV - 30 minutes after completion
Meds have to bind with what? Correct Answer: receptors
Med dosages need to be decreased in what 2 circumstances? Correct Answer: if in liver failure or
concurrent use of meds metabolized by the same pathway
Eye drop administration requires what kind of technique? Correct Answer: surgical aseptic technique
What are the nurses legal responsibilities? (3) Correct Answer: skill competency
monitor adverse effects
safe guard meds
What should the nurse do when the /patient refuses meds? (4) Correct Answer: determine reason
provide info of the risks
notify MD
document
Nurse notes MD has doubled previous dose, what should they do? Correct Answer: check w/MD
What kind of meds are given on regular schedule? Correct Answer: routine order
1. red line on affected extremity
2. palpable, hard mass or band on insertion site
3. pain at site
These are signs of what? Correct Answer: phlebitis
What is a catheter embolism? Correct Answer: small portion of catheter breaks off and enter venous
system
How do you minimize risk of catheter embolism? Correct Answer: once in vein, never put stylet back
through the catheter
Symptoms of fluid overload? (3) Correct Answer: shortness of breath
crackles in lungs
distended neck veins
Concurrent use of coumadin and aspirin causes? Correct Answer: increases risk of bleeding
, First dose of penicillin, the client says rash developed last time they took it. What should the nurse do?
Correct Answer: withhold and notify MD
When administering antihypertensives, teach the client to? Correct Answer: change positions slowly
(orthostatic hypotension)
Fewer protein-binding sites (infant) leads to what? Correct Answer: medication effects will be increase
w/greater potential of toxicity
Breastfeeding mom does not want to take antimicrobial medication because it may harm her baby.
What teaching is needed? Correct Answer: taking the medication immediately after breastfeeding will
mimize effects on the baby
Reduced hepatic functions causes what in regards to medications? Correct Answer: prolongs half life of
a medication and increases length of response
Antidote for benzodiazepine? Correct Answer: Flumazinel (Romazicon)
Effective teaching of benzodiapines includes? Correct Answer: I will not stop taking the drug abruptly
Buspirone (Buspar) is unique because? Correct Answer: does not cause physical or psychological
dependence
A client taking Buspar for 3 days calls and says it is not helping to sleep or with anxiety. How should the
nurse respond? Correct Answer: The initial response to Buspar takes 1 week. Several weeks to reach
therapeutic peak
A client taking Paxil complains of teeth grinding (Bruxism). How does the nurse respond? (3) Correct
Answer: add Buspar
use a mouthguard
any SSRI caused bruxism, so change class
Client taking Nardil for depression should be monitored for? Correct Answer: orthostatic hypotension
(all MAOIs can cause orthostatic hypotension)
Side effects of Elavil (2) Correct Answer: orthostatic hypotension
dry mouth
Drug class that interacts with tyramines? Correct Answer: MAOIs
What is an adverse affect of Prozac? Correct Answer: sexual dysfuntion
Signs of seratonin sydrome? (3) Correct Answer: change in mental status
tremors
hyperreflexia
Lithium levels (norm)? Correct Answer: 0.4 - 1.0
