Ati Proctored Pharmacology Test Bank 2021 Com
m m m m m m
plete Guide for Exam Preparation,Graded A
m m m m m m
1)mAmnursemismcaringmformamclientmwithmhyperparathyroidismmandmnotesmthatmthemclient'smserumm
calciummlevelmism13mmg/dL.mWhichmmedicationmshouldmthemnursempreparemtomadministermasmpre
scribedmtomthemclient?
1. Calciummchloride
2. Calciummgluconate
3. Calcitoninm(Miacalcin)
4. LargemdosesmofmvitaminmD
3.mCalcitoninm(Miacalcin)mRationale:
Themnormalmserummcalciummlevelmism8.6mtom10.0mmg/dL.mThismclientmismexperiencingmhypercalce
mia.mCalciummgluconatemandmcalciummchloridemaremmedicationsmusedmformthemtreatmentmofmtetan
y,mwhichmoccursmasmamresultmofmacutemhypocalcemia.mInmhypercalcemia,mlargemdosesmofmvitaminm
Dmneedmtombemavoided.mCalcitonin,mamthyroidmhormone,mdecreasesmthemplasmamcalciummlevelmby
minhibitingmbonemresorptionmandmloweringmthemserummcalciummconcentration.
10.)mThemclinicmnursemismperformingmanmadmissionmassessmentmonmamclient.mThemnursemnotesmtha
tmthemclientmismtakingmazelaicmacidm(Azelex).mBecausemofmthemmedicationmprescription,mthemnursem
wouldmsuspectmthatmthemclientmismbeingmtreatedmfor:
1. Acne
2. Eczema
3. Hairmloss
4. Herpesmsimplex
1.mAcnemRationale:
Azelaicmacidmismamtopicalmmedicationmusedmtomtreatmmildmtommoderatemacne.mThemacidmappearsmt
omworkmbymsuppressingmthemgrowthmofmPropionibacteriummacnesmandmdecreasingmthemproliferati
onmofmkeratinocytes.mOptionsm2,m3,mandm4maremincorrect.
100.)mSaquinavirm(Invirase)mismprescribedmformthemclientmwhomismhumanmimmunodeficiencymvirusms
eropositive.mThemnursemreinforcesmmedicationminstructionsmandmtellsmthemclientmto:
1. Avoidmsunmexposure.
2. Eatmlow-caloriemfoods.
3. Eatmfoodsmthatmaremlowminmfat.
4. Takemthemmedicationmonmanmemptymstomach. 1.mAvoidmsunmexposure.
,Ati Proctored Pharmacology Test Bank 2021 Com
m m m m m m
plete Guide for Exam Preparation,Graded A
m m m m m m
Rationale:
Saquinavirm(Invirase)mismanmantiretroviralm(proteaseminhibitor)musedmwithmothermantiretroviralmm
edicationsmtommanagemhumanmimmunodeficiencymvirusminfection.mSaquinavirmismadministeredmw
ithmmealsmandmismbestmabsorbedmifmthemclientmconsumesmhigh-calorie,mhigh-
fatmmeals.mSaquinavirmcanmcausemphotosensitivity,mandmthemnursemshouldminstructmthemclientmtoma
voidmsunmexposure.
101.)mKetoconazolemismprescribedmformamclientmwithmamdiagnosismofmcandidiasis.mSelectmtheminter
ventionsmthatmthemnursemincludesmwhenmadministeringmthismmedication.mSelectmallmthatmapply.
1. Restrictmfluidmintake.
2. Instructmthemclientmtomavoidmalcohol.
3. Monitormhepaticmandmlivermfunctionmstudies.
4. Administermthemmedicationmwithmanmantacid.
5. Instructmthemclientmtomavoidmexposuremtomthemsun.
6. Administermthemmedicationmonmanmemptymstomach. 2.mInstructmthemclientmtomavoidmalcohol.
3.mMonitormhepaticmandmlivermfunctionmstudies.
5.mInstructmthemclientmtomavoidmexposuremtomthems
un.mRationale:
Ketoconazolemismanmantifungalmmedication.mItmismadministeredmwithmfoodm(notmonmanmemptymsto
mach)mandmantacidsmaremavoidedmform2mhoursmaftermtakingmthemmedicationmtomensuremabsorption
.mThemmedicationmismhepatotoxicmandmthemnursemmonitorsmlivermfunctionmstudies.mThemclientmismi
nstructedmtomavoidmexposuremtomthemsunmbecausemthemmedicationmincreasesmphotosensitivity.mT
hemclientmismalsominstructedmtomavoidmalcohol.mTheremismnomreasonmformthemclientmtomrestrictmfluid
mintake.mInmfact,mthismcouldmbemharmfulmtomthemclient.
102.)mAmclientmwithmhumanmimmunodeficiencymvirusmismtakingmnevirapinem(Viramune).mThemnurse
mshouldmmonitormformwhichmadversemeffectsmofmthemmedication?mSelectmallmthatmapply.
1. Rash
2. Hepatotoxicity
3. Hyperglycemia
4. Peripheralmneuropathy
5. Reducedmbonemmineralmdensity 1.mRash
,Ati Proctored Pharmacology Test Bank 2021 Com
m m m m m m
plete Guide for Exam Preparation,Graded A
m m m m m m
2.mHepatotoxicit
ymRationale:
Nevirapinem(Viramune)mismamnon-
nucleosidemreversemtranscriptaseminhibitorsm(NRTI)mthatmismusedmtomtreatmHIVminfection.mItmismuse
dminmcombinationmwithmothermantiretroviralmmedicationsmtomtreatmHIV.mAdversemeffectsmincludem
rash,mStevens-
Johnsonmsyndrome,mhepatitis,mandmincreasedmtransaminasemlevels.mHyperglycemia,mperipheralmn
europathy,mandmreducedmbonemdensitymaremnotmadversemeffectsmofmthismmedication.
103.)mAmnursemismcaringmformamhospitalizedmclientmwhomhasmbeenmtakingmclozapinem(Clozaril)mform
themtreatmentmofmamschizophrenicmdisorder.mWhichmlaboratorymstudymprescribedmformthemclientmw
illmthemnursemspecificallymreviewmtommonitormformanmadversemeffectmassociatedmwithmthemusemofmt
hismmedication?
1. Plateletmcount
2. Cholesterolmlevel
3. Whitembloodmcellmcount
4. Bloodmureamnitrogenmlevel
3.mWhitembloodmcellmcountmRationale:
Hematologicalmreactionsmcanmoccurminmthemclientmtakingmclozapinemandmincludemagranulocytosism
andmmildmleukopenia.mThemwhitembloodmcellmcountmshouldmbemcheckedmbeforeminitiatingmtreatme
ntmandmshouldmbemmonitoredmcloselymduringmthemusemofmthismmedication.mThemclientmshouldmals
ombemmonitoredmformsignsmindicatingmagranulocytosis,mwhichmmaymincludemsoremthroat,mmalaise,
mandmfever.mOptionsm1,m2,mandm4maremunrelatedmtomthismmedication.
104.)mDisulfiramm(Antabuse)mismprescribedmformamclientmwhomismseenminmthempsychiatricmhealthmc
aremclinic.mThemnursemismcollectingmdatamonmthemclientmandmismprovidingminstructionsmregardingmth
emusemofmthismmedication.mWhichmismmostmimportantmformthemnursemtomdeterminembeforemadmini
strationmofmthismmedication?
1. Amhistorymofmhyperthyroidism
2. Amhistorymofmdiabetesminsipidus
3. Whenmthemlastmfullmmealmwasmconsumed
4. Whenmthemlastmalcoholicmdrinkmwasmconsumedm4.mWhenmthemlastmalcoholicmdrinkmwasmcons
umedmRationale:
Disulfirammismusedmasmanmadjunctmtreatmentmformselectedmclientsmwithmchronicmalcoholismmwhomw
ant
, Ati Proctored Pharmacology Test Bank 2021 Com
m m m m m m
plete Guide for Exam Preparation,Graded A
m m m m m m
tomremainminmamstatemofmenforcedmsobriety.mClientsmmustmabstainmfrommalcoholmintakemformatmle
astm12mhoursmbeforemtheminitialmdosemofmthemmedicationmismadministered.mThemmostmimportantmd
atamaremtomdeterminemwhenmthemlastmalcoholicmdrinkmwasmconsumed.mThemmedicationmismusedm
withmcautionminmclientsmwithmdiabetesmmellitus,mhypothyroidism,mepilepsy,mcerebralmdamage,mne
phritis,mandmhepaticmdisease.mItmismalsomcontraindicatedminmseveremheartmdisease,mpsychosis,mormhy
persensitivitymrelatedmtomthemmedication.
105.)mAmnursemismcollectingmdatamfrommamclientmandmthemclient'smspousemreportsmthatmthemclientm
ismtakingmdonepezilmhydrochloridem(Aricept).mWhichmdisordermwouldmthemnursemsuspectmthatmthis
mclientmmaymhavembasedmonmthemusemofmthismmedication?
1. Dementia
2. Schizophrenia
3. Seizuremdisorder
4. Obsessive-compulsivemdisorder
1.mDementiamRationale:
Donepezilmhydrochloridemismamcholinergicmagentmusedminmthemtreatmentmofmmildmtommoderatemd
ementiamofmthemAlzheimermtype.mItmenhancesmcholinergicmfunctionsmbymincreasingmthemconcentr
ationmofmacetylcholine.mItmslowsmthemprogressionmofmAlzheimer'smdisease.mOptionsm2,m3,mandm4mar
emincorrect.
106.)mFluoxetinem(Prozac)mismprescribedmformthemclient.mThemnursemreinforcesminstructionsmtomth
emclientmregardingmthemadministrationmofmthemmedication.mWhichmstatementmbymthemclientmindica
tesmanmunderstandingmaboutmadministrationmofmthemmedication?
1. "Imshouldmtakemthemmedicationmwithmmymeveningmmeal."
2. "Imshouldmtakemthemmedicationmatmnoonmwithmanmantacid."
3. "ImshouldmtakemthemmedicationminmthemmorningmwhenmImfirstmarise."
4. "Imshouldmtakemthemmedicationmrightmbeforembedtimemwithmamsnack."
3.m"ImshouldmtakemthemmedicationminmthemmorningmwhenmImfirstmarise."
Rationale:
Fluoxetinemhydrochloridemismadministeredminmthemearlymmorningmwithoutmconsiderationmtommeals.
**Eliminatemoptionsm1,m2,mandm4mbecausemtheymaremcomparablemormalikemandmindicatemtakingmth
emmedicationmwithmanmantacidmormfood.**
107.)mAmclientmreceivingmamtricyclicmantidepressantmarrivesmatmthemmentalmhealthmclinic.mWhich
m m m m m m
plete Guide for Exam Preparation,Graded A
m m m m m m
1)mAmnursemismcaringmformamclientmwithmhyperparathyroidismmandmnotesmthatmthemclient'smserumm
calciummlevelmism13mmg/dL.mWhichmmedicationmshouldmthemnursempreparemtomadministermasmpre
scribedmtomthemclient?
1. Calciummchloride
2. Calciummgluconate
3. Calcitoninm(Miacalcin)
4. LargemdosesmofmvitaminmD
3.mCalcitoninm(Miacalcin)mRationale:
Themnormalmserummcalciummlevelmism8.6mtom10.0mmg/dL.mThismclientmismexperiencingmhypercalce
mia.mCalciummgluconatemandmcalciummchloridemaremmedicationsmusedmformthemtreatmentmofmtetan
y,mwhichmoccursmasmamresultmofmacutemhypocalcemia.mInmhypercalcemia,mlargemdosesmofmvitaminm
Dmneedmtombemavoided.mCalcitonin,mamthyroidmhormone,mdecreasesmthemplasmamcalciummlevelmby
minhibitingmbonemresorptionmandmloweringmthemserummcalciummconcentration.
10.)mThemclinicmnursemismperformingmanmadmissionmassessmentmonmamclient.mThemnursemnotesmtha
tmthemclientmismtakingmazelaicmacidm(Azelex).mBecausemofmthemmedicationmprescription,mthemnursem
wouldmsuspectmthatmthemclientmismbeingmtreatedmfor:
1. Acne
2. Eczema
3. Hairmloss
4. Herpesmsimplex
1.mAcnemRationale:
Azelaicmacidmismamtopicalmmedicationmusedmtomtreatmmildmtommoderatemacne.mThemacidmappearsmt
omworkmbymsuppressingmthemgrowthmofmPropionibacteriummacnesmandmdecreasingmthemproliferati
onmofmkeratinocytes.mOptionsm2,m3,mandm4maremincorrect.
100.)mSaquinavirm(Invirase)mismprescribedmformthemclientmwhomismhumanmimmunodeficiencymvirusms
eropositive.mThemnursemreinforcesmmedicationminstructionsmandmtellsmthemclientmto:
1. Avoidmsunmexposure.
2. Eatmlow-caloriemfoods.
3. Eatmfoodsmthatmaremlowminmfat.
4. Takemthemmedicationmonmanmemptymstomach. 1.mAvoidmsunmexposure.
,Ati Proctored Pharmacology Test Bank 2021 Com
m m m m m m
plete Guide for Exam Preparation,Graded A
m m m m m m
Rationale:
Saquinavirm(Invirase)mismanmantiretroviralm(proteaseminhibitor)musedmwithmothermantiretroviralmm
edicationsmtommanagemhumanmimmunodeficiencymvirusminfection.mSaquinavirmismadministeredmw
ithmmealsmandmismbestmabsorbedmifmthemclientmconsumesmhigh-calorie,mhigh-
fatmmeals.mSaquinavirmcanmcausemphotosensitivity,mandmthemnursemshouldminstructmthemclientmtoma
voidmsunmexposure.
101.)mKetoconazolemismprescribedmformamclientmwithmamdiagnosismofmcandidiasis.mSelectmtheminter
ventionsmthatmthemnursemincludesmwhenmadministeringmthismmedication.mSelectmallmthatmapply.
1. Restrictmfluidmintake.
2. Instructmthemclientmtomavoidmalcohol.
3. Monitormhepaticmandmlivermfunctionmstudies.
4. Administermthemmedicationmwithmanmantacid.
5. Instructmthemclientmtomavoidmexposuremtomthemsun.
6. Administermthemmedicationmonmanmemptymstomach. 2.mInstructmthemclientmtomavoidmalcohol.
3.mMonitormhepaticmandmlivermfunctionmstudies.
5.mInstructmthemclientmtomavoidmexposuremtomthems
un.mRationale:
Ketoconazolemismanmantifungalmmedication.mItmismadministeredmwithmfoodm(notmonmanmemptymsto
mach)mandmantacidsmaremavoidedmform2mhoursmaftermtakingmthemmedicationmtomensuremabsorption
.mThemmedicationmismhepatotoxicmandmthemnursemmonitorsmlivermfunctionmstudies.mThemclientmismi
nstructedmtomavoidmexposuremtomthemsunmbecausemthemmedicationmincreasesmphotosensitivity.mT
hemclientmismalsominstructedmtomavoidmalcohol.mTheremismnomreasonmformthemclientmtomrestrictmfluid
mintake.mInmfact,mthismcouldmbemharmfulmtomthemclient.
102.)mAmclientmwithmhumanmimmunodeficiencymvirusmismtakingmnevirapinem(Viramune).mThemnurse
mshouldmmonitormformwhichmadversemeffectsmofmthemmedication?mSelectmallmthatmapply.
1. Rash
2. Hepatotoxicity
3. Hyperglycemia
4. Peripheralmneuropathy
5. Reducedmbonemmineralmdensity 1.mRash
,Ati Proctored Pharmacology Test Bank 2021 Com
m m m m m m
plete Guide for Exam Preparation,Graded A
m m m m m m
2.mHepatotoxicit
ymRationale:
Nevirapinem(Viramune)mismamnon-
nucleosidemreversemtranscriptaseminhibitorsm(NRTI)mthatmismusedmtomtreatmHIVminfection.mItmismuse
dminmcombinationmwithmothermantiretroviralmmedicationsmtomtreatmHIV.mAdversemeffectsmincludem
rash,mStevens-
Johnsonmsyndrome,mhepatitis,mandmincreasedmtransaminasemlevels.mHyperglycemia,mperipheralmn
europathy,mandmreducedmbonemdensitymaremnotmadversemeffectsmofmthismmedication.
103.)mAmnursemismcaringmformamhospitalizedmclientmwhomhasmbeenmtakingmclozapinem(Clozaril)mform
themtreatmentmofmamschizophrenicmdisorder.mWhichmlaboratorymstudymprescribedmformthemclientmw
illmthemnursemspecificallymreviewmtommonitormformanmadversemeffectmassociatedmwithmthemusemofmt
hismmedication?
1. Plateletmcount
2. Cholesterolmlevel
3. Whitembloodmcellmcount
4. Bloodmureamnitrogenmlevel
3.mWhitembloodmcellmcountmRationale:
Hematologicalmreactionsmcanmoccurminmthemclientmtakingmclozapinemandmincludemagranulocytosism
andmmildmleukopenia.mThemwhitembloodmcellmcountmshouldmbemcheckedmbeforeminitiatingmtreatme
ntmandmshouldmbemmonitoredmcloselymduringmthemusemofmthismmedication.mThemclientmshouldmals
ombemmonitoredmformsignsmindicatingmagranulocytosis,mwhichmmaymincludemsoremthroat,mmalaise,
mandmfever.mOptionsm1,m2,mandm4maremunrelatedmtomthismmedication.
104.)mDisulfiramm(Antabuse)mismprescribedmformamclientmwhomismseenminmthempsychiatricmhealthmc
aremclinic.mThemnursemismcollectingmdatamonmthemclientmandmismprovidingminstructionsmregardingmth
emusemofmthismmedication.mWhichmismmostmimportantmformthemnursemtomdeterminembeforemadmini
strationmofmthismmedication?
1. Amhistorymofmhyperthyroidism
2. Amhistorymofmdiabetesminsipidus
3. Whenmthemlastmfullmmealmwasmconsumed
4. Whenmthemlastmalcoholicmdrinkmwasmconsumedm4.mWhenmthemlastmalcoholicmdrinkmwasmcons
umedmRationale:
Disulfirammismusedmasmanmadjunctmtreatmentmformselectedmclientsmwithmchronicmalcoholismmwhomw
ant
, Ati Proctored Pharmacology Test Bank 2021 Com
m m m m m m
plete Guide for Exam Preparation,Graded A
m m m m m m
tomremainminmamstatemofmenforcedmsobriety.mClientsmmustmabstainmfrommalcoholmintakemformatmle
astm12mhoursmbeforemtheminitialmdosemofmthemmedicationmismadministered.mThemmostmimportantmd
atamaremtomdeterminemwhenmthemlastmalcoholicmdrinkmwasmconsumed.mThemmedicationmismusedm
withmcautionminmclientsmwithmdiabetesmmellitus,mhypothyroidism,mepilepsy,mcerebralmdamage,mne
phritis,mandmhepaticmdisease.mItmismalsomcontraindicatedminmseveremheartmdisease,mpsychosis,mormhy
persensitivitymrelatedmtomthemmedication.
105.)mAmnursemismcollectingmdatamfrommamclientmandmthemclient'smspousemreportsmthatmthemclientm
ismtakingmdonepezilmhydrochloridem(Aricept).mWhichmdisordermwouldmthemnursemsuspectmthatmthis
mclientmmaymhavembasedmonmthemusemofmthismmedication?
1. Dementia
2. Schizophrenia
3. Seizuremdisorder
4. Obsessive-compulsivemdisorder
1.mDementiamRationale:
Donepezilmhydrochloridemismamcholinergicmagentmusedminmthemtreatmentmofmmildmtommoderatemd
ementiamofmthemAlzheimermtype.mItmenhancesmcholinergicmfunctionsmbymincreasingmthemconcentr
ationmofmacetylcholine.mItmslowsmthemprogressionmofmAlzheimer'smdisease.mOptionsm2,m3,mandm4mar
emincorrect.
106.)mFluoxetinem(Prozac)mismprescribedmformthemclient.mThemnursemreinforcesminstructionsmtomth
emclientmregardingmthemadministrationmofmthemmedication.mWhichmstatementmbymthemclientmindica
tesmanmunderstandingmaboutmadministrationmofmthemmedication?
1. "Imshouldmtakemthemmedicationmwithmmymeveningmmeal."
2. "Imshouldmtakemthemmedicationmatmnoonmwithmanmantacid."
3. "ImshouldmtakemthemmedicationminmthemmorningmwhenmImfirstmarise."
4. "Imshouldmtakemthemmedicationmrightmbeforembedtimemwithmamsnack."
3.m"ImshouldmtakemthemmedicationminmthemmorningmwhenmImfirstmarise."
Rationale:
Fluoxetinemhydrochloridemismadministeredminmthemearlymmorningmwithoutmconsiderationmtommeals.
**Eliminatemoptionsm1,m2,mandm4mbecausemtheymaremcomparablemormalikemandmindicatemtakingmth
emmedicationmwithmanmantacidmormfood.**
107.)mAmclientmreceivingmamtricyclicmantidepressantmarrivesmatmthemmentalmhealthmclinic.mWhich
