Pharmacology Final Review 1
NR 293 ATI Pharmacology Final Review latest –
Chamberlain College of Nursing
1. Calcium supplement for osteoporosis--why would they have flank
pain
2. A nurse is preparing to administer a dose of lactulose to a client who
has cirrhosis. The client states, "I don't need this medication. I am not
constipated." The nurse should explain that in clients who have
cirrhosis, lactulose is used to decrease levels of which of the following
components in the bloodstream?
a. Glucose
b. Ammonia
i. Rationale: Lactulose, a disaccharide, is a sugar that works
as an osmotic diuretic. It prevents absorption of ammonia
in the colon. Accumulation of ammonia in the
bloodstream, which occurs in pathologic conditions of the
liver, such as cirrhosis, may affect the central nervous
system, causing hepatic encephalopathy or coma.
c. Potassium
d. Bicarbonate
3. A nurse on a medical unit is planning care for an older adult
client who takes several medications. Which of the following
prescribed medications places the client at risk for orthostatic
hypotension? (Select all that apply.)
a. Furosemide
b. Telmisartan
,Pharmacology Final Review 2
c. Duloxetine
d. Clopidogrel
e. Atorvastatin
4. Someone has a-fib on coumadin, know what normal PT is
5. Someone is on atorvastatin (statin) what kind of labs do we look at
a. Liver function
6. CKD nephrotoxicity
a. Antibiotic
7. Heart failure and on Lasix, what are adverse effects of Lasix and
what would happen if hypokalemic
8. Celecoxib for osteoarthritis (adverse effects??)
a. Not stroke
9. A nurse is caring for a client who has difficulty swallowing
medications and is prescribed enteric-coated aspirin PO once daily.
The client asks if the medication can be crushed to make it easier to
swallow. Which of the following responses should the nurse
provide?
a. "Crushing the medication might cause you to have
a stomachache or indigestion.
i. Rationale: The pill is enteric-coated to prevent
breakdown in the stomach and decrease the possibility of
GI distress. Crushing destroys protection.
b. "Crushing the medication is a good idea, and I can mix it in
some ice cream for you.”
c. "Crushing the medication would release all the medication at
once, rather than over time."
d. "Crushing is unsafe, as it destroys the ingredients in the
medication."
,Pharmacology Final Review 3
10. A nurse is providing teaching for a client who is newly
diagnosed with type 2 diabetes mellitus and has a prescription for
glipizide. Which of the following statements by the nurse best
describes the action of glipizide?
a. "Glipizide absorbs the excess carbohydrates in your system."
b. "Glipizide stimulates your pancreas to release insulin."
i. Rationale: Glipizide is an oral antidiabetic medication
in the pharmacological classification of sulfonylurea
agents. These medications help to lower blood glucose
levels in clients who have type 2 diabetes mellitus using
several methods, including reducing glucose output by the
liver, increasing peripheral sensitivity to insulin, and
stimulating the release of insulin from the functioning
beta cells of the pancreas.
c. "Glipizide replaces insulin that is not being produced by your
pancreas."
d. "Glipizide prevents your liver from destroying your insulin."
11. Having transdermal analgesic-- look up emla cream
12.SAA--how to use cream with child ^^^
a. Use visual pain rating scale
13.A nurse is caring for a client who has active pulmonary tuberculosis
(TB) and is to be started on intravenous rifampin therapy. The nurse
should instruct the client that this medication can cause which of the
following adverse effects?
a. Constipation
b. Black colored stools
c. Staining of teeth
, Pharmacology Final Review 4
d. Body secretions turning a red-orange color
i. Rationale: Rifampin is used in combination with
other medicines to treat TB. Rifampin will cause the
urine, stool, saliva
14.A nurse is caring for a client who has congestive heart failure and is
taking digoxin daily. The client refused breakfast and is
complaining of nausea and weakness. Which of the following
actions should the nurse take first?
a. A. Check the client's vital signs.
i. Rationale: It is possible that the client's nausea is
secondary to digoxin toxicity. Assess for bradycardia, a
symptom of digoxin toxicity. The nurse should withhold
the medication and call the provider if the client's heart
rate is less than 60 bpm.
b. Request a dietitian consult.
c. Suggest that the client rests before eating the meal.
d. Request an order for an antiemetic.
15.A nurse is caring for a client who has bipolar disorder and has been
taking lithium for 1 year. Before administering the medication, the
nurse should check to see that which of the following tests have
been completed?
a. Thyroid hormone assay
i. Rationale: Thyroid testing is important because
long- term use of lithium may lead to thyroid
dysfunction.
b. Liver function tests:
i. Rationale: LFTs must be monitored before and during
valproic acid therapy
NR 293 ATI Pharmacology Final Review latest –
Chamberlain College of Nursing
1. Calcium supplement for osteoporosis--why would they have flank
pain
2. A nurse is preparing to administer a dose of lactulose to a client who
has cirrhosis. The client states, "I don't need this medication. I am not
constipated." The nurse should explain that in clients who have
cirrhosis, lactulose is used to decrease levels of which of the following
components in the bloodstream?
a. Glucose
b. Ammonia
i. Rationale: Lactulose, a disaccharide, is a sugar that works
as an osmotic diuretic. It prevents absorption of ammonia
in the colon. Accumulation of ammonia in the
bloodstream, which occurs in pathologic conditions of the
liver, such as cirrhosis, may affect the central nervous
system, causing hepatic encephalopathy or coma.
c. Potassium
d. Bicarbonate
3. A nurse on a medical unit is planning care for an older adult
client who takes several medications. Which of the following
prescribed medications places the client at risk for orthostatic
hypotension? (Select all that apply.)
a. Furosemide
b. Telmisartan
,Pharmacology Final Review 2
c. Duloxetine
d. Clopidogrel
e. Atorvastatin
4. Someone has a-fib on coumadin, know what normal PT is
5. Someone is on atorvastatin (statin) what kind of labs do we look at
a. Liver function
6. CKD nephrotoxicity
a. Antibiotic
7. Heart failure and on Lasix, what are adverse effects of Lasix and
what would happen if hypokalemic
8. Celecoxib for osteoarthritis (adverse effects??)
a. Not stroke
9. A nurse is caring for a client who has difficulty swallowing
medications and is prescribed enteric-coated aspirin PO once daily.
The client asks if the medication can be crushed to make it easier to
swallow. Which of the following responses should the nurse
provide?
a. "Crushing the medication might cause you to have
a stomachache or indigestion.
i. Rationale: The pill is enteric-coated to prevent
breakdown in the stomach and decrease the possibility of
GI distress. Crushing destroys protection.
b. "Crushing the medication is a good idea, and I can mix it in
some ice cream for you.”
c. "Crushing the medication would release all the medication at
once, rather than over time."
d. "Crushing is unsafe, as it destroys the ingredients in the
medication."
,Pharmacology Final Review 3
10. A nurse is providing teaching for a client who is newly
diagnosed with type 2 diabetes mellitus and has a prescription for
glipizide. Which of the following statements by the nurse best
describes the action of glipizide?
a. "Glipizide absorbs the excess carbohydrates in your system."
b. "Glipizide stimulates your pancreas to release insulin."
i. Rationale: Glipizide is an oral antidiabetic medication
in the pharmacological classification of sulfonylurea
agents. These medications help to lower blood glucose
levels in clients who have type 2 diabetes mellitus using
several methods, including reducing glucose output by the
liver, increasing peripheral sensitivity to insulin, and
stimulating the release of insulin from the functioning
beta cells of the pancreas.
c. "Glipizide replaces insulin that is not being produced by your
pancreas."
d. "Glipizide prevents your liver from destroying your insulin."
11. Having transdermal analgesic-- look up emla cream
12.SAA--how to use cream with child ^^^
a. Use visual pain rating scale
13.A nurse is caring for a client who has active pulmonary tuberculosis
(TB) and is to be started on intravenous rifampin therapy. The nurse
should instruct the client that this medication can cause which of the
following adverse effects?
a. Constipation
b. Black colored stools
c. Staining of teeth
, Pharmacology Final Review 4
d. Body secretions turning a red-orange color
i. Rationale: Rifampin is used in combination with
other medicines to treat TB. Rifampin will cause the
urine, stool, saliva
14.A nurse is caring for a client who has congestive heart failure and is
taking digoxin daily. The client refused breakfast and is
complaining of nausea and weakness. Which of the following
actions should the nurse take first?
a. A. Check the client's vital signs.
i. Rationale: It is possible that the client's nausea is
secondary to digoxin toxicity. Assess for bradycardia, a
symptom of digoxin toxicity. The nurse should withhold
the medication and call the provider if the client's heart
rate is less than 60 bpm.
b. Request a dietitian consult.
c. Suggest that the client rests before eating the meal.
d. Request an order for an antiemetic.
15.A nurse is caring for a client who has bipolar disorder and has been
taking lithium for 1 year. Before administering the medication, the
nurse should check to see that which of the following tests have
been completed?
a. Thyroid hormone assay
i. Rationale: Thyroid testing is important because
long- term use of lithium may lead to thyroid
dysfunction.
b. Liver function tests:
i. Rationale: LFTs must be monitored before and during
valproic acid therapy
