ATI PHARMACOLOGY PROCTORED EXAM 2024 | ATI PN
PHARMACOLOGY E XAM PACK| NGN QUESTIONS AND CO RR E C
T ANS W E R S W I T H RA T I O N AL E S | G R AD E D A +
1) A nurse is caring for a client with hyperparathyroidism and notes that the
client's serumcalcium level is 13 mg/dL. Which medication should the nurse
prepare to administer as prescribed to the client?
1. Calcium chloride
2. Calcium gluconate
3. Calcitonin (Miacalcin)
4. Large doses of vitamin D 3. Calcitonin
(Miacalcin)Rationale:
The normal serum calcium level is 8.6 to 10.0 mg/dL. This client is
experiencing hypercalcemia. Calcium gluconate and calcium chloride are
medications used for the treatment of tetany, whichoccurs as a result of acute
hypocalcemia. In hypercalcemia, large doses of vitamin D need to be
avoided. Calcitonin, a thyroid hormone, decreases the plasma calcium level
by inhibiting bone resorption and lowering the serum calcium concentration.
10.) The clinic nurse is performing an admission assessment on a client. The
nurse notes that theclient is taking azelaic acid (Azelex). Because of the
medication prescription, the nurse would suspect that the client is being
treated for:
1.Acne
2.Eczema
,3.Hair loss
4.Herpes simplex 1.
AcneRationale:
Azelaic acid is a topical medication used to treat mild to moderate acne. The
acid appears to work by suppressing the growth of Propionibacterium acnes
and decreasing the proliferation ofkeratinocytes. Options 2, 3, and 4 are
incorrect.
100.) Saquinavir (Invirase) is prescribed for the client who is human
immunodeficiency virusseropositive. The nurse reinforces medication
instructions and tells the client to:
1.Avoid sun exposure.
2.Eat low-calorie foods.
3. Eat foods that are low in fat.
4. Take the medication on an empty stomach. 1. Avoid sun exposure.
,Rationale:
Saquinavir (Invirase) is an antiretroviral (protease inhibitor) used with other
antiretroviral medications to manage human immunodeficiency virus
infection. Saquinavir is administered with meals and is best absorbed if the
client consumes high-calorie, high-fat meals. Saquinavircan cause
photosensitivity, and the nurse should instruct the client to avoid sun
exposure.
101.) Ketoconazole is prescribed for a client with a diagnosis of candidiasis.
Select the interventions that the nurse includes when administering this
medication. Select all that apply.
1. Restrict fluid intake.
2. Instruct the client to avoid alcohol.
3.Monitor hepatic and liver function studies.
4.Administer the medication with an antacid.
5. Instruct the client to avoid exposure to the sun.
6. Administer the medication on an empty stomach. 2. Instruct the client
to avoid alcohol.
3. Monitor hepatic and liver function studies.
5. Instruct the client to avoid exposure
to the sun.Rationale:
Ketoconazole is an antifungal medication. It is administered with food (not
on an empty stomach) and antacids are avoided for 2 hours after taking the
medication to ensure absorption.The medication is hepatotoxic and the nurse
monitors liver function studies. The client is instructed to avoid exposure to
the sun because the medication increases photosensitivity. Theclient is also
instructed to avoid alcohol. There is no reason for the client to restrict fluid
intake.In fact, this could be harmful to the client.
, 102.) A client with human immunodeficiency virus is taking nevirapine
(Viramune). The nurseshould monitor for which adverse effects of the
medication? Select all that apply.
1.Rash
2.Hepatotoxicity
3.Hyperglycemia
4.Peripheral neuropathy
5.Reduced bone mineral density 1. Rash
PHARMACOLOGY E XAM PACK| NGN QUESTIONS AND CO RR E C
T ANS W E R S W I T H RA T I O N AL E S | G R AD E D A +
1) A nurse is caring for a client with hyperparathyroidism and notes that the
client's serumcalcium level is 13 mg/dL. Which medication should the nurse
prepare to administer as prescribed to the client?
1. Calcium chloride
2. Calcium gluconate
3. Calcitonin (Miacalcin)
4. Large doses of vitamin D 3. Calcitonin
(Miacalcin)Rationale:
The normal serum calcium level is 8.6 to 10.0 mg/dL. This client is
experiencing hypercalcemia. Calcium gluconate and calcium chloride are
medications used for the treatment of tetany, whichoccurs as a result of acute
hypocalcemia. In hypercalcemia, large doses of vitamin D need to be
avoided. Calcitonin, a thyroid hormone, decreases the plasma calcium level
by inhibiting bone resorption and lowering the serum calcium concentration.
10.) The clinic nurse is performing an admission assessment on a client. The
nurse notes that theclient is taking azelaic acid (Azelex). Because of the
medication prescription, the nurse would suspect that the client is being
treated for:
1.Acne
2.Eczema
,3.Hair loss
4.Herpes simplex 1.
AcneRationale:
Azelaic acid is a topical medication used to treat mild to moderate acne. The
acid appears to work by suppressing the growth of Propionibacterium acnes
and decreasing the proliferation ofkeratinocytes. Options 2, 3, and 4 are
incorrect.
100.) Saquinavir (Invirase) is prescribed for the client who is human
immunodeficiency virusseropositive. The nurse reinforces medication
instructions and tells the client to:
1.Avoid sun exposure.
2.Eat low-calorie foods.
3. Eat foods that are low in fat.
4. Take the medication on an empty stomach. 1. Avoid sun exposure.
,Rationale:
Saquinavir (Invirase) is an antiretroviral (protease inhibitor) used with other
antiretroviral medications to manage human immunodeficiency virus
infection. Saquinavir is administered with meals and is best absorbed if the
client consumes high-calorie, high-fat meals. Saquinavircan cause
photosensitivity, and the nurse should instruct the client to avoid sun
exposure.
101.) Ketoconazole is prescribed for a client with a diagnosis of candidiasis.
Select the interventions that the nurse includes when administering this
medication. Select all that apply.
1. Restrict fluid intake.
2. Instruct the client to avoid alcohol.
3.Monitor hepatic and liver function studies.
4.Administer the medication with an antacid.
5. Instruct the client to avoid exposure to the sun.
6. Administer the medication on an empty stomach. 2. Instruct the client
to avoid alcohol.
3. Monitor hepatic and liver function studies.
5. Instruct the client to avoid exposure
to the sun.Rationale:
Ketoconazole is an antifungal medication. It is administered with food (not
on an empty stomach) and antacids are avoided for 2 hours after taking the
medication to ensure absorption.The medication is hepatotoxic and the nurse
monitors liver function studies. The client is instructed to avoid exposure to
the sun because the medication increases photosensitivity. Theclient is also
instructed to avoid alcohol. There is no reason for the client to restrict fluid
intake.In fact, this could be harmful to the client.
, 102.) A client with human immunodeficiency virus is taking nevirapine
(Viramune). The nurseshould monitor for which adverse effects of the
medication? Select all that apply.
1.Rash
2.Hepatotoxicity
3.Hyperglycemia
4.Peripheral neuropathy
5.Reduced bone mineral density 1. Rash
