*pWeparen'tpendorsedpbypthispschool
ATI NR293 Pharmacology Final Review -
p p p p p
Chamberlain College of Nursing ( 202 CORRECT ANSWRED QUESTIO
p p p p p p p p p
NS).
1) Apnursepispassessingpapclientpwhopisptakingplevothyroxine.pThepnursepshouldprecognizepthatpwhichpofpthepfollowingpf
indingspispapmanifestationpofplevothyroxinepoverdose?
a) Insomnia
i) Rationale:pLevothyroxinepoverdosepwillpresultpinpmanifestationspofphyperthyroidism,pwhichpincludep
Insomnia,ptachycardia,pandphyperthermia.
b) Constipation
i) Rationale:pConstipationpispapmanifestationpofphypothyroidismpandpindicatespanpinadequatepdosepofpl
evothyroxine.
c) Drowsiness
i) Rationale:pDrowsinesspispapmanifestationpofphypothyroidismpandpindicatespanpinadequatepdosepofpl
evothyroxine.
d) Hypoactivepdeep-tendonpreflexes
i) Rationale:pHypoactivepdeep-
tendonpreflexesparepmanifestationspofphypothyroidismpandpindicatepanpinadequatepdosepofplevothyr
oxine.
2) Apnursepispreviewingpthepmedicalprecordpofpapclientpwhophaspbeenponplevothyroxinepforpseveralpmonths.pWhichpofpthepf
ollowingpfindingspindicatespaptherapeuticpresponseptopthepmedication?
a) Decreasepinplevelpofpthyroxinep(T4)
i) Rationale:pIfpthepdosepofpthispmedicationphaspbeenpadequate,pthepnursepshouldpseepanpincreasepinpthepT4.
b) Increasepinpweight
i) Rationale:pIfpthepdosepofpthispmedicationphaspbeenpadequate,pthepnursepshouldpseepapdecreasepinpweight,pasp
hypothyroidismpcausespapdecreasepinpmetabolismpwithpweightpgain.
c) Increasepinphrpofpsleeppperpnight
i) Rationale:pIfpthepdosepofpthispmedicationphaspbeenpadequate,pthepnursepshouldpseepapdecreasepinpthephrpofp
sleeppperpnight,pasphypothyroidismpcausespsluggishnesspwithpincreasedphrpofpsleep.
d) Decreasepinplevelpofpthyroidpstimulatingphormonep(TSH).
i) Rationale:pInphypothyroidism,pthepnonfunctioningpthyroidpglandpispunableptoprespondptopthepTSH,pandpnope
ndogenouspthyroidphormonesparepreleased.pThispresultspinpanpelevationpofpthepTSHplevelpaspthepanteriorppit
uitarypcontinuesptopreleasepthepTSHptopstimulatepthepthyroidpgland.pAdministrationpofpexogenouspthyroidpho
rmones,psuchpasplevothyroxine,pturnspoff pthispfeedbackploop,pwhichpresultspinpapdecreasedplevelpofpTSH.
3) Apnursepispreviewingpthepmedicationplistpforpapclientpwhophaspapnewpdiagnosispofptypep2pdiabetespmellitus.pThepnursep
shouldprecognizepwhichpofpthepfollowingpmedicationspcanpcausepglucosepintolerance?
a) Ranitidine
i) Serumpcreatinineplevels
b) Guafenesin
i) Drowsinesspandpdizziness
c) Prednisone
, *pWeparen'tpendorsedpbypthispschool
ATI NR293 Pharmacology Final Review -
p p p p p
Chamberlain College of Nursing ( 202 CORRECT ANSWRED QUESTIO
p p p p p p p p p
NS).
i) Glucosepintolerancepandphyperglycemia,ppatientpmightprequirepincreasedpdosagepofphypoglycemicpmed.
d) Atorvastatin
i) Thyroidpfunctionptests.
4) Apnursepispcaringpforpapclientpreceivingpmydriaticpeyepdrops.pWhichpofpthepfollowingpclinicalpmanifestationspindicatesptopt
hepnursepthatpthepclientphaspdevelopedpapsystemicpanticholinergicpeffect?
a) Seizures
b) Tachypnea
c) Constipation
i) Mydriaticpeyepdropspcanpcausepsystemicpanticholinergicpeffectspsuchpaspconstipation,pdrypmouth,p
photophobia,pandptachycardia.
d) Hypothermia
, *pWeparen'tpendorsedpbypthispschool
ATI NR293 Pharmacology Final Review -
p p p p p
Chamberlain College of Nursing ( 202 CORRECT ANSWRED QUESTIO
p p p p p p p p p
NS).
5) ApnursepispcaringpforpapclientpwhophaspheartpfailurepandpispreceivingpIVpfurosemide.pThepnursepshouldpmonitorpthepclientpforpwhichp
ofpthepfollowingpelectrolytepimbalances?
a) Hypernatremia
i) Rationale:pThepnursepshouldpmonitorpthepclientpwhopispreceivingpIVpfurosemidepforphyponatremia.
b) Hyperuricemia
i)
Rationale:pThepnursepshouldpmonitorpthepclientpwhopispreceivingpIVpfurosemidepforphyperuricemia.pThepnursepsho
uldpinstructpthepclientptopnotifypthepproviderpforpanyptendernessporpswellingpofpthepjoints.
c) Hypercalcemia
i) Rationale:pThepnursepshouldpmonitorpthepclientpwhopispreceivingpIVpfurosemidepforphypocalcemia.
d) Hyperchloremia
i) Rationale:pThepnursepshouldpmonitorpthepclientpwhopispreceivingpIVpfurosemidepforphypochloremia.
6) Apnursepisptalkingptopapclientpwhopisptakingpapcalciumpsupplementpforposteoporosis.pThepclientptellspthepnursepshepispex
periencingpflankppain.pWhichpofpthepfollowingpadversepeffectspshouldpthepnursepsuspect?
a) Renalpstones
7) Apnursepispcaringpforpapclientpwhopispprescribedpwarfarinptherapypforpanpartificialpheartpvalve.pWhichpofpthepfollowingpla
boratorypvaluespshouldpthepnursepmonitorpforpaptherapeuticpeffectpofpwarfarin?
a) Hemoglobin
b) Prothrombinptimep(PT)
i) Rationale:pThisptestpispusedptopmonitorpwarfarinptherapy.pForpapclientpreceivingpfullpanticoagulantpt
herapy,shouldptypicallypbepapproximatelyptwoptopthreeptimespthepnormalpvalue,pdependingponpthepi
ndicationpforptherapeuticpanticoagulation.
c) Bleedingptime
, *pWeparen'tpendorsedpbypthispschool
ATI NR293 Pharmacology Final Review -
p p p p p
Chamberlain College of Nursing ( 202 CORRECT ANSWRED QUESTIO
p p p p p p p p p
NS).
d) Activatedppartialpthromboplastinptimep(aPTT)
8) Apnursepisppreparingptopadministerpapdosepofplactuloseptopapclientpwhophaspcirrhosis.pThepclientpstates,p"Ipdon'tpneedpthispm
edication.pIpampnotpconstipated."pThepnursepshouldpexplainpthatpinpclientspwhophavepcirrhosis,plactulosepispusedptopdecrea
seplevelspofpwhichpofpthepfollowingpcomponentspinpthepbloodstream?
a) Glucose
ATI NR293 Pharmacology Final Review -
p p p p p
Chamberlain College of Nursing ( 202 CORRECT ANSWRED QUESTIO
p p p p p p p p p
NS).
1) Apnursepispassessingpapclientpwhopisptakingplevothyroxine.pThepnursepshouldprecognizepthatpwhichpofpthepfollowingpf
indingspispapmanifestationpofplevothyroxinepoverdose?
a) Insomnia
i) Rationale:pLevothyroxinepoverdosepwillpresultpinpmanifestationspofphyperthyroidism,pwhichpincludep
Insomnia,ptachycardia,pandphyperthermia.
b) Constipation
i) Rationale:pConstipationpispapmanifestationpofphypothyroidismpandpindicatespanpinadequatepdosepofpl
evothyroxine.
c) Drowsiness
i) Rationale:pDrowsinesspispapmanifestationpofphypothyroidismpandpindicatespanpinadequatepdosepofpl
evothyroxine.
d) Hypoactivepdeep-tendonpreflexes
i) Rationale:pHypoactivepdeep-
tendonpreflexesparepmanifestationspofphypothyroidismpandpindicatepanpinadequatepdosepofplevothyr
oxine.
2) Apnursepispreviewingpthepmedicalprecordpofpapclientpwhophaspbeenponplevothyroxinepforpseveralpmonths.pWhichpofpthepf
ollowingpfindingspindicatespaptherapeuticpresponseptopthepmedication?
a) Decreasepinplevelpofpthyroxinep(T4)
i) Rationale:pIfpthepdosepofpthispmedicationphaspbeenpadequate,pthepnursepshouldpseepanpincreasepinpthepT4.
b) Increasepinpweight
i) Rationale:pIfpthepdosepofpthispmedicationphaspbeenpadequate,pthepnursepshouldpseepapdecreasepinpweight,pasp
hypothyroidismpcausespapdecreasepinpmetabolismpwithpweightpgain.
c) Increasepinphrpofpsleeppperpnight
i) Rationale:pIfpthepdosepofpthispmedicationphaspbeenpadequate,pthepnursepshouldpseepapdecreasepinpthephrpofp
sleeppperpnight,pasphypothyroidismpcausespsluggishnesspwithpincreasedphrpofpsleep.
d) Decreasepinplevelpofpthyroidpstimulatingphormonep(TSH).
i) Rationale:pInphypothyroidism,pthepnonfunctioningpthyroidpglandpispunableptoprespondptopthepTSH,pandpnope
ndogenouspthyroidphormonesparepreleased.pThispresultspinpanpelevationpofpthepTSHplevelpaspthepanteriorppit
uitarypcontinuesptopreleasepthepTSHptopstimulatepthepthyroidpgland.pAdministrationpofpexogenouspthyroidpho
rmones,psuchpasplevothyroxine,pturnspoff pthispfeedbackploop,pwhichpresultspinpapdecreasedplevelpofpTSH.
3) Apnursepispreviewingpthepmedicationplistpforpapclientpwhophaspapnewpdiagnosispofptypep2pdiabetespmellitus.pThepnursep
shouldprecognizepwhichpofpthepfollowingpmedicationspcanpcausepglucosepintolerance?
a) Ranitidine
i) Serumpcreatinineplevels
b) Guafenesin
i) Drowsinesspandpdizziness
c) Prednisone
, *pWeparen'tpendorsedpbypthispschool
ATI NR293 Pharmacology Final Review -
p p p p p
Chamberlain College of Nursing ( 202 CORRECT ANSWRED QUESTIO
p p p p p p p p p
NS).
i) Glucosepintolerancepandphyperglycemia,ppatientpmightprequirepincreasedpdosagepofphypoglycemicpmed.
d) Atorvastatin
i) Thyroidpfunctionptests.
4) Apnursepispcaringpforpapclientpreceivingpmydriaticpeyepdrops.pWhichpofpthepfollowingpclinicalpmanifestationspindicatesptopt
hepnursepthatpthepclientphaspdevelopedpapsystemicpanticholinergicpeffect?
a) Seizures
b) Tachypnea
c) Constipation
i) Mydriaticpeyepdropspcanpcausepsystemicpanticholinergicpeffectspsuchpaspconstipation,pdrypmouth,p
photophobia,pandptachycardia.
d) Hypothermia
, *pWeparen'tpendorsedpbypthispschool
ATI NR293 Pharmacology Final Review -
p p p p p
Chamberlain College of Nursing ( 202 CORRECT ANSWRED QUESTIO
p p p p p p p p p
NS).
5) ApnursepispcaringpforpapclientpwhophaspheartpfailurepandpispreceivingpIVpfurosemide.pThepnursepshouldpmonitorpthepclientpforpwhichp
ofpthepfollowingpelectrolytepimbalances?
a) Hypernatremia
i) Rationale:pThepnursepshouldpmonitorpthepclientpwhopispreceivingpIVpfurosemidepforphyponatremia.
b) Hyperuricemia
i)
Rationale:pThepnursepshouldpmonitorpthepclientpwhopispreceivingpIVpfurosemidepforphyperuricemia.pThepnursepsho
uldpinstructpthepclientptopnotifypthepproviderpforpanyptendernessporpswellingpofpthepjoints.
c) Hypercalcemia
i) Rationale:pThepnursepshouldpmonitorpthepclientpwhopispreceivingpIVpfurosemidepforphypocalcemia.
d) Hyperchloremia
i) Rationale:pThepnursepshouldpmonitorpthepclientpwhopispreceivingpIVpfurosemidepforphypochloremia.
6) Apnursepisptalkingptopapclientpwhopisptakingpapcalciumpsupplementpforposteoporosis.pThepclientptellspthepnursepshepispex
periencingpflankppain.pWhichpofpthepfollowingpadversepeffectspshouldpthepnursepsuspect?
a) Renalpstones
7) Apnursepispcaringpforpapclientpwhopispprescribedpwarfarinptherapypforpanpartificialpheartpvalve.pWhichpofpthepfollowingpla
boratorypvaluespshouldpthepnursepmonitorpforpaptherapeuticpeffectpofpwarfarin?
a) Hemoglobin
b) Prothrombinptimep(PT)
i) Rationale:pThisptestpispusedptopmonitorpwarfarinptherapy.pForpapclientpreceivingpfullpanticoagulantpt
herapy,shouldptypicallypbepapproximatelyptwoptopthreeptimespthepnormalpvalue,pdependingponpthepi
ndicationpforptherapeuticpanticoagulation.
c) Bleedingptime
, *pWeparen'tpendorsedpbypthispschool
ATI NR293 Pharmacology Final Review -
p p p p p
Chamberlain College of Nursing ( 202 CORRECT ANSWRED QUESTIO
p p p p p p p p p
NS).
d) Activatedppartialpthromboplastinptimep(aPTT)
8) Apnursepisppreparingptopadministerpapdosepofplactuloseptopapclientpwhophaspcirrhosis.pThepclientpstates,p"Ipdon'tpneedpthispm
edication.pIpampnotpconstipated."pThepnursepshouldpexplainpthatpinpclientspwhophavepcirrhosis,plactulosepispusedptopdecrea
seplevelspofpwhichpofpthepfollowingpcomponentspinpthepbloodstream?
a) Glucose
