ATI PHARMACOLOGY 2019 PROCTORED EXAM A+ GUIDE(ALL YOU NEED)

Pharmacology Final Exam Questions
(A+ GUIDE)
• When administering the drug senna to a patient, a health care provider must
inform thepatient of which of the following
• This drug is intended to lower blood pressure and is best used in
combinationwith other antihypertensives
• This drug is not intended for long term use
• The patient must limit his/her fiber intake
• Advise patient to change positions slowly to limit the risk of
orthostatichypotension

• When giving digoxin (Lanoxin) to a patient, the health care provider notices
various signs and symptoms of an overdose. The health care provider knows to
give which of thefollowing to reverse digoxin toxicity
• NaloxoneVitamin Kc. Digibind
d. Fluemanzil

• While providing an Angiotensin-converting enzyme (ACE) inhibitor, the patient
asks what the action of the drug is. As a health care provider, you explain that
the action of an ACEinhibitor is
• To lower blood pressure by blocking the conversion of
angiotensin I tovasoconstrictor angiotensin II
• To inhibit reabsorption of sodium back into the body, ultimately
increasing urineoutput and lowering blood pressure
• To decrease heart rate and blood pressure by competing with Beta1
and Beta2receptors in the heart and lungs
• To lower blood glucose by stimulating the release of insulin

• Which of the following types of insulin is “long-acting”?
• Lispro (Humalog)
• NPH (Humulin N)
• Regular insulin
(Humulin R)d. Glargine
(Lantus)

• What is the therapeutic use of metformin?
• Lower blood pressure.
• To diminish seizure activity.

, • The maintenance of a person’s blood glucose.
• Increase heart rate and decrease gastrointestinal secretions.


• What is the correct definition for absorption of a drug?
• Movement of drug from site of administration to various tissues of the body.
• Describes the absorption, distribution, metabolism & excretion of drugs.
• These types of drugs can be taken over the counter.
• This addresses how various drugs affect different forms of the body.


• What do you assess for in a patient who is on Valproate? Select all
that apply. A. Suicidal thoughts
B. Monitor for
seizures. C.
Bipolar
disorder.
D. Migraines.


• What is true about food and drug precautions? Select all that apply.
• You must limit certain types of food or concurrent administration of
certain typesof drugs.
• Certain combinations of food and drugs can cause adverse reactions.
• Precautions may require limiting certain types of food or concurring
drugs ratherthan restricting the drug itself.
• When one drug changes the way, another drug affects that drug.

• ACE Inhibitors are used in the treatment of all EXCEPT:
• HypertensionHeart Failurec. Hypotension
d. Diabetic nephropathy

• Which of the following is used to treat migraine
headaches?a. Beta-blockers
• Cholinesterase Inhibitors
• ACE inhibitors
• Anti-epileptic drugs (AEDs)

• When administering a Serotonin Antagonist it is important to monitor for
• Intake and output
• Mental status changes
• Respiratory rate

, • Anorexia

• Which of the following is the antidote for
Heparin?a. Protamine sulfate


• Vitamin K
• Naloxone
• Toradol


• A patient has been taking hydrocodone, and opioid analgesic for their
moderate pain, and they have taken over their prescribed dose. What should you
give as the antidote if theyexperience toxicity?
• Naloxone
• N-acetylcysteine
• Atropine
• Digoxin immune Fab

• A patient is being educated on taking levothyroxine, a drug used to balance
thyroidactivity. What should you include in their education?
A. Don’t bother your health care professionals if you experience side
effectsB. Take this at the same time every day
• Thyroid tests are unnecessary while taking this drug
• It is okay to take this drug if you have recently had a myocardial infarction

• A patient states he experiences anxiety and has panic attacks at least once a
week. Whatmight be helpful for this patient?
• Phenytoin (Dilantin)
• Lithium
• Alprazolam (Xanax)
• Spironolactone

• Which of the following is NOT an opioid or NSAID?
• Morphine
• Ibuprofen
C.HydromorphoneD.
Acetaminophen


• Why is it important to monitor ins and outs with patients using ACE inhibitors?
• To assess for renal impairment

, • You must make sure the patient is receiving adequate fluid intake
• To assess the patient for potential heart failure
• You must assess for NSAID use
• To assess for decreased blood pressure


• Which drug goes through extensive first-pass hepatic metabolism?
• Heparin
• Insulin
• Propranolol
• Nitroglycerine
• Warfarin

• What nursing interventions should you do when a patient is on Albuterol (select
all that apply)
• Assess lung sounds, Pulse, and Blood pressure before administering
• Monitor for changes in behavior
• Observe for paradoxical bronchospasms
• Assess for abdominal distention
• Note sputum color and texture

• What patient could potentially take the drug Senna?
• A patient with an eating disorder
• A patient who has not passed stool in 5 days
• A patient with anal fissures
• A patient with a history of hemorrhoids
• A patient who has hypersensitivity

Question #1
What is the category class of Lithium?
A. Antidiabetics,
biguanidesB. Mood
stabilizers
C. Antiarrhythmics, anticonvulsants
D. Vascular headache suppressants
Question #2
What do you need to teach your patient if they are taking sennosides? Select
All ThatApply.
• Laxatives should be used for short-term therapy
• The medication does not cure hypothyroidism
• The color of the urine may change to a pink, red, violet, yellow,
or brownD. Make sure other forms of bowel regulation are being
used