ATI Pharmacology Proctored Review!!!!
2024
Patient identifiers -answer--Medical record number
-home telephone number
What lab values should a nurse monitor for a patient with chronic renal failure? -answer-■ Urinalysis
☐ Hematuria, proteinuria, and alterations in specific gravity
☐ Serum creatinine
- Gradual increase of 1 to 2 mg/dL per every 24 to 48 hr for acute renal
failure (ARF)
- Gradual increase over months to years for chronic renal failure (CRF)
exceeding 4 mg/dL
■ Blood urea nitrogen (BUN)
- 80 to 100 mg/dL within 1 week with ARF
- Gradual increase with elevated serum creatinine over months to years for
CRF
- 180-200 mg/dL with (CRF)
■ Serum electrolytes
- Decreased sodium (dilutional) and calcium, increased potassium,
phosphorus, and magnesium
■ Complete blood count (CBC)
- Decreased hemoglobin
What food should you increase when taking Lasix? -answer--increased amounts of potassium-rich foods
(e.g., bananas, prunes, raisins, and orange juice)
Patient reports IV discomfort, what is your first action? -answer-color and temperature
, Sumatriptan (treats migraine headaches) adverse effect -answer-pain, tightness, pressure, or heaviness
in the chest, throat, neck, and/or jaw
slow or difficult speech
Know about Transdermal patch -answer--• Apply at the same time once each day,
preferably in the morning. Keep patch on
for 12 to 14 hr each day.
• Remove the patch at night to reduce
the risk of developing tolerance to
nitroglycerin. Be medication-free a
minimum of 10 to 12 hr each day (usually
at night).
• Do not cut patches to ensure appropriate
dosage.
• Place the patch on a hairless area of skin
(chest, back, or abdomen) and rotate sites
to prevent skin irritation.
• Wash skin with soap and water and dry
thoroughly before applying new patch.
RBC Blood transfusion -answer-http://www.atitesting.com/ati_next_gen/FocusedReview/data/
datacontext/RM%20AMS%20RN%208.0%20Chp%2044.pdf (prime with normal saline and infuse with
sodium chloride).
What to understand about Parkinson's Meds? -answer--they don't cure disease, they slow the process.
NEUPOGEN (filgrastim)-what is the appropriate route of this med? -answer-administered by
subcutaneous injection or IV infusion
2024
Patient identifiers -answer--Medical record number
-home telephone number
What lab values should a nurse monitor for a patient with chronic renal failure? -answer-■ Urinalysis
☐ Hematuria, proteinuria, and alterations in specific gravity
☐ Serum creatinine
- Gradual increase of 1 to 2 mg/dL per every 24 to 48 hr for acute renal
failure (ARF)
- Gradual increase over months to years for chronic renal failure (CRF)
exceeding 4 mg/dL
■ Blood urea nitrogen (BUN)
- 80 to 100 mg/dL within 1 week with ARF
- Gradual increase with elevated serum creatinine over months to years for
CRF
- 180-200 mg/dL with (CRF)
■ Serum electrolytes
- Decreased sodium (dilutional) and calcium, increased potassium,
phosphorus, and magnesium
■ Complete blood count (CBC)
- Decreased hemoglobin
What food should you increase when taking Lasix? -answer--increased amounts of potassium-rich foods
(e.g., bananas, prunes, raisins, and orange juice)
Patient reports IV discomfort, what is your first action? -answer-color and temperature
, Sumatriptan (treats migraine headaches) adverse effect -answer-pain, tightness, pressure, or heaviness
in the chest, throat, neck, and/or jaw
slow or difficult speech
Know about Transdermal patch -answer--• Apply at the same time once each day,
preferably in the morning. Keep patch on
for 12 to 14 hr each day.
• Remove the patch at night to reduce
the risk of developing tolerance to
nitroglycerin. Be medication-free a
minimum of 10 to 12 hr each day (usually
at night).
• Do not cut patches to ensure appropriate
dosage.
• Place the patch on a hairless area of skin
(chest, back, or abdomen) and rotate sites
to prevent skin irritation.
• Wash skin with soap and water and dry
thoroughly before applying new patch.
RBC Blood transfusion -answer-http://www.atitesting.com/ati_next_gen/FocusedReview/data/
datacontext/RM%20AMS%20RN%208.0%20Chp%2044.pdf (prime with normal saline and infuse with
sodium chloride).
What to understand about Parkinson's Meds? -answer--they don't cure disease, they slow the process.
NEUPOGEN (filgrastim)-what is the appropriate route of this med? -answer-administered by
subcutaneous injection or IV infusion
