ATI Pharmacology Proctored Exam
GRADED A LATEST 2023/2024
QUESTIONS AND ANSWERS
An immunizing agent that confers active immunity protects by: -
CORRECT ANSWER providing antibodies obtained from
immune humans or animals.
Antacids should be given one hour apart from most other drugs.
Which is the rationale? - CORRECT ANSWER Antacids may
interfere with absorption of drugs taken at the same time.
Vancomycin should not be used to treat minor infections because
it: - CORRECT ANSWER can cause "red man syndrome", a
hypertensive crisis that is almost always fatal.
The antagonist for a client who has overdosed on morphine is: -
CORRECT ANSWER narcan.
The most serious adverse reaction to oral contraceptives is: -
CORRECT ANSWER thromboembolism.
When a client develops tolerance to a drug, the nurse would
expect: - CORRECT ANSWER higher dose needed to achieve
same effect.
Antihyperglycemic agents are prescribed for clients with: -
CORRECT ANSWER Type 2 diabetes mellitus.
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? - CORRECT
ANSWER Bounding pulse
Compared to other beta adrenergic blockers, cardioselective beta
adrenergic blockers: - CORRECT ANSWER are less likely to
cause bronchoconstriction.
A client who experiences motion sickness during airplane flights
obtains a prescription for meclizine (Antivert). When is the best
time to take the drug? - CORRECT ANSWER One hour before
the flight
Before prescribing a cephalosporin, the nurse practitioner asks if
the client is allergic to penicillin. Why is this important to assess? -
CORRECT ANSWER A client who is allergic to penicillin can
have a cross sensitivity to cephalosporins.
The use of which class of antibiotics should be avoided in
children? - CORRECT ANSWER Tetracyclines
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? - CORRECT ANSWER Epinephrine
Thiazide and loop (high ceiling) diuretics are similar in that both: -
CORRECT ANSWER decrease tubular reabsorption of sodium
and water.
Which of the statements by the nurse most accurately describes
the effects of declined plasma albumin levels in older adults? -
CORRECT ANSWER "There is an increased risk for adverse
effects."
,To prevent oral fungal infections, the nurse should instruct the
client who uses a beclomethasone inhaler to take which action? -
CORRECT ANSWER Rinse the mouth after each use.
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? -
CORRECT ANSWER "Take two pills today then continue on a
daily basis."
The nurse may administer acetylcysteine (Mucomyst) inhalation
to: - CORRECT ANSWER facilitate mucus expectoration.
Development of a chronic cough is an adverse effect associated
with which class of anti-hypertensive drugs? - CORRECT
ANSWER Angiotensin converting enzyme (ACE) inhibitors
The nurse may administer baclofen (Lioresal) for the treatment of
which condition? - CORRECT ANSWER Protracted muscle
spasticity
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? - CORRECT
ANSWER Assess for incoordination and daytime drowsiness.
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? - CORRECT ANSWER Hypertension
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? - CORRECT
ANSWER Cardiac dsyrhythmias
, Which adverse effect is common for a client being treated with the
antidepressant fluoxetine (Prozac)? - CORRECT ANSWER
Sexual dysfunction
After giving a dose of dextromethorphan, an antitussive, which
data reflects evaluation of the drug's effectiveness? - CORRECT
ANSWER Client states that cough has been relieved.
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? - CORRECT ANSWER Give the
drug and document the heart rate.
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? - CORRECT
ANSWER Slowed impulse conduction
One mechanism by which antihypertensive drugs lower blood
pressure is to: - CORRECT ANSWER dilate peripheral blood
vessels.
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? - CORRECT ANSWER
Sucralfate (Carafate)
A client whose asthma has been poorly controlled is prescribed
cromolyn sodium (Intal) for inhalation. Client teaching should
include which statement by the nurse? - CORRECT ANSWER
"Using this drug regularly will reduce the frequency of acute
attacks."
GRADED A LATEST 2023/2024
QUESTIONS AND ANSWERS
An immunizing agent that confers active immunity protects by: -
CORRECT ANSWER providing antibodies obtained from
immune humans or animals.
Antacids should be given one hour apart from most other drugs.
Which is the rationale? - CORRECT ANSWER Antacids may
interfere with absorption of drugs taken at the same time.
Vancomycin should not be used to treat minor infections because
it: - CORRECT ANSWER can cause "red man syndrome", a
hypertensive crisis that is almost always fatal.
The antagonist for a client who has overdosed on morphine is: -
CORRECT ANSWER narcan.
The most serious adverse reaction to oral contraceptives is: -
CORRECT ANSWER thromboembolism.
When a client develops tolerance to a drug, the nurse would
expect: - CORRECT ANSWER higher dose needed to achieve
same effect.
Antihyperglycemic agents are prescribed for clients with: -
CORRECT ANSWER Type 2 diabetes mellitus.
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? - CORRECT
ANSWER Bounding pulse
Compared to other beta adrenergic blockers, cardioselective beta
adrenergic blockers: - CORRECT ANSWER are less likely to
cause bronchoconstriction.
A client who experiences motion sickness during airplane flights
obtains a prescription for meclizine (Antivert). When is the best
time to take the drug? - CORRECT ANSWER One hour before
the flight
Before prescribing a cephalosporin, the nurse practitioner asks if
the client is allergic to penicillin. Why is this important to assess? -
CORRECT ANSWER A client who is allergic to penicillin can
have a cross sensitivity to cephalosporins.
The use of which class of antibiotics should be avoided in
children? - CORRECT ANSWER Tetracyclines
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? - CORRECT ANSWER Epinephrine
Thiazide and loop (high ceiling) diuretics are similar in that both: -
CORRECT ANSWER decrease tubular reabsorption of sodium
and water.
Which of the statements by the nurse most accurately describes
the effects of declined plasma albumin levels in older adults? -
CORRECT ANSWER "There is an increased risk for adverse
effects."
,To prevent oral fungal infections, the nurse should instruct the
client who uses a beclomethasone inhaler to take which action? -
CORRECT ANSWER Rinse the mouth after each use.
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? -
CORRECT ANSWER "Take two pills today then continue on a
daily basis."
The nurse may administer acetylcysteine (Mucomyst) inhalation
to: - CORRECT ANSWER facilitate mucus expectoration.
Development of a chronic cough is an adverse effect associated
with which class of anti-hypertensive drugs? - CORRECT
ANSWER Angiotensin converting enzyme (ACE) inhibitors
The nurse may administer baclofen (Lioresal) for the treatment of
which condition? - CORRECT ANSWER Protracted muscle
spasticity
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? - CORRECT
ANSWER Assess for incoordination and daytime drowsiness.
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? - CORRECT ANSWER Hypertension
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? - CORRECT
ANSWER Cardiac dsyrhythmias
, Which adverse effect is common for a client being treated with the
antidepressant fluoxetine (Prozac)? - CORRECT ANSWER
Sexual dysfunction
After giving a dose of dextromethorphan, an antitussive, which
data reflects evaluation of the drug's effectiveness? - CORRECT
ANSWER Client states that cough has been relieved.
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? - CORRECT ANSWER Give the
drug and document the heart rate.
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? - CORRECT
ANSWER Slowed impulse conduction
One mechanism by which antihypertensive drugs lower blood
pressure is to: - CORRECT ANSWER dilate peripheral blood
vessels.
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? - CORRECT ANSWER
Sucralfate (Carafate)
A client whose asthma has been poorly controlled is prescribed
cromolyn sodium (Intal) for inhalation. Client teaching should
include which statement by the nurse? - CORRECT ANSWER
"Using this drug regularly will reduce the frequency of acute
attacks."
