ATI NR293 PHARM FINAL REVIEW CORRECT
QUESTIONS AND ANSWERS
1) A nurse is assessing a client who is taking levothyroxine. The nurse should recognize that which of the following
findings is a manifestation of levothyroxine overdose?
a) Insomnia
i) Rationale: Levothyroxine overdose will result in manifestations of hyperthyroidism, which include
Insomnia, tachycardia, and hyperthermia.
b) Constipation
i) Rationale: Constipation is a manifestation of hypothyroidism and indicates an inadequate
dose of levothyroxine.
c) Drowsiness
i) Rationale: Drowsiness is a manifestation of hypothyroidism and indicates an inadequate
dose of levothyroxine.
d) Hypoactive deep-tendon reflexes
i) Rationale: Hypoactive deep-tendon reflexes are manifestations of hypothyroidism and indicate an
inadequate dose of levothyroxine.
2) A nurse is reviewing the medical record of a client who has been on levothyroxine for several months. Which
of the following findings indicates a therapeutic response to the medication?
a) Decrease in level of thyroxine (T4)
i) Rationale: If the dose of this medication has been adequate, the nurse should see an increase in the T4.
b) Increase in weight
i) Rationale: If the dose of this medication has been adequate, the nurse should see a decrease in weight, as
hypothyroidism causes a decrease in metabolism with weight gain.
c) Increase in hr of sleep per night
i) Rationale: If the dose of this medication has been adequate, the nurse should see a decrease in the
hr of sleep per night, as hypothyroidism causes sluggishness with increased hr of sleep.
d) Decrease in level of thyroid stimulating hormone (TSH).
i) Rationale: In hypothyroidism, the nonfunctioning thyroid gland is unable to respond to the TSH, and no
, ATI NR293 PHARM FINAL REVIEW CORRECT
QUESTIONS AND ANSWERS
endogenous thyroid hormones are released. This results in an elevation of the TSH level as the anterior
pituitary continues to release the TSH to stimulate the thyroid gland. Administration of exogenous
thyroidhormones, such as levothyroxine, turns off this feedback loop, which results in a decreased level of
TSH.
3) A nurse is reviewing the medication list for a client who has a new diagnosis of type 2 diabetes mellitus. The
nurseshould recognize which of the following medications can cause glucose intolerance?
a) Ranitidine
i) Serum creatinine levels
b) Guafenesin
i) Drowsiness and dizziness
, ATI NR293 PHARM FINAL REVIEW CORRECT
QUESTIONS AND ANSWERS
c) Prednisone
i) Glucose intolerance and hyperglycemia, patient might require increased dosage of hypoglycemic
med.
d) Atorvastatin
i) Thyroid function tests.
4) A nurse is caring for a client receiving mydriatic eye drops. Which of the following clinical manifestations
indicates tothe nurse that the client has developed a systemic anticholinergic effect?
a) Seizures
b) Tachypnea
c) Constipation
i) Mydriatic eye drops can cause systemic anticholinergic effects such as constipation,
dry mouth,photophobia, and tachycardia.
d) Hypothermia
, ATI NR293 PHARM FINAL REVIEW CORRECT
QUESTIONS AND ANSWERS
5) A nurse is caring for a client who has heart failure and is receiving IV furosemide. The nurse should monitor
the client for which of the following electrolyte imbalances?
a) Hypernatremia
i) Rationale: The nurse should monitor the client who is receiving IV furosemide for hyponatremia.
b) Hyperuricemia
i) Rationale: The nurse should monitor the client who is receiving IV furosemide for hyperuricemia. The nurse
shouldinstruct the client to notify the provider for any tenderness or swelling of the joints.
c) Hypercalcemia
i) Rationale: The nurse should monitor the client who is receiving IV furosemide for hypocalcemia.
d) Hyperchloremia
i) Rationale: The nurse should monitor the client who is receiving IV furosemide for hypochloremia.
6) A nurse is talking to a client who is taking a calcium supplement for osteoporosis. The client tells the nurse she
isexperiencing flank pain. Which of the following adverse effects should the nurse suspect?
a) Renal stones
QUESTIONS AND ANSWERS
1) A nurse is assessing a client who is taking levothyroxine. The nurse should recognize that which of the following
findings is a manifestation of levothyroxine overdose?
a) Insomnia
i) Rationale: Levothyroxine overdose will result in manifestations of hyperthyroidism, which include
Insomnia, tachycardia, and hyperthermia.
b) Constipation
i) Rationale: Constipation is a manifestation of hypothyroidism and indicates an inadequate
dose of levothyroxine.
c) Drowsiness
i) Rationale: Drowsiness is a manifestation of hypothyroidism and indicates an inadequate
dose of levothyroxine.
d) Hypoactive deep-tendon reflexes
i) Rationale: Hypoactive deep-tendon reflexes are manifestations of hypothyroidism and indicate an
inadequate dose of levothyroxine.
2) A nurse is reviewing the medical record of a client who has been on levothyroxine for several months. Which
of the following findings indicates a therapeutic response to the medication?
a) Decrease in level of thyroxine (T4)
i) Rationale: If the dose of this medication has been adequate, the nurse should see an increase in the T4.
b) Increase in weight
i) Rationale: If the dose of this medication has been adequate, the nurse should see a decrease in weight, as
hypothyroidism causes a decrease in metabolism with weight gain.
c) Increase in hr of sleep per night
i) Rationale: If the dose of this medication has been adequate, the nurse should see a decrease in the
hr of sleep per night, as hypothyroidism causes sluggishness with increased hr of sleep.
d) Decrease in level of thyroid stimulating hormone (TSH).
i) Rationale: In hypothyroidism, the nonfunctioning thyroid gland is unable to respond to the TSH, and no
, ATI NR293 PHARM FINAL REVIEW CORRECT
QUESTIONS AND ANSWERS
endogenous thyroid hormones are released. This results in an elevation of the TSH level as the anterior
pituitary continues to release the TSH to stimulate the thyroid gland. Administration of exogenous
thyroidhormones, such as levothyroxine, turns off this feedback loop, which results in a decreased level of
TSH.
3) A nurse is reviewing the medication list for a client who has a new diagnosis of type 2 diabetes mellitus. The
nurseshould recognize which of the following medications can cause glucose intolerance?
a) Ranitidine
i) Serum creatinine levels
b) Guafenesin
i) Drowsiness and dizziness
, ATI NR293 PHARM FINAL REVIEW CORRECT
QUESTIONS AND ANSWERS
c) Prednisone
i) Glucose intolerance and hyperglycemia, patient might require increased dosage of hypoglycemic
med.
d) Atorvastatin
i) Thyroid function tests.
4) A nurse is caring for a client receiving mydriatic eye drops. Which of the following clinical manifestations
indicates tothe nurse that the client has developed a systemic anticholinergic effect?
a) Seizures
b) Tachypnea
c) Constipation
i) Mydriatic eye drops can cause systemic anticholinergic effects such as constipation,
dry mouth,photophobia, and tachycardia.
d) Hypothermia
, ATI NR293 PHARM FINAL REVIEW CORRECT
QUESTIONS AND ANSWERS
5) A nurse is caring for a client who has heart failure and is receiving IV furosemide. The nurse should monitor
the client for which of the following electrolyte imbalances?
a) Hypernatremia
i) Rationale: The nurse should monitor the client who is receiving IV furosemide for hyponatremia.
b) Hyperuricemia
i) Rationale: The nurse should monitor the client who is receiving IV furosemide for hyperuricemia. The nurse
shouldinstruct the client to notify the provider for any tenderness or swelling of the joints.
c) Hypercalcemia
i) Rationale: The nurse should monitor the client who is receiving IV furosemide for hypocalcemia.
d) Hyperchloremia
i) Rationale: The nurse should monitor the client who is receiving IV furosemide for hypochloremia.
6) A nurse is talking to a client who is taking a calcium supplement for osteoporosis. The client tells the nurse she
isexperiencing flank pain. Which of the following adverse effects should the nurse suspect?
a) Renal stones
