ATI PN PHARMACOLOGY PROCTORED EXAM TEST
BANK
1. A nurse is providing teaching to newly licensed nurse about metoclo- pramide.The
nurse should include in the teaching that which of the followingconditions is a
contraindication to this medication?
a. hyperthyroidism
b. intestinal obstruction
c. glaucoma
d. low blood pressure
ANS b. intestinal obstruction
Metoclopramide reduces nausea and vomiting by increasing gastric motility and promoting
gastric emptying. It is contraindicated for a client who has an intestinalobstruction or
perforation.
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2. A nurse is preparing to administer heparin 8000 units SQ every 8 hours. Available is
heparin 10,000 units/1mL. How many mL should the nurse admin-ister per dose?
ANS 0.8 mL
3. A nurse is providing teaching to a client who has chronic kidney failure withan AV fistula
for hemodialysis and a new prescription for epoetin alfa. Which of the following
therapeutic effects of epoetin alfa should the nurse include inthe teaching?
a. reduces BP
b. inhibits clotting of fistula
c. promotes RBC production
d. stimulates growth of neutrophils
ANS c. promotes RBC production
Stimulates erythropoiesis in the bone marrow to increase RBC production and reduce anemia.
Anemia is common in clients who have chronic kidney failure sinceerythropoietin is produced
by the kidney.
4. A nurse is caring for a client who has a new diagnosis of oral candidiasis after taking
tetracycline for 7 days.The nurse should recognize that candidia-sis is a manifestation of
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which of the following adverse effects?
a. allergic response
b. superinfection
c. renal toxicity
d. hepatotoxicity
ANS b. superinfection
A superinfection can develop from the overgrowth of fungus due to the antibacterial
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effect of tetracycline. The nurse should monitor for soreness of the mouth and aswollen
tongue.
5. A nurse is reviewing lab values for a client who reports fatigue and cold intolerance.
The client has an increased thyroid stimulating hormone level anda decreased total T3 and
T4 level. The nurse should anticipate a prescriptionfor which of the following
medications?
a. methimazole
b. somatropin
c. levothyroxine
d. propylthiouracil
ANS c. levothyroxine
This helps replace thyroid hormone for a client who has hypothyroidism. Clinical
manifestations of hypothyroidism is fatigue, cold intolerance, and a decrease bodytemperature
and pulse.
6. A nurse is providing teaching to a parent of a child who has asthma and anew
prescription for a cromolyn sodium metered dose inhaler. Which of the following
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