ATI PN PHARMACOLOGY PROCTORED NEWEST ACTUAL EXAM 300+ QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND NEW VERSION!
Patient identifiers - correct answer -Medical record number
-home telephone number
What lab values should a nurse monitor for a patient with chronic renal failure? - correct
answer ■ Urinalysis
☐ Hematuria, proteinuria, and alterations in specific gravity
☐ Serum creatinine
- Gradual increase of 1 to 2 mg/dL per every 24 to 48 hr for acute renal
failure (ARF)
- Gradual increase over months to years for chronic renal failure (CRF)
exceeding 4 mg/dL
■ Blood urea nitrogen (BUN)
- 80 to 100 mg/dL within 1 week with ARF
- Gradual increase with elevated serum creatinine over months to years for
CRF
- 180-200 mg/dL with (CRF)
■ Serum electrolytes
- Decreased sodium (dilutional) and calcium, increased potassium,
phosphorus, and magnesium
■ Complete blood count (CBC)
- Decreased hemoglobin
What food should you increase when taking Lasix? - correct answer -increased amounts of
potassium-rich foods (e.g., bananas, prunes, raisins, and orange juice)
Patient reports IV discomfort, what is your first action? - correct answer color and temperature
Sumatriptan (treats migraine headaches) adverse effect - correct answer pain, tightness,
pressure, or heaviness in the chest, throat, neck, and/or jaw
slow or difficult speech
Know about Transdermal patch - correct answer -• Apply at the same time once each day,
,ATI PN PHARMACOLOGY PROCTORED NEWEST ACTUAL EXAM 300+ QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND NEW VERSION!
preferably in the morning. Keep patch on
for 12 to 14 hr each day.
• Remove the patch at night to reduce
the risk of developing tolerance to
nitroglycerin. Be medication-free a
minimum of 10 to 12 hr each day (usually
at night).
• Do not cut patches to ensure appropriate
dosage.
• Place the patch on a hairless area of skin
(chest, back, or abdomen) and rotate sites
to prevent skin irritation.
• Wash skin with soap and water and dry
thoroughly before applying new patch.
RBC Blood transfusion - correct answer
http://www.atitesting.com/ati_next_gen/FocusedReview/data/datacontext/RM%20AMS%20R
N%208.0%20Chp%2044.pdf (prime with normal saline and infuse with sodium chloride).
What to understand about Parkinson's Meds? - correct answer -they don't cure disease, they
slow the process.
NEUPOGEN (filgrastim)-what is the appropriate route of this med? - correct answer
administered by subcutaneous injection or IV infusion
Lisinopril therapeutic effect - correct answer blood pressure answer (e.g. 120/80)
Medication for Schizophrenia - correct answer risperidone, Risperdal
Macrodantin medication - correct answer used to treat or prevent certain urinary tract
infections
Haldol-inform if you are taking ____________ medication. - correct answer -benzodiazepine
class of anti-anxiety drugs (all ending with "pam") and even, Xanax.
Fosomax - correct answer same as-Alendronate is used for treating osteoporosis in men and
postmenopausal women.
,ATI PN PHARMACOLOGY PROCTORED NEWEST ACTUAL EXAM 300+ QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND NEW VERSION!
Lipitor - correct answer -lowers cholesterol in blood, "statins". Reduce LDL and total
cholesterol. Raise HDL.
Garamycin- - correct answer Antibiotic that is toxic to the kidney, injected for radiology studies.
Digoxin side effects - correct answer -Fatigue
-Bradycardia
-Anorexia
-Nausea/Vomiting
Singulair - correct answer used before exercise to prevent breathing problems during exercise
(bronchospasm).
What medication to administer with Tylenol overdose? - correct answer acetylcysteine
(Mucomyst) must be given IV
HPV vaccine - correct answer Human Papilloma Virus (HPV2, HPV4) - -Three doses should be
given over a 6 month
-interval for females at 11 to 12 years of age (minimum age is 9 years).
-The second dose should be administered 2 months after the first dose, and the third dose
should be administered 6 months after the first dose.
-HPV4 may be given to males starting at age 9 years of age.
Opioid toxicity-what to check first - correct answer oxygen saturation
Valporic Acid lab - correct answer liver
Lithium report immediately - correct answer slurred speech
Prednisone report - correct answer sore throat
Food to avoid when taking Lithium - correct answer -salty foods
-alcoholic beverages
Labs for patients taking hydrothiazide - correct answer Periodic determination of serum
electrolytes to detect possible electrolyte imbalance should be done at appropriate intervals.
1) A nurse is caring for a client with hyperparathyroidism and notes that the client's serum
calcium level is 13 mg/dL. Which medication should the nurse prepare to administer as
prescribed to the client?
1. Calcium chloride
2. Calcium gluconate
, ATI PN PHARMACOLOGY PROCTORED NEWEST ACTUAL EXAM 300+ QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND NEW VERSION!
3. Calcitonin (Miacalcin)
4. Large doses of vitamin D - correct answer 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,
which occurs 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.
2.) Oral iron supplements are prescribed for a 6-year-old child with iron deficiency anemia. The
nurse instructs the mother to administer the iron with which best food item?
1. Milk
2. Water
3. Apple juice
4. Orange juice - correct answer 4. Orange juice
Rationale:
Vitamin C increases the absorption of iron by the body. The mother should be instructed to
administer the medication with a citrus fruit or a juice that is high in vitamin C. Milk may affect
absorption of the iron. Water will not assist in absorption. Orange juice contains a greater
amount of vitamin C than apple juice.
3.) Salicylic acid is prescribed for a client with a diagnosis of psoriasis. The nurse monitors the
client, knowing that which of the following would indicate the presence of systemic toxicity
from this medication?
1. Tinnitus
2. Diarrhea
3. Constipation
4. Decreased respirations - correct answer 1. Tinnitus
Rationale:
Salicylic acid is absorbed readily through the skin, and systemic toxicity (salicylism) can result.
Symptoms include tinnitus, dizziness, hyperpnea, and psychological disturbances. Constipation
and diarrhea are not associated with salicylism.
DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND NEW VERSION!
Patient identifiers - correct answer -Medical record number
-home telephone number
What lab values should a nurse monitor for a patient with chronic renal failure? - correct
answer ■ Urinalysis
☐ Hematuria, proteinuria, and alterations in specific gravity
☐ Serum creatinine
- Gradual increase of 1 to 2 mg/dL per every 24 to 48 hr for acute renal
failure (ARF)
- Gradual increase over months to years for chronic renal failure (CRF)
exceeding 4 mg/dL
■ Blood urea nitrogen (BUN)
- 80 to 100 mg/dL within 1 week with ARF
- Gradual increase with elevated serum creatinine over months to years for
CRF
- 180-200 mg/dL with (CRF)
■ Serum electrolytes
- Decreased sodium (dilutional) and calcium, increased potassium,
phosphorus, and magnesium
■ Complete blood count (CBC)
- Decreased hemoglobin
What food should you increase when taking Lasix? - correct answer -increased amounts of
potassium-rich foods (e.g., bananas, prunes, raisins, and orange juice)
Patient reports IV discomfort, what is your first action? - correct answer color and temperature
Sumatriptan (treats migraine headaches) adverse effect - correct answer pain, tightness,
pressure, or heaviness in the chest, throat, neck, and/or jaw
slow or difficult speech
Know about Transdermal patch - correct answer -• Apply at the same time once each day,
,ATI PN PHARMACOLOGY PROCTORED NEWEST ACTUAL EXAM 300+ QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND NEW VERSION!
preferably in the morning. Keep patch on
for 12 to 14 hr each day.
• Remove the patch at night to reduce
the risk of developing tolerance to
nitroglycerin. Be medication-free a
minimum of 10 to 12 hr each day (usually
at night).
• Do not cut patches to ensure appropriate
dosage.
• Place the patch on a hairless area of skin
(chest, back, or abdomen) and rotate sites
to prevent skin irritation.
• Wash skin with soap and water and dry
thoroughly before applying new patch.
RBC Blood transfusion - correct answer
http://www.atitesting.com/ati_next_gen/FocusedReview/data/datacontext/RM%20AMS%20R
N%208.0%20Chp%2044.pdf (prime with normal saline and infuse with sodium chloride).
What to understand about Parkinson's Meds? - correct answer -they don't cure disease, they
slow the process.
NEUPOGEN (filgrastim)-what is the appropriate route of this med? - correct answer
administered by subcutaneous injection or IV infusion
Lisinopril therapeutic effect - correct answer blood pressure answer (e.g. 120/80)
Medication for Schizophrenia - correct answer risperidone, Risperdal
Macrodantin medication - correct answer used to treat or prevent certain urinary tract
infections
Haldol-inform if you are taking ____________ medication. - correct answer -benzodiazepine
class of anti-anxiety drugs (all ending with "pam") and even, Xanax.
Fosomax - correct answer same as-Alendronate is used for treating osteoporosis in men and
postmenopausal women.
,ATI PN PHARMACOLOGY PROCTORED NEWEST ACTUAL EXAM 300+ QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND NEW VERSION!
Lipitor - correct answer -lowers cholesterol in blood, "statins". Reduce LDL and total
cholesterol. Raise HDL.
Garamycin- - correct answer Antibiotic that is toxic to the kidney, injected for radiology studies.
Digoxin side effects - correct answer -Fatigue
-Bradycardia
-Anorexia
-Nausea/Vomiting
Singulair - correct answer used before exercise to prevent breathing problems during exercise
(bronchospasm).
What medication to administer with Tylenol overdose? - correct answer acetylcysteine
(Mucomyst) must be given IV
HPV vaccine - correct answer Human Papilloma Virus (HPV2, HPV4) - -Three doses should be
given over a 6 month
-interval for females at 11 to 12 years of age (minimum age is 9 years).
-The second dose should be administered 2 months after the first dose, and the third dose
should be administered 6 months after the first dose.
-HPV4 may be given to males starting at age 9 years of age.
Opioid toxicity-what to check first - correct answer oxygen saturation
Valporic Acid lab - correct answer liver
Lithium report immediately - correct answer slurred speech
Prednisone report - correct answer sore throat
Food to avoid when taking Lithium - correct answer -salty foods
-alcoholic beverages
Labs for patients taking hydrothiazide - correct answer Periodic determination of serum
electrolytes to detect possible electrolyte imbalance should be done at appropriate intervals.
1) A nurse is caring for a client with hyperparathyroidism and notes that the client's serum
calcium level is 13 mg/dL. Which medication should the nurse prepare to administer as
prescribed to the client?
1. Calcium chloride
2. Calcium gluconate
, ATI PN PHARMACOLOGY PROCTORED NEWEST ACTUAL EXAM 300+ QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND NEW VERSION!
3. Calcitonin (Miacalcin)
4. Large doses of vitamin D - correct answer 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,
which occurs 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.
2.) Oral iron supplements are prescribed for a 6-year-old child with iron deficiency anemia. The
nurse instructs the mother to administer the iron with which best food item?
1. Milk
2. Water
3. Apple juice
4. Orange juice - correct answer 4. Orange juice
Rationale:
Vitamin C increases the absorption of iron by the body. The mother should be instructed to
administer the medication with a citrus fruit or a juice that is high in vitamin C. Milk may affect
absorption of the iron. Water will not assist in absorption. Orange juice contains a greater
amount of vitamin C than apple juice.
3.) Salicylic acid is prescribed for a client with a diagnosis of psoriasis. The nurse monitors the
client, knowing that which of the following would indicate the presence of systemic toxicity
from this medication?
1. Tinnitus
2. Diarrhea
3. Constipation
4. Decreased respirations - correct answer 1. Tinnitus
Rationale:
Salicylic acid is absorbed readily through the skin, and systemic toxicity (salicylism) can result.
Symptoms include tinnitus, dizziness, hyperpnea, and psychological disturbances. Constipation
and diarrhea are not associated with salicylism.
