ATI PN PHARMACOLOGY PROCTORED EXAM 20232024
ACTUAL EXAM TEST BANK 270 QUESTIONS AND
CORRECT DETAILED ANSWERS
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? - ANSWER--"Take two
pills today then continue on a daily basis."
The nurse may administer acetylcysteine (Mucomyst) inhalation to: -
ANSWER--facilitate mucus expectoration.
Development of a chronic cough is an adverse effect associated with which
class of anti-hypertensive drugs? - ANSWER--Angiotensin converting
enzyme (ACE) inhibitors
The nurse may administer baclofen (Lioresal) for the treatment of which
condition? - 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? - 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? - 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? - ANSWER--Cardiac dsyrhythmias
, ATI PN PHARMACOLOGY PROCTORED EXAM 20232024
ACTUAL EXAM TEST BANK 270 QUESTIONS AND
CORRECT DETAILED ANSWERS
Which adverse effect is common for a client being treated with the
antidepressant fluoxetine (Prozac)? - ANSWER--Sexual dysfunction
After giving a dose of dextromethorphan, an antitussive, which data reflects
evaluation of the drug's effectiveness? - 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? -
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? - ANSWER--Slowed impulse conduction
One mechanism by which antihypertensive drugs lower blood pressure is
to: - 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? - 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? - ANSWER--"Using this drug regularly will reduce the
frequency of acute attacks."
, ATI PN PHARMACOLOGY PROCTORED EXAM 20232024
ACTUAL EXAM TEST BANK 270 QUESTIONS AND
CORRECT DETAILED ANSWERS
The combination of aluminum and magnesium in many antacids decreases
the risk of: - ANSWER--diarrhea or constipation.
A client who is taking one daily dose of a thiazide diuretic should be
instructed to: - ANSWER--take the medication in morning to avoid nighttime
voiding.
Which phase of pharmacokinetics is affected most by abnormal liver
function? - ANSWER--Metabolism
A medication order is written for ciprofloxacin (Cipro). For which client
should the nurse question use of this medication? - ANSWER--Child age
10
A home health client tells the nurse that she is taking triamterene
(Dyrenium) for fluid retention. She tells the nurse she is using a salt
substitute so she will not retain so much water. What is the most
appropriate nursing response? - ANSWER--"Using a salt substitute with
this medication could cause you to have too much potassium."
Orders are written for anticholinergic drugs for each of the following clients.
Which order should the nurse question? - ANSWER--Atropine combined
with opioid analgesics to relieve pain in a 30-year-old client with urinary
calculi.
A client with Type I diabetes mellitus is given an injection of neutral
protamine hagedorn (NPH) insulin at 7:00 a.m. In order to prevent a
hypoglycemic reaction, the client should have: - ANSWER--a mid-afternoon
snack.
, ATI PN PHARMACOLOGY PROCTORED EXAM 20232024
ACTUAL EXAM TEST BANK 270 QUESTIONS AND
CORRECT DETAILED ANSWERS
Why is carbidopa-levodopa preferred over levodopa alone? - ANSWER--It
decreases the amount of levodopa needed.
Which findings are most likely in the client who has taken a toxic dose of a
salicylate (aspirin)? - ANSWER--Tinnitus and dizziness
Which nursing intervention is specifically important when a client is taking
an alpha- blocker, such as doxazosin (Cardura) for hypertension? -
ANSWER--Teach the client how to manage orthostatic hypotension.
A client reports taking large amounts of vitamins because she believes they
increase her energy level and will prevent various diseases. Client teaching
should include which nursing response? - ANSWER--"Large amounts of
fat-soluble vitamins can be toxic."
An elderly client is prescribed a new drug. Because of the age-related
changes in the kidneys and liver, it is most important that the nurse assess
for: - ANSWER--signs of drug toxicity.
Evidence of effective treatment with a nucleoside reverse transcriptase
inhibitor (NRTI), such as zidovudine is: - ANSWER--decreased HIV RNA
level.
When oral iron supplements are prescribed, client teaching should include
the fact that: - ANSWER--diarrhea or constipation may occur.
ACTUAL EXAM TEST BANK 270 QUESTIONS AND
CORRECT DETAILED ANSWERS
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? - ANSWER--"Take two
pills today then continue on a daily basis."
The nurse may administer acetylcysteine (Mucomyst) inhalation to: -
ANSWER--facilitate mucus expectoration.
Development of a chronic cough is an adverse effect associated with which
class of anti-hypertensive drugs? - ANSWER--Angiotensin converting
enzyme (ACE) inhibitors
The nurse may administer baclofen (Lioresal) for the treatment of which
condition? - 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? - 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? - 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? - ANSWER--Cardiac dsyrhythmias
, ATI PN PHARMACOLOGY PROCTORED EXAM 20232024
ACTUAL EXAM TEST BANK 270 QUESTIONS AND
CORRECT DETAILED ANSWERS
Which adverse effect is common for a client being treated with the
antidepressant fluoxetine (Prozac)? - ANSWER--Sexual dysfunction
After giving a dose of dextromethorphan, an antitussive, which data reflects
evaluation of the drug's effectiveness? - 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? -
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? - ANSWER--Slowed impulse conduction
One mechanism by which antihypertensive drugs lower blood pressure is
to: - 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? - 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? - ANSWER--"Using this drug regularly will reduce the
frequency of acute attacks."
, ATI PN PHARMACOLOGY PROCTORED EXAM 20232024
ACTUAL EXAM TEST BANK 270 QUESTIONS AND
CORRECT DETAILED ANSWERS
The combination of aluminum and magnesium in many antacids decreases
the risk of: - ANSWER--diarrhea or constipation.
A client who is taking one daily dose of a thiazide diuretic should be
instructed to: - ANSWER--take the medication in morning to avoid nighttime
voiding.
Which phase of pharmacokinetics is affected most by abnormal liver
function? - ANSWER--Metabolism
A medication order is written for ciprofloxacin (Cipro). For which client
should the nurse question use of this medication? - ANSWER--Child age
10
A home health client tells the nurse that she is taking triamterene
(Dyrenium) for fluid retention. She tells the nurse she is using a salt
substitute so she will not retain so much water. What is the most
appropriate nursing response? - ANSWER--"Using a salt substitute with
this medication could cause you to have too much potassium."
Orders are written for anticholinergic drugs for each of the following clients.
Which order should the nurse question? - ANSWER--Atropine combined
with opioid analgesics to relieve pain in a 30-year-old client with urinary
calculi.
A client with Type I diabetes mellitus is given an injection of neutral
protamine hagedorn (NPH) insulin at 7:00 a.m. In order to prevent a
hypoglycemic reaction, the client should have: - ANSWER--a mid-afternoon
snack.
, ATI PN PHARMACOLOGY PROCTORED EXAM 20232024
ACTUAL EXAM TEST BANK 270 QUESTIONS AND
CORRECT DETAILED ANSWERS
Why is carbidopa-levodopa preferred over levodopa alone? - ANSWER--It
decreases the amount of levodopa needed.
Which findings are most likely in the client who has taken a toxic dose of a
salicylate (aspirin)? - ANSWER--Tinnitus and dizziness
Which nursing intervention is specifically important when a client is taking
an alpha- blocker, such as doxazosin (Cardura) for hypertension? -
ANSWER--Teach the client how to manage orthostatic hypotension.
A client reports taking large amounts of vitamins because she believes they
increase her energy level and will prevent various diseases. Client teaching
should include which nursing response? - ANSWER--"Large amounts of
fat-soluble vitamins can be toxic."
An elderly client is prescribed a new drug. Because of the age-related
changes in the kidneys and liver, it is most important that the nurse assess
for: - ANSWER--signs of drug toxicity.
Evidence of effective treatment with a nucleoside reverse transcriptase
inhibitor (NRTI), such as zidovudine is: - ANSWER--decreased HIV RNA
level.
When oral iron supplements are prescribed, client teaching should include
the fact that: - ANSWER--diarrhea or constipation may occur.
