GRADE
A+
ATI PROCTORED
PHARMACOLOGY
TEST_BANK (LATEST)
1.1) A nurse is caring for a
1. Tinnitus 2.Diarrhea 3.Constipation
client with
4. Decreased respirations
hyperparathyroidism and
notes that the client's serum 4.4.) The camp nurse asks the children preparing to swim in
calcium level is 13 mg/dL. the lake if they have applied sunscreen. The nurse reminds
Which medication should the the children that chemical sunscreens are most effective
nurse prepare to administer when applied:
as prescribed to the client? 1. Immediately before swimming
1. Calcium 2.15 minutes before exposure to the sun
chloride 2.Calcium 3.Immediately before exposure to the
gluconate sun
3.Calcitonin 4. At least 30 minutes before exposure to the sun
(Miacalcin) 5.5.) Mafenide acetate (Sulfamylon) is prescribed for the client
4. Large doses of vitamin D with a burn injury. When applying the medication, the client
2.2.) Oral iron supplements complains of local discomfort and burning. Which of the
are prescribed for a 6-year- following is the most appropriate nursing action?
old child with iron deficiency 1. Notifying the registered nurse 2.Discontinuing the
anemia. The nurse instructs medication 3.Informing the client that this is
the mother to administer normal
the iron with which best 4. Applying a thinner film than prescribed to the burn
food item? site
1. Milk
2.Water
3.Apple
juice
4. Orange juice
3.3.) Salicylic acid is
prescribed for a client with
a diagnosis of psoriasis. The
nurse monitors the client,
knowing that which of the
following would indicate the
presence of systemic
toxicity from this
medication?
,3 Calcitonin, a thyroid hormone, decreases the plasma
. calcium level by inhibiting bone resorption and lowering the
C serum calcium concentration.
a
l 4.
c Orange
i juice
t Rational
o e:
n Vitamin C increases the absorption of iron by the body. The
mother should be instructed to administer the medication
i with a citrus fruit or a juice that is high in vitamin C. Milk
n may affect absorption of the iron. Water will not assist in
absorption. Orange juice contains a greater amount of
( vitamin C than apple juice.
M
i
a
c 1.
a Tinnitu
l s
c Ration
i al e:
n Salicylic acid is absorbed readily through the skin, and
) systemic toxicity (salicylism) can result. Symptoms include
tinnitus, dizziness, hyperpnea, and psychological
R disturbances. Constipation and diarrhea are not associated
a with salicylism.
t
i
o
n 4. At least 30 minutes before
exposure to the sun Rationale:
a Sunscreens are most effective when applied at least 30
minutes before exposure to the sun so that they can
l penetrate the skin. All sunscreens should be reapplied
e after swimming or sweating.
:
The normal serum
calcium level is 8.6 to
10.0 mg/dL. This client is
experiencing
hypercalcemia. Calcium
gluconate and calcium 3. Informing the client
chloride are medications that this is normal
used for the treatment of Rationale:
tetany, which occurs as a Mafenide acetate is bacteriostatic for gram-negative and
result of acute gram- positive organisms and is used to treat burns to
hypocalcemia. In reduce bacteria present in avascular tissues. The client
hypercalcemia, large should be informed that the medication will cause local
doses of vitamin D need discomfort and burning and that this is a normal reaction;
to be avoided. therefore options 1, 2, and 4 are incorrect
4. White blood cell count
6. 6.) The burn client is
receiving treatments of topical 8. 8.) A client with severe acne is seen in the clinic and the
mafenide acetate (Sulfamylon) health care provider (HCP) prescribes isotretinoin. The nurs
to the site of injury. The nurse reviews the client's medication record and would contact th
monitors the client, knowing (HCP) if the client is taking which medication?
that which of the following 1. Vitamin A 2.Digoxin (Lanoxin)
indicates that a systemic 3.Furosemide (Lasix)
effect has occurred? 4. Phenytoin (Dilantin)
1.Hyperventilation 2.Elevated
9. 9.) The nurse is applying a topical corticosteroid to a clien
blood
with eczema. The nurse would monitor for the potential f
pressure 3.Local increased systemic absorption of the medication if the
pain at the burn medication were being applied to which of the following
site 4.Local rash body areas?
at the burn site 1. Back 2.Axilla
7. 7.) Isotretinoin is prescribed 3.Soles of the feet
for a client with severe 4. Palms of the hands
acne. Before the
10. 10.) The clinic nurse is performing an admission assessmen
administration of this
on a client. The nurse notes that the client is taking azelaic
medication, the nurse
acid (Azelex). Because of the medication prescription, the
anticipates that which
nurse would suspect that the client is being treated for:
laboratory test will be
1. Acne 2.Eczema 3.Hair loss
prescribed?
4. Herpes simplex
1. Platelet count
2.Triglyceride level
3.Complete blood
,count 11. 11.) The health care provider has
, 1 iglyceride
. level
H Rationale:
y Isotretinoin can elevate triglyceride levels. Blood
triglyceride levels should be measured before treatment and
p periodically thereafter until the effect on the triglycerides has
been evaluated. Options 1, 3, and 4 do not need to be
e monitored specifically during this treatment.
r
v
1. Vit
e a min A
Rational
n e
:
t Isotretinoin is a metabolite of vitamin A and can produce
generalized intensification of isotretinoin toxicity. Because
i of the potential for increased toxicity, vitamin A
l supplements should be discontinued before isotretinoin
a therapy. Options 2, 3, and 4 are not contraindicated with
the use of isotretinoin.
t
i
o
n
2. Axill
R a
a Ration
al e
t :
i Topical corticosteroids can be absorbed into the systemic
o circulation. Absorption is higher from regions where the skin
n is especially permeable (scalp, axilla, face, eyelids, neck,
perineum, genitalia), and lower from regions in which
a permeability is poor (back, palms, soles).
l
e
:
Mafenide acetate is a
carbonic anhydrase inhibitor 1. A
and can suppress renal cne
excretion of acid, thereby Rational
causing acidosis. Clients e
receiving this treatment :
should be monitored for signs Azelaic acid is a topical medication used to treat mild to
of an acid- base imbalance moderate acne. The acid appears to work by suppressing the
(hyperventilation). If this growth of Propionibacterium acnes and decreasing the
occurs, the medication proliferation of keratinocytes. Options 2, 3, and 4 are
should be discontinued for 1 incorrect.
to 2 days.
Options 3 and 4 describe
local rather than systemic
effects. An elevated blood
pressure may be expected
from the pain that occurs 3. "The medication will permanently stain my skin."
with a burn injury.
4. "The medication should be applied directly to
2 the wound."
.
T
r
prescribed silver sulfadiazine
(Silvadene) for the client with
a
partial- thickness burn, which has
cultured positive for gram- negative 4. Elevate the extremity of the IV site, and slow the
bacteria. The nurse is reinforcing infusion.
information to the client about the
13. 13.) The client with squamous cell carcinoma of the
medication. Which statement made
larynx is receiving bleomycin intravenously. The nurse
by the client indicates a lack of
understanding about the
treatments?
1. "The medication is an
antibacterial." 2."The
medication will help heal the
burn."
A+
ATI PROCTORED
PHARMACOLOGY
TEST_BANK (LATEST)
1.1) A nurse is caring for a
1. Tinnitus 2.Diarrhea 3.Constipation
client with
4. Decreased respirations
hyperparathyroidism and
notes that the client's serum 4.4.) The camp nurse asks the children preparing to swim in
calcium level is 13 mg/dL. the lake if they have applied sunscreen. The nurse reminds
Which medication should the the children that chemical sunscreens are most effective
nurse prepare to administer when applied:
as prescribed to the client? 1. Immediately before swimming
1. Calcium 2.15 minutes before exposure to the sun
chloride 2.Calcium 3.Immediately before exposure to the
gluconate sun
3.Calcitonin 4. At least 30 minutes before exposure to the sun
(Miacalcin) 5.5.) Mafenide acetate (Sulfamylon) is prescribed for the client
4. Large doses of vitamin D with a burn injury. When applying the medication, the client
2.2.) Oral iron supplements complains of local discomfort and burning. Which of the
are prescribed for a 6-year- following is the most appropriate nursing action?
old child with iron deficiency 1. Notifying the registered nurse 2.Discontinuing the
anemia. The nurse instructs medication 3.Informing the client that this is
the mother to administer normal
the iron with which best 4. Applying a thinner film than prescribed to the burn
food item? site
1. Milk
2.Water
3.Apple
juice
4. Orange juice
3.3.) Salicylic acid is
prescribed for a client with
a diagnosis of psoriasis. The
nurse monitors the client,
knowing that which of the
following would indicate the
presence of systemic
toxicity from this
medication?
,3 Calcitonin, a thyroid hormone, decreases the plasma
. calcium level by inhibiting bone resorption and lowering the
C serum calcium concentration.
a
l 4.
c Orange
i juice
t Rational
o e:
n Vitamin C increases the absorption of iron by the body. The
mother should be instructed to administer the medication
i with a citrus fruit or a juice that is high in vitamin C. Milk
n may affect absorption of the iron. Water will not assist in
absorption. Orange juice contains a greater amount of
( vitamin C than apple juice.
M
i
a
c 1.
a Tinnitu
l s
c Ration
i al e:
n Salicylic acid is absorbed readily through the skin, and
) systemic toxicity (salicylism) can result. Symptoms include
tinnitus, dizziness, hyperpnea, and psychological
R disturbances. Constipation and diarrhea are not associated
a with salicylism.
t
i
o
n 4. At least 30 minutes before
exposure to the sun Rationale:
a Sunscreens are most effective when applied at least 30
minutes before exposure to the sun so that they can
l penetrate the skin. All sunscreens should be reapplied
e after swimming or sweating.
:
The normal serum
calcium level is 8.6 to
10.0 mg/dL. This client is
experiencing
hypercalcemia. Calcium
gluconate and calcium 3. Informing the client
chloride are medications that this is normal
used for the treatment of Rationale:
tetany, which occurs as a Mafenide acetate is bacteriostatic for gram-negative and
result of acute gram- positive organisms and is used to treat burns to
hypocalcemia. In reduce bacteria present in avascular tissues. The client
hypercalcemia, large should be informed that the medication will cause local
doses of vitamin D need discomfort and burning and that this is a normal reaction;
to be avoided. therefore options 1, 2, and 4 are incorrect
4. White blood cell count
6. 6.) The burn client is
receiving treatments of topical 8. 8.) A client with severe acne is seen in the clinic and the
mafenide acetate (Sulfamylon) health care provider (HCP) prescribes isotretinoin. The nurs
to the site of injury. The nurse reviews the client's medication record and would contact th
monitors the client, knowing (HCP) if the client is taking which medication?
that which of the following 1. Vitamin A 2.Digoxin (Lanoxin)
indicates that a systemic 3.Furosemide (Lasix)
effect has occurred? 4. Phenytoin (Dilantin)
1.Hyperventilation 2.Elevated
9. 9.) The nurse is applying a topical corticosteroid to a clien
blood
with eczema. The nurse would monitor for the potential f
pressure 3.Local increased systemic absorption of the medication if the
pain at the burn medication were being applied to which of the following
site 4.Local rash body areas?
at the burn site 1. Back 2.Axilla
7. 7.) Isotretinoin is prescribed 3.Soles of the feet
for a client with severe 4. Palms of the hands
acne. Before the
10. 10.) The clinic nurse is performing an admission assessmen
administration of this
on a client. The nurse notes that the client is taking azelaic
medication, the nurse
acid (Azelex). Because of the medication prescription, the
anticipates that which
nurse would suspect that the client is being treated for:
laboratory test will be
1. Acne 2.Eczema 3.Hair loss
prescribed?
4. Herpes simplex
1. Platelet count
2.Triglyceride level
3.Complete blood
,count 11. 11.) The health care provider has
, 1 iglyceride
. level
H Rationale:
y Isotretinoin can elevate triglyceride levels. Blood
triglyceride levels should be measured before treatment and
p periodically thereafter until the effect on the triglycerides has
been evaluated. Options 1, 3, and 4 do not need to be
e monitored specifically during this treatment.
r
v
1. Vit
e a min A
Rational
n e
:
t Isotretinoin is a metabolite of vitamin A and can produce
generalized intensification of isotretinoin toxicity. Because
i of the potential for increased toxicity, vitamin A
l supplements should be discontinued before isotretinoin
a therapy. Options 2, 3, and 4 are not contraindicated with
the use of isotretinoin.
t
i
o
n
2. Axill
R a
a Ration
al e
t :
i Topical corticosteroids can be absorbed into the systemic
o circulation. Absorption is higher from regions where the skin
n is especially permeable (scalp, axilla, face, eyelids, neck,
perineum, genitalia), and lower from regions in which
a permeability is poor (back, palms, soles).
l
e
:
Mafenide acetate is a
carbonic anhydrase inhibitor 1. A
and can suppress renal cne
excretion of acid, thereby Rational
causing acidosis. Clients e
receiving this treatment :
should be monitored for signs Azelaic acid is a topical medication used to treat mild to
of an acid- base imbalance moderate acne. The acid appears to work by suppressing the
(hyperventilation). If this growth of Propionibacterium acnes and decreasing the
occurs, the medication proliferation of keratinocytes. Options 2, 3, and 4 are
should be discontinued for 1 incorrect.
to 2 days.
Options 3 and 4 describe
local rather than systemic
effects. An elevated blood
pressure may be expected
from the pain that occurs 3. "The medication will permanently stain my skin."
with a burn injury.
4. "The medication should be applied directly to
2 the wound."
.
T
r
prescribed silver sulfadiazine
(Silvadene) for the client with
a
partial- thickness burn, which has
cultured positive for gram- negative 4. Elevate the extremity of the IV site, and slow the
bacteria. The nurse is reinforcing infusion.
information to the client about the
13. 13.) The client with squamous cell carcinoma of the
medication. Which statement made
larynx is receiving bleomycin intravenously. The nurse
by the client indicates a lack of
understanding about the
treatments?
1. "The medication is an
antibacterial." 2."The
medication will help heal the
burn."
