*bWebaren'tbendorsedbbybthisbschool
ATI NR293 Pharmacology Final Review -
b b b b b
Chamberlain College of Nursing ( 202 CORRECT ANSWRED QUESTIO
b b b b b b b b b
NS).
1) Abnursebisbassessingbabclientbwhobisbtakingblevothyroxine.bThebnursebshouldbrecognizebthatbwhichbofbthebfollowingbf
indingsbisbabmanifestationbofblevothyroxineboverdose?
a) Insomnia
i) Rationale:bLevothyroxineboverdosebwillbresultbinbmanifestationsbofbhyperthyroidism,bwhichbincludeb
Insomnia,btachycardia,bandbhyperthermia.
b) Constipation
i) Rationale:bConstipationbisbabmanifestationbofbhypothyroidismbandbindicatesbanbinadequatebdosebofbl
evothyroxine.
c) Drowsiness
i) Rationale:bDrowsinessbisbabmanifestationbofbhypothyroidismbandbindicatesbanbinadequatebdosebofbl
evothyroxine.
d) Hypoactivebdeep-tendonbreflexes
i) Rationale:bHypoactivebdeep-
tendonbreflexesbarebmanifestationsbofbhypothyroidismbandbindicatebanbinadequatebdosebofblevothyr
oxine.
2) Abnursebisbreviewingbthebmedicalbrecordbofbabclientbwhobhasbbeenbonblevothyroxinebforbseveralbmonths.bWhichbofbthebf
ollowingbfindingsbindicatesbabtherapeuticbresponsebtobthebmedication?
a) Decreasebinblevelbofbthyroxineb(T4)
i) Rationale:bIfbthebdosebofbthisbmedicationbhasbbeenbadequate,bthebnursebshouldbseebanbincreasebinbthebT4.
b) Increasebinbweight
i) Rationale:bIfbthebdosebofbthisbmedicationbhasbbeenbadequate,bthebnursebshouldbseebabdecreasebinbweight,basb
hypothyroidismbcausesbabdecreasebinbmetabolismbwithbweightbgain.
c) Increasebinbhrbofbsleepbperbnight
i) Rationale:bIfbthebdosebofbthisbmedicationbhasbbeenbadequate,bthebnursebshouldbseebabdecreasebinbthebhrbofb
sleepbperbnight,basbhypothyroidismbcausesbsluggishnessbwithbincreasedbhrbofbsleep.
d) Decreasebinblevelbofbthyroidbstimulatingbhormoneb(TSH).
i) Rationale:bInbhypothyroidism,bthebnonfunctioningbthyroidbglandbisbunablebtobrespondbtobthebTSH,bandbnobe
ndogenousbthyroidbhormonesbarebreleased.bThisbresultsbinbanbelevationbofbthebTSHblevelbasbthebanteriorbpit
uitarybcontinuesbtobreleasebthebTSHbtobstimulatebthebthyroidbgland.bAdministrationbofbexogenousbthyroidbho
rmones,bsuchbasblevothyroxine,bturnsboff bthisbfeedbackbloop,bwhichbresultsbinbabdecreasedblevelbofbTSH.
3) Abnursebisbreviewingbthebmedicationblistbforbabclientbwhobhasbabnewbdiagnosisbofbtypeb2bdiabetesbmellitus.bThebnurseb
shouldbrecognizebwhichbofbthebfollowingbmedicationsbcanbcausebglucosebintolerance?
a) Ranitidine
i) Serumbcreatinineblevels
b) Guafenesin
i) Drowsinessbandbdizziness
c) Prednisone
, *bWebaren'tbendorsedbbybthisbschool
ATI NR293 Pharmacology Final Review -
b b b b b
Chamberlain College of Nursing ( 202 CORRECT ANSWRED QUESTIO
b b b b b b b b b
NS).
i) Glucosebintolerancebandbhyperglycemia,bpatientbmightbrequirebincreasedbdosagebofbhypoglycemicbmed.
d) Atorvastatin
i) Thyroidbfunctionbtests.
4) Abnursebisbcaringbforbabclientbreceivingbmydriaticbeyebdrops.bWhichbofbthebfollowingbclinicalbmanifestationsbindicatesbtobt
hebnursebthatbthebclientbhasbdevelopedbabsystemicbanticholinergicbeffect?
a) Seizures
b) Tachypnea
c) Constipation
i) Mydriaticbeyebdropsbcanbcausebsystemicbanticholinergicbeffectsbsuchbasbconstipation,bdrybmouth,b
photophobia,bandbtachycardia.
d) Hypothermia
, *bWebaren'tbendorsedbbybthisbschool
ATI NR293 Pharmacology Final Review -
b b b b b
Chamberlain College of Nursing ( 202 CORRECT ANSWRED QUESTIO
b b b b b b b b b
NS).
5) AbnursebisbcaringbforbabclientbwhobhasbheartbfailurebandbisbreceivingbIVbfurosemide.bThebnursebshouldbmonitorbthebclientbforbwhichb
ofbthebfollowingbelectrolytebimbalances?
a) Hypernatremia
i) Rationale:bThebnursebshouldbmonitorbthebclientbwhobisbreceivingbIVbfurosemidebforbhyponatremia.
b) Hyperuricemia
i)
Rationale:bThebnursebshouldbmonitorbthebclientbwhobisbreceivingbIVbfurosemidebforbhyperuricemia.bThebnursebsho
uldbinstructbthebclientbtobnotifybthebproviderbforbanybtendernessborbswellingbofbthebjoints.
c) Hypercalcemia
i) Rationale:bThebnursebshouldbmonitorbthebclientbwhobisbreceivingbIVbfurosemidebforbhypocalcemia.
d) Hyperchloremia
i) Rationale:bThebnursebshouldbmonitorbthebclientbwhobisbreceivingbIVbfurosemidebforbhypochloremia.
6) Abnursebisbtalkingbtobabclientbwhobisbtakingbabcalciumbsupplementbforbosteoporosis.bThebclientbtellsbthebnursebshebisbex
periencingbflankbpain.bWhichbofbthebfollowingbadversebeffectsbshouldbthebnursebsuspect?
a) Renalbstones
7) Abnursebisbcaringbforbabclientbwhobisbprescribedbwarfarinbtherapybforbanbartificialbheartbvalve.bWhichbofbthebfollowingbla
boratorybvaluesbshouldbthebnursebmonitorbforbabtherapeuticbeffectbofbwarfarin?
a) Hemoglobin
b) Prothrombinbtimeb(PT)
i) Rationale:bThisbtestbisbusedbtobmonitorbwarfarinbtherapy.bForbabclientbreceivingbfullbanticoagulantbt
herapy,shouldbtypicallybbebapproximatelybtwobtobthreebtimesbthebnormalbvalue,bdependingbonbthebi
ndicationbforbtherapeuticbanticoagulation.
c) Bleedingbtime
, *bWebaren'tbendorsedbbybthisbschool
ATI NR293 Pharmacology Final Review -
b b b b b
Chamberlain College of Nursing ( 202 CORRECT ANSWRED QUESTIO
b b b b b b b b b
NS).
d) Activatedbpartialbthromboplastinbtimeb(aPTT)
8) Abnursebisbpreparingbtobadministerbabdosebofblactulosebtobabclientbwhobhasbcirrhosis.bThebclientbstates,b"Ibdon'tbneedbthisbm
edication.bIbambnotbconstipated."bThebnursebshouldbexplainbthatbinbclientsbwhobhavebcirrhosis,blactulosebisbusedbtobdecrea
seblevelsbofbwhichbofbthebfollowingbcomponentsbinbthebbloodstream?
a) Glucose
ATI NR293 Pharmacology Final Review -
b b b b b
Chamberlain College of Nursing ( 202 CORRECT ANSWRED QUESTIO
b b b b b b b b b
NS).
1) Abnursebisbassessingbabclientbwhobisbtakingblevothyroxine.bThebnursebshouldbrecognizebthatbwhichbofbthebfollowingbf
indingsbisbabmanifestationbofblevothyroxineboverdose?
a) Insomnia
i) Rationale:bLevothyroxineboverdosebwillbresultbinbmanifestationsbofbhyperthyroidism,bwhichbincludeb
Insomnia,btachycardia,bandbhyperthermia.
b) Constipation
i) Rationale:bConstipationbisbabmanifestationbofbhypothyroidismbandbindicatesbanbinadequatebdosebofbl
evothyroxine.
c) Drowsiness
i) Rationale:bDrowsinessbisbabmanifestationbofbhypothyroidismbandbindicatesbanbinadequatebdosebofbl
evothyroxine.
d) Hypoactivebdeep-tendonbreflexes
i) Rationale:bHypoactivebdeep-
tendonbreflexesbarebmanifestationsbofbhypothyroidismbandbindicatebanbinadequatebdosebofblevothyr
oxine.
2) Abnursebisbreviewingbthebmedicalbrecordbofbabclientbwhobhasbbeenbonblevothyroxinebforbseveralbmonths.bWhichbofbthebf
ollowingbfindingsbindicatesbabtherapeuticbresponsebtobthebmedication?
a) Decreasebinblevelbofbthyroxineb(T4)
i) Rationale:bIfbthebdosebofbthisbmedicationbhasbbeenbadequate,bthebnursebshouldbseebanbincreasebinbthebT4.
b) Increasebinbweight
i) Rationale:bIfbthebdosebofbthisbmedicationbhasbbeenbadequate,bthebnursebshouldbseebabdecreasebinbweight,basb
hypothyroidismbcausesbabdecreasebinbmetabolismbwithbweightbgain.
c) Increasebinbhrbofbsleepbperbnight
i) Rationale:bIfbthebdosebofbthisbmedicationbhasbbeenbadequate,bthebnursebshouldbseebabdecreasebinbthebhrbofb
sleepbperbnight,basbhypothyroidismbcausesbsluggishnessbwithbincreasedbhrbofbsleep.
d) Decreasebinblevelbofbthyroidbstimulatingbhormoneb(TSH).
i) Rationale:bInbhypothyroidism,bthebnonfunctioningbthyroidbglandbisbunablebtobrespondbtobthebTSH,bandbnobe
ndogenousbthyroidbhormonesbarebreleased.bThisbresultsbinbanbelevationbofbthebTSHblevelbasbthebanteriorbpit
uitarybcontinuesbtobreleasebthebTSHbtobstimulatebthebthyroidbgland.bAdministrationbofbexogenousbthyroidbho
rmones,bsuchbasblevothyroxine,bturnsboff bthisbfeedbackbloop,bwhichbresultsbinbabdecreasedblevelbofbTSH.
3) Abnursebisbreviewingbthebmedicationblistbforbabclientbwhobhasbabnewbdiagnosisbofbtypeb2bdiabetesbmellitus.bThebnurseb
shouldbrecognizebwhichbofbthebfollowingbmedicationsbcanbcausebglucosebintolerance?
a) Ranitidine
i) Serumbcreatinineblevels
b) Guafenesin
i) Drowsinessbandbdizziness
c) Prednisone
, *bWebaren'tbendorsedbbybthisbschool
ATI NR293 Pharmacology Final Review -
b b b b b
Chamberlain College of Nursing ( 202 CORRECT ANSWRED QUESTIO
b b b b b b b b b
NS).
i) Glucosebintolerancebandbhyperglycemia,bpatientbmightbrequirebincreasedbdosagebofbhypoglycemicbmed.
d) Atorvastatin
i) Thyroidbfunctionbtests.
4) Abnursebisbcaringbforbabclientbreceivingbmydriaticbeyebdrops.bWhichbofbthebfollowingbclinicalbmanifestationsbindicatesbtobt
hebnursebthatbthebclientbhasbdevelopedbabsystemicbanticholinergicbeffect?
a) Seizures
b) Tachypnea
c) Constipation
i) Mydriaticbeyebdropsbcanbcausebsystemicbanticholinergicbeffectsbsuchbasbconstipation,bdrybmouth,b
photophobia,bandbtachycardia.
d) Hypothermia
, *bWebaren'tbendorsedbbybthisbschool
ATI NR293 Pharmacology Final Review -
b b b b b
Chamberlain College of Nursing ( 202 CORRECT ANSWRED QUESTIO
b b b b b b b b b
NS).
5) AbnursebisbcaringbforbabclientbwhobhasbheartbfailurebandbisbreceivingbIVbfurosemide.bThebnursebshouldbmonitorbthebclientbforbwhichb
ofbthebfollowingbelectrolytebimbalances?
a) Hypernatremia
i) Rationale:bThebnursebshouldbmonitorbthebclientbwhobisbreceivingbIVbfurosemidebforbhyponatremia.
b) Hyperuricemia
i)
Rationale:bThebnursebshouldbmonitorbthebclientbwhobisbreceivingbIVbfurosemidebforbhyperuricemia.bThebnursebsho
uldbinstructbthebclientbtobnotifybthebproviderbforbanybtendernessborbswellingbofbthebjoints.
c) Hypercalcemia
i) Rationale:bThebnursebshouldbmonitorbthebclientbwhobisbreceivingbIVbfurosemidebforbhypocalcemia.
d) Hyperchloremia
i) Rationale:bThebnursebshouldbmonitorbthebclientbwhobisbreceivingbIVbfurosemidebforbhypochloremia.
6) Abnursebisbtalkingbtobabclientbwhobisbtakingbabcalciumbsupplementbforbosteoporosis.bThebclientbtellsbthebnursebshebisbex
periencingbflankbpain.bWhichbofbthebfollowingbadversebeffectsbshouldbthebnursebsuspect?
a) Renalbstones
7) Abnursebisbcaringbforbabclientbwhobisbprescribedbwarfarinbtherapybforbanbartificialbheartbvalve.bWhichbofbthebfollowingbla
boratorybvaluesbshouldbthebnursebmonitorbforbabtherapeuticbeffectbofbwarfarin?
a) Hemoglobin
b) Prothrombinbtimeb(PT)
i) Rationale:bThisbtestbisbusedbtobmonitorbwarfarinbtherapy.bForbabclientbreceivingbfullbanticoagulantbt
herapy,shouldbtypicallybbebapproximatelybtwobtobthreebtimesbthebnormalbvalue,bdependingbonbthebi
ndicationbforbtherapeuticbanticoagulation.
c) Bleedingbtime
, *bWebaren'tbendorsedbbybthisbschool
ATI NR293 Pharmacology Final Review -
b b b b b
Chamberlain College of Nursing ( 202 CORRECT ANSWRED QUESTIO
b b b b b b b b b
NS).
d) Activatedbpartialbthromboplastinbtimeb(aPTT)
8) Abnursebisbpreparingbtobadministerbabdosebofblactulosebtobabclientbwhobhasbcirrhosis.bThebclientbstates,b"Ibdon'tbneedbthisbm
edication.bIbambnotbconstipated."bThebnursebshouldbexplainbthatbinbclientsbwhobhavebcirrhosis,blactulosebisbusedbtobdecrea
seblevelsbofbwhichbofbthebfollowingbcomponentsbinbthebbloodstream?
a) Glucose
