ATI PHARMACOLOGY PROCTORED STUDY GUID
q q q q
E LATEST STUDY GUIDE
q q q
1)qAqnurseqisqcaringqforqaqclientqwithqhyperparathyroidismqandqnotesqthatqtheqclient'sqserumqcalciu
mqlevelqisq13qmg/dL.qWhichqmedicationqshouldqtheqnurseqprepareqtoqadministerqasqprescribedqtoq
theqclient?
1. Calciumqchloride
2. Calciumqgluconate
3. Calcitoninq(Miacalcin)
4. LargeqdosesqofqvitaminqD
3.qCalcitoninq(Miacalcin)qRationale:
Theqnormalqserumqcalciumqlevelqisq8.6qtoq10.0qmg/dL.qThisqclientqisqexperiencingqhypercalcemia.q
Calciumqgluconateqandqcalciumqchlorideqareqmedicationsqusedqforqtheqtreatmentqofqtetany,qwhichq
occursqasqaqresultqofqacuteqhypocalcemia.qInqhypercalcemia,qlargeqdosesqofqvitaminqDqneedqtoqbeq
avoided.qCalcitonin,qaqthyroidqhormone,qdecreasesqtheqplasmaqcalciumqlevelqbyqinhibitingqboneqr
esorptionqandqloweringqtheqserumqcalciumqconcentration.
10.)qTheqclinicqnurseqisqperformingqanqadmissionqassessmentqonqaqclient.qTheqnurseqnotesqthatqtheq
clientqisqtakingqazelaicqacidq(Azelex).qBecauseqofqtheqmedicationqprescription,qtheqnurseqwouldqsu
spectqthatqtheqclientqisqbeingqtreatedqfor:
1. Acne
2. Eczema
3. Hairqloss
4. Herpesqsimplex
1.qAcneqRationale:
Azelaicqacidqisqaqtopicalqmedicationqusedqtoqtreatqmildqtoqmoderateqacne.qTheqacidqappearsqtoqwo
rkqbyqsuppressingqtheqgrowthqofqPropionibacteriumqacnesqandqdecreasingqtheqproliferationqofqkera
tinocytes.qOptionsq2,q3,qandq4qareqincorrect.
100.)qSaquinavirq(Invirase)qisqprescribedqforqtheqclientqwhoqisqhumanqimmunodeficiencyqvirusqsero
positive.qTheqnurseqreinforcesqmedicationqinstructionsqandqtellsqtheqclientqto:
1. Avoidqsunqexposure.
2. Eatqlow-calorieqfoods.
3. Eatqfoodsqthatqareqlowqinqfat.
4. Takeqtheqmedicationqonqanqemptyqstomach. 1.qAvoidqsunqexposure.
,ATI PHARMACOLOGY PROCTORED STUDY GUID
q q q q
E LATEST STUDY GUIDE
q q q
Rationale:
Saquinavirq(Invirase)qisqanqantiretroviralq(proteaseqinhibitor)qusedqwithqotherqantiretroviralqmedic
ationsqtoqmanageqhumanqimmunodeficiencyqvirusqinfection.qSaquinavirqisqadministeredqwithqme
alsqandqisqbestqabsorbedqifqtheqclientqconsumesqhigh-calorie,qhigh-
fatqmeals.qSaquinavirqcanqcauseqphotosensitivity,qandqtheqnurseqshouldqinstructqtheqclientqtoqavoid
qsunqexposure.
101.)qKetoconazoleqisqprescribedqforqaqclientqwithqaqdiagnosisqofqcandidiasis.qSelectqtheqinterventi
onsqthatqtheqnurseqincludesqwhenqadministeringqthisqmedication.qSelectqallqthatqapply.
1. Restrictqfluidqintake.
2. Instructqtheqclientqtoqavoidqalcohol.
3. Monitorqhepaticqandqliverqfunctionqstudies.
4. Administerqtheqmedicationqwithqanqantacid.
5. Instructqtheqclientqtoqavoidqexposureqtoqtheqsun.
6. Administerqtheqmedicationqonqanqemptyqstomach. 2.qInstructqtheqclientqtoqavoidqalcohol.
3.qMonitorqhepaticqandqliverqfunctionqstudies.
5.qInstructqtheqclientqtoqavoidqexposureqtoqtheqsun.q
Rationale:
Ketoconazoleqisqanqantifungalqmedication.qItqisqadministeredqwithqfoodq(notqonqanqemptyqstomac
h)qandqantacidsqareqavoidedqforq2qhoursqafterqtakingqtheqmedicationqtoqensureqabsorption.qTheqme
dicationqisqhepatotoxicqandqtheqnurseqmonitorsqliverqfunctionqstudies.qTheqclientqisqinstructedqtoq
avoidqexposureqtoqtheqsunqbecauseqtheqmedicationqincreasesqphotosensitivity.qTheqclientqisqalsoqi
nstructedqtoqavoidqalcohol.qThereqisqnoqreasonqforqtheqclientqtoqrestrictqfluidqintake.qInqfact,qthisqc
ouldqbeqharmfulqtoqtheqclient.
102.)qAqclientqwithqhumanqimmunodeficiencyqvirusqisqtakingqnevirapineq(Viramune).qTheqnurseqsho
uldqmonitorqforqwhichqadverseqeffectsqofqtheqmedication?qSelectqallqthatqapply.
1. Rash
2. Hepatotoxicity
3. Hyperglycemia
4. Peripheralqneuropathy
5. Reducedqboneqmineralqdensity 1.qRash
,ATI PHARMACOLOGY PROCTORED STUDY GUID
q q q q
E LATEST STUDY GUIDE
q q q
2.qHepatotoxicityq
Rationale:
Nevirapineq(Viramune)qisqaqnon-
nucleosideqreverseqtranscriptaseqinhibitorsq(NRTI)qthatqisqusedqtoqtreatqHIVqinfection.qItqisqusedqinqc
ombinationqwithqotherqantiretroviralqmedicationsqtoqtreatqHIV.qAdverseqeffectsqincludeqrash,qStev
ens-
Johnsonqsyndrome,qhepatitis,qandqincreasedqtransaminaseqlevels.qHyperglycemia,qperipheralqneur
opathy,qandqreducedqboneqdensityqareqnotqadverseqeffectsqofqthisqmedication.
103.)qAqnurseqisqcaringqforqaqhospitalizedqclientqwhoqhasqbeenqtakingqclozapineq(Clozaril)qforqtheqtr
eatmentqofqaqschizophrenicqdisorder.qWhichqlaboratoryqstudyqprescribedqforqtheqclientqwillqtheqnur
seqspecificallyqreviewqtoqmonitorqforqanqadverseqeffectqassociatedqwithqthequseqofqthisqmedicatio
n?
1. Plateletqcount
2. Cholesterolqlevel
3. Whiteqbloodqcellqcount
4. Bloodqureaqnitrogenqlevel
3.qWhiteqbloodqcellqcountqRationale:
Hematologicalqreactionsqcanqoccurqinqtheqclientqtakingqclozapineqandqincludeqagranulocytosisqandq
mildqleukopenia.qTheqwhiteqbloodqcellqcountqshouldqbeqcheckedqbeforeqinitiatingqtreatmentqandq
shouldqbeqmonitoredqcloselyqduringqthequseqofqthisqmedication.qTheqclientqshouldqalsoqbeqmonito
redqforqsignsqindicatingqagranulocytosis,qwhichqmayqincludeqsoreqthroat,qmalaise,qandqfever.qOpti
onsq1,q2,qandq4qarequnrelatedqtoqthisqmedication.
104.)qDisulfiramq(Antabuse)qisqprescribedqforqaqclientqwhoqisqseenqinqtheqpsychiatricqhealthqcareqcl
inic.qTheqnurseqisqcollectingqdataqonqtheqclientqandqisqprovidingqinstructionsqregardingqthequseqofqth
isqmedication.qWhichqisqmostqimportantqforqtheqnurseqtoqdetermineqbeforeqadministrationqofqthis
qmedication?
1. Aqhistoryqofqhyperthyroidism
2. Aqhistoryqofqdiabetesqinsipidus
3. Whenqtheqlastqfullqmealqwasqconsumed
4. Whenqtheqlastqalcoholicqdrinkqwasqconsumedq4.qWhenqtheqlastqalcoholicqdrinkqwasqconsume
dqRationale:
Disulfiramqisqusedqasqanqadjunctqtreatmentqforqselectedqclientsqwithqchronicqalcoholismqwhoqwant
, ATI PHARMACOLOGY PROCTORED STUDY GUID
q q q q
E LATEST STUDY GUIDE
q q q
toqremainqinqaqstateqofqenforcedqsobriety.qClientsqmustqabstainqfromqalcoholqintakeqforqatqleastq1
2qhoursqbeforeqtheqinitialqdoseqofqtheqmedicationqisqadministered.qTheqmostqimportantqdataqareqt
oqdetermineqwhenqtheqlastqalcoholicqdrinkqwasqconsumed.qTheqmedicationqisqusedqwithqcautionqi
nqclientsqwithqdiabetesqmellitus,qhypothyroidism,qepilepsy,qcerebralqdamage,qnephritis,qandqhepa
ticqdisease.qItqisqalsoqcontraindicatedqinqsevereqheartqdisease,qpsychosis,qorqhypersensitivityqrelated
qtoqtheqmedication.
105.)qAqnurseqisqcollectingqdataqfromqaqclientqandqtheqclient'sqspouseqreportsqthatqtheqclientqisqtak
ingqdonepezilqhydrochlorideq(Aricept).qWhichqdisorderqwouldqtheqnurseqsuspectqthatqthisqclientqma
yqhaveqbasedqonqthequseqofqthisqmedication?
1. Dementia
2. Schizophrenia
3. Seizureqdisorder
4. Obsessive-compulsiveqdisorder
1.qDementiaqRationale:
Donepezilqhydrochlorideqisqaqcholinergicqagentqusedqinqtheqtreatmentqofqmildqtoqmoderateqdeme
ntiaqofqtheqAlzheimerqtype.qItqenhancesqcholinergicqfunctionsqbyqincreasingqtheqconcentrationqofq
acetylcholine.qItqslowsqtheqprogressionqofqAlzheimer'sqdisease.qOptionsq2,q3,qandq4qareqincorrect.
106.)qFluoxetineq(Prozac)qisqprescribedqforqtheqclient.qTheqnurseqreinforcesqinstructionsqtoqtheqcli
entqregardingqtheqadministrationqofqtheqmedication.qWhichqstatementqbyqtheqclientqindicatesqanqu
nderstandingqaboutqadministrationqofqtheqmedication?
1. "Iqshouldqtakeqtheqmedicationqwithqmyqeveningqmeal."
2. "Iqshouldqtakeqtheqmedicationqatqnoonqwithqanqantacid."
3. "IqshouldqtakeqtheqmedicationqinqtheqmorningqwhenqIqfirstqarise."
4. "Iqshouldqtakeqtheqmedicationqrightqbeforeqbedtimeqwithqaqsnack."
3.q"IqshouldqtakeqtheqmedicationqinqtheqmorningqwhenqIqfirstqarise."
Rationale:
Fluoxetineqhydrochlorideqisqadministeredqinqtheqearlyqmorningqwithoutqconsiderationqtoqmeals.
**Eliminateqoptionsq1,q2,qandq4qbecauseqtheyqareqcomparableqorqalikeqandqindicateqtakingqtheqme
dicationqwithqanqantacidqorqfood.**
107.)qAqclientqreceivingqaqtricyclicqantidepressantqarrivesqatqtheqmentalqhealthqclinic.qWhich
q q q q
E LATEST STUDY GUIDE
q q q
1)qAqnurseqisqcaringqforqaqclientqwithqhyperparathyroidismqandqnotesqthatqtheqclient'sqserumqcalciu
mqlevelqisq13qmg/dL.qWhichqmedicationqshouldqtheqnurseqprepareqtoqadministerqasqprescribedqtoq
theqclient?
1. Calciumqchloride
2. Calciumqgluconate
3. Calcitoninq(Miacalcin)
4. LargeqdosesqofqvitaminqD
3.qCalcitoninq(Miacalcin)qRationale:
Theqnormalqserumqcalciumqlevelqisq8.6qtoq10.0qmg/dL.qThisqclientqisqexperiencingqhypercalcemia.q
Calciumqgluconateqandqcalciumqchlorideqareqmedicationsqusedqforqtheqtreatmentqofqtetany,qwhichq
occursqasqaqresultqofqacuteqhypocalcemia.qInqhypercalcemia,qlargeqdosesqofqvitaminqDqneedqtoqbeq
avoided.qCalcitonin,qaqthyroidqhormone,qdecreasesqtheqplasmaqcalciumqlevelqbyqinhibitingqboneqr
esorptionqandqloweringqtheqserumqcalciumqconcentration.
10.)qTheqclinicqnurseqisqperformingqanqadmissionqassessmentqonqaqclient.qTheqnurseqnotesqthatqtheq
clientqisqtakingqazelaicqacidq(Azelex).qBecauseqofqtheqmedicationqprescription,qtheqnurseqwouldqsu
spectqthatqtheqclientqisqbeingqtreatedqfor:
1. Acne
2. Eczema
3. Hairqloss
4. Herpesqsimplex
1.qAcneqRationale:
Azelaicqacidqisqaqtopicalqmedicationqusedqtoqtreatqmildqtoqmoderateqacne.qTheqacidqappearsqtoqwo
rkqbyqsuppressingqtheqgrowthqofqPropionibacteriumqacnesqandqdecreasingqtheqproliferationqofqkera
tinocytes.qOptionsq2,q3,qandq4qareqincorrect.
100.)qSaquinavirq(Invirase)qisqprescribedqforqtheqclientqwhoqisqhumanqimmunodeficiencyqvirusqsero
positive.qTheqnurseqreinforcesqmedicationqinstructionsqandqtellsqtheqclientqto:
1. Avoidqsunqexposure.
2. Eatqlow-calorieqfoods.
3. Eatqfoodsqthatqareqlowqinqfat.
4. Takeqtheqmedicationqonqanqemptyqstomach. 1.qAvoidqsunqexposure.
,ATI PHARMACOLOGY PROCTORED STUDY GUID
q q q q
E LATEST STUDY GUIDE
q q q
Rationale:
Saquinavirq(Invirase)qisqanqantiretroviralq(proteaseqinhibitor)qusedqwithqotherqantiretroviralqmedic
ationsqtoqmanageqhumanqimmunodeficiencyqvirusqinfection.qSaquinavirqisqadministeredqwithqme
alsqandqisqbestqabsorbedqifqtheqclientqconsumesqhigh-calorie,qhigh-
fatqmeals.qSaquinavirqcanqcauseqphotosensitivity,qandqtheqnurseqshouldqinstructqtheqclientqtoqavoid
qsunqexposure.
101.)qKetoconazoleqisqprescribedqforqaqclientqwithqaqdiagnosisqofqcandidiasis.qSelectqtheqinterventi
onsqthatqtheqnurseqincludesqwhenqadministeringqthisqmedication.qSelectqallqthatqapply.
1. Restrictqfluidqintake.
2. Instructqtheqclientqtoqavoidqalcohol.
3. Monitorqhepaticqandqliverqfunctionqstudies.
4. Administerqtheqmedicationqwithqanqantacid.
5. Instructqtheqclientqtoqavoidqexposureqtoqtheqsun.
6. Administerqtheqmedicationqonqanqemptyqstomach. 2.qInstructqtheqclientqtoqavoidqalcohol.
3.qMonitorqhepaticqandqliverqfunctionqstudies.
5.qInstructqtheqclientqtoqavoidqexposureqtoqtheqsun.q
Rationale:
Ketoconazoleqisqanqantifungalqmedication.qItqisqadministeredqwithqfoodq(notqonqanqemptyqstomac
h)qandqantacidsqareqavoidedqforq2qhoursqafterqtakingqtheqmedicationqtoqensureqabsorption.qTheqme
dicationqisqhepatotoxicqandqtheqnurseqmonitorsqliverqfunctionqstudies.qTheqclientqisqinstructedqtoq
avoidqexposureqtoqtheqsunqbecauseqtheqmedicationqincreasesqphotosensitivity.qTheqclientqisqalsoqi
nstructedqtoqavoidqalcohol.qThereqisqnoqreasonqforqtheqclientqtoqrestrictqfluidqintake.qInqfact,qthisqc
ouldqbeqharmfulqtoqtheqclient.
102.)qAqclientqwithqhumanqimmunodeficiencyqvirusqisqtakingqnevirapineq(Viramune).qTheqnurseqsho
uldqmonitorqforqwhichqadverseqeffectsqofqtheqmedication?qSelectqallqthatqapply.
1. Rash
2. Hepatotoxicity
3. Hyperglycemia
4. Peripheralqneuropathy
5. Reducedqboneqmineralqdensity 1.qRash
,ATI PHARMACOLOGY PROCTORED STUDY GUID
q q q q
E LATEST STUDY GUIDE
q q q
2.qHepatotoxicityq
Rationale:
Nevirapineq(Viramune)qisqaqnon-
nucleosideqreverseqtranscriptaseqinhibitorsq(NRTI)qthatqisqusedqtoqtreatqHIVqinfection.qItqisqusedqinqc
ombinationqwithqotherqantiretroviralqmedicationsqtoqtreatqHIV.qAdverseqeffectsqincludeqrash,qStev
ens-
Johnsonqsyndrome,qhepatitis,qandqincreasedqtransaminaseqlevels.qHyperglycemia,qperipheralqneur
opathy,qandqreducedqboneqdensityqareqnotqadverseqeffectsqofqthisqmedication.
103.)qAqnurseqisqcaringqforqaqhospitalizedqclientqwhoqhasqbeenqtakingqclozapineq(Clozaril)qforqtheqtr
eatmentqofqaqschizophrenicqdisorder.qWhichqlaboratoryqstudyqprescribedqforqtheqclientqwillqtheqnur
seqspecificallyqreviewqtoqmonitorqforqanqadverseqeffectqassociatedqwithqthequseqofqthisqmedicatio
n?
1. Plateletqcount
2. Cholesterolqlevel
3. Whiteqbloodqcellqcount
4. Bloodqureaqnitrogenqlevel
3.qWhiteqbloodqcellqcountqRationale:
Hematologicalqreactionsqcanqoccurqinqtheqclientqtakingqclozapineqandqincludeqagranulocytosisqandq
mildqleukopenia.qTheqwhiteqbloodqcellqcountqshouldqbeqcheckedqbeforeqinitiatingqtreatmentqandq
shouldqbeqmonitoredqcloselyqduringqthequseqofqthisqmedication.qTheqclientqshouldqalsoqbeqmonito
redqforqsignsqindicatingqagranulocytosis,qwhichqmayqincludeqsoreqthroat,qmalaise,qandqfever.qOpti
onsq1,q2,qandq4qarequnrelatedqtoqthisqmedication.
104.)qDisulfiramq(Antabuse)qisqprescribedqforqaqclientqwhoqisqseenqinqtheqpsychiatricqhealthqcareqcl
inic.qTheqnurseqisqcollectingqdataqonqtheqclientqandqisqprovidingqinstructionsqregardingqthequseqofqth
isqmedication.qWhichqisqmostqimportantqforqtheqnurseqtoqdetermineqbeforeqadministrationqofqthis
qmedication?
1. Aqhistoryqofqhyperthyroidism
2. Aqhistoryqofqdiabetesqinsipidus
3. Whenqtheqlastqfullqmealqwasqconsumed
4. Whenqtheqlastqalcoholicqdrinkqwasqconsumedq4.qWhenqtheqlastqalcoholicqdrinkqwasqconsume
dqRationale:
Disulfiramqisqusedqasqanqadjunctqtreatmentqforqselectedqclientsqwithqchronicqalcoholismqwhoqwant
, ATI PHARMACOLOGY PROCTORED STUDY GUID
q q q q
E LATEST STUDY GUIDE
q q q
toqremainqinqaqstateqofqenforcedqsobriety.qClientsqmustqabstainqfromqalcoholqintakeqforqatqleastq1
2qhoursqbeforeqtheqinitialqdoseqofqtheqmedicationqisqadministered.qTheqmostqimportantqdataqareqt
oqdetermineqwhenqtheqlastqalcoholicqdrinkqwasqconsumed.qTheqmedicationqisqusedqwithqcautionqi
nqclientsqwithqdiabetesqmellitus,qhypothyroidism,qepilepsy,qcerebralqdamage,qnephritis,qandqhepa
ticqdisease.qItqisqalsoqcontraindicatedqinqsevereqheartqdisease,qpsychosis,qorqhypersensitivityqrelated
qtoqtheqmedication.
105.)qAqnurseqisqcollectingqdataqfromqaqclientqandqtheqclient'sqspouseqreportsqthatqtheqclientqisqtak
ingqdonepezilqhydrochlorideq(Aricept).qWhichqdisorderqwouldqtheqnurseqsuspectqthatqthisqclientqma
yqhaveqbasedqonqthequseqofqthisqmedication?
1. Dementia
2. Schizophrenia
3. Seizureqdisorder
4. Obsessive-compulsiveqdisorder
1.qDementiaqRationale:
Donepezilqhydrochlorideqisqaqcholinergicqagentqusedqinqtheqtreatmentqofqmildqtoqmoderateqdeme
ntiaqofqtheqAlzheimerqtype.qItqenhancesqcholinergicqfunctionsqbyqincreasingqtheqconcentrationqofq
acetylcholine.qItqslowsqtheqprogressionqofqAlzheimer'sqdisease.qOptionsq2,q3,qandq4qareqincorrect.
106.)qFluoxetineq(Prozac)qisqprescribedqforqtheqclient.qTheqnurseqreinforcesqinstructionsqtoqtheqcli
entqregardingqtheqadministrationqofqtheqmedication.qWhichqstatementqbyqtheqclientqindicatesqanqu
nderstandingqaboutqadministrationqofqtheqmedication?
1. "Iqshouldqtakeqtheqmedicationqwithqmyqeveningqmeal."
2. "Iqshouldqtakeqtheqmedicationqatqnoonqwithqanqantacid."
3. "IqshouldqtakeqtheqmedicationqinqtheqmorningqwhenqIqfirstqarise."
4. "Iqshouldqtakeqtheqmedicationqrightqbeforeqbedtimeqwithqaqsnack."
3.q"IqshouldqtakeqtheqmedicationqinqtheqmorningqwhenqIqfirstqarise."
Rationale:
Fluoxetineqhydrochlorideqisqadministeredqinqtheqearlyqmorningqwithoutqconsiderationqtoqmeals.
**Eliminateqoptionsq1,q2,qandq4qbecauseqtheyqareqcomparableqorqalikeqandqindicateqtakingqtheqme
dicationqwithqanqantacidqorqfood.**
107.)qAqclientqreceivingqaqtricyclicqantidepressantqarrivesqatqtheqmentalqhealthqclinic.qWhich
