ATI PN Pharmacology Proctored Exam
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Pharma proctored ATI PN Pharmacology Proctored Ex... TNCC ENA 9th Editio
Teacher 70 terms 312 terms 20 terms
Marcy_C29 Preview sin158 Preview Preview
-Medical record number
Patient identifiers
-home telephone number
■ 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
What lab values should a nurse ■ Blood urea nitrogen (BUN)
monitor for a patient with - 80 to 100 mg/dL within 1 week with ARF
chronic renal failure? - 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 -increased amounts of potassium-rich foods (e.g., bananas,
when taking Lasix? prunes, raisins, and orange juice)
Patient reports IV discomfort, color and temperature
what is your first action?
pain, tightness, pressure, or heaviness in the chest, throat, neck,
Sumatriptan (treats migraine and/or jaw
headaches) adverse effect
slow or difficult speech
, -• Apply at the same time once each day,
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
Know about Transdermal patch 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.
http://www.atitesting.com/ati_next_gen/FocusedReview/data/dat
RBC Blood transfusion acontext/RM%20AMS%20RN%208.0%20Chp%2044.pdf (prime
with normal saline and infuse with sodium chloride).
What to understand about -they don't cure disease, they slow the process.
Parkinson's Meds?
NEUPOGEN (filgrastim)-what is administered by subcutaneous injection or IV infusion
the appropriate route of this
med?
Lisinopril therapeutic effect blood pressure answer (e.g. 120/80)
Medication for Schizophrenia risperidone, Risperdal
Macrodantin medication used to treat or prevent certain urinary tract infections
Haldol-inform if you are taking -benzodiazepine class of anti-anxiety drugs (all ending with
____________ medication. "pam") and even, Xanax.
same as-Alendronate is used for treating osteoporosis in men
Fosomax
and postmenopausal women.
-lowers cholesterol in blood, "statins". Reduce LDL and total
Lipitor
cholesterol. Raise HDL.
Antibiotic that is toxic to the kidney, injected for radiology
Garamycin-
studies.
-Fatigue
-Bradycardia
Digoxin side effects
-Anorexia
-Nausea/Vomiting
used before exercise to prevent breathing problems during
Singulair
exercise (bronchospasm).
What medication to administer acetylcysteine (Mucomyst) must be given IV
with Tylenol overdose?
, 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).
HPV vaccine
-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 oxygen saturation
first
Valporic Acid lab liver
Lithium report immediately slurred speech
Prednisone report sore throat
Food to avoid when taking -salty foods
Lithium -alcoholic beverages
Labs for patients taking Periodic determination of serum electrolytes to detect possible
hydrothiazide electrolyte imbalance should be done at appropriate intervals.
1) A nurse is caring for a client 3. Calcitonin (Miacalcin)
with hyperparathyroidism and Rationale:
notes that the client's serum The normal serum calcium level is 8.6 to 10.0 mg/dL. This client is
calcium level is 13 mg/dL. Which experiencing hypercalcemia. Calcium gluconate and calcium
medication should the nurse chloride are medications used for the treatment of tetany, which
prepare to administer as occurs as a result of acute hypocalcemia. In hypercalcemia, large
prescribed to the client? doses of vitamin D need to be avoided. Calcitonin, a thyroid
1. Calcium chloride hormone, decreases the plasma calcium level by inhibiting bone
2. Calcium gluconate resorption and lowering the serum calcium concentration.
3. Calcitonin (Miacalcin)
4. Large doses of vitamin D
See an expert-written answer!
2.) Oral iron supplements are 4. Orange juice
prescribed for a 6-year-old child Rationale:
with iron deficiency anemia. The Vitamin C increases the absorption of iron by the body. The
nurse instructs the mother to mother should be instructed to administer the medication with a
administer the iron with which citrus fruit or a juice that is high in vitamin C. Milk may affect
best food item? absorption of the iron. Water will not assist in absorption. Orange
1. Milk juice contains a greater amount of vitamin C than apple juice.
2. Water
3. Apple juice
4. Orange juice
3.) Salicylic acid is prescribed 1. Tinnitus
for a client with a diagnosis of Rationale:
psoriasis. The nurse monitors the Salicylic acid is absorbed readily through the skin, and systemic
client, knowing that which of the toxicity (salicylism) can result. Symptoms include tinnitus,
following would indicate the dizziness, hyperpnea, and psychological disturbances.
presence of systemic toxicity Constipation and diarrhea are not associated with salicylism.
from this medication?
1. Tinnitus
2. Diarrhea
3. Constipation
4. Decreased respirations
Save
Students also studied
Flashcard sets Study guides
Pharma proctored ATI PN Pharmacology Proctored Ex... TNCC ENA 9th Editio
Teacher 70 terms 312 terms 20 terms
Marcy_C29 Preview sin158 Preview Preview
-Medical record number
Patient identifiers
-home telephone number
■ 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
What lab values should a nurse ■ Blood urea nitrogen (BUN)
monitor for a patient with - 80 to 100 mg/dL within 1 week with ARF
chronic renal failure? - 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 -increased amounts of potassium-rich foods (e.g., bananas,
when taking Lasix? prunes, raisins, and orange juice)
Patient reports IV discomfort, color and temperature
what is your first action?
pain, tightness, pressure, or heaviness in the chest, throat, neck,
Sumatriptan (treats migraine and/or jaw
headaches) adverse effect
slow or difficult speech
, -• Apply at the same time once each day,
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
Know about Transdermal patch 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.
http://www.atitesting.com/ati_next_gen/FocusedReview/data/dat
RBC Blood transfusion acontext/RM%20AMS%20RN%208.0%20Chp%2044.pdf (prime
with normal saline and infuse with sodium chloride).
What to understand about -they don't cure disease, they slow the process.
Parkinson's Meds?
NEUPOGEN (filgrastim)-what is administered by subcutaneous injection or IV infusion
the appropriate route of this
med?
Lisinopril therapeutic effect blood pressure answer (e.g. 120/80)
Medication for Schizophrenia risperidone, Risperdal
Macrodantin medication used to treat or prevent certain urinary tract infections
Haldol-inform if you are taking -benzodiazepine class of anti-anxiety drugs (all ending with
____________ medication. "pam") and even, Xanax.
same as-Alendronate is used for treating osteoporosis in men
Fosomax
and postmenopausal women.
-lowers cholesterol in blood, "statins". Reduce LDL and total
Lipitor
cholesterol. Raise HDL.
Antibiotic that is toxic to the kidney, injected for radiology
Garamycin-
studies.
-Fatigue
-Bradycardia
Digoxin side effects
-Anorexia
-Nausea/Vomiting
used before exercise to prevent breathing problems during
Singulair
exercise (bronchospasm).
What medication to administer acetylcysteine (Mucomyst) must be given IV
with Tylenol overdose?
, 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).
HPV vaccine
-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 oxygen saturation
first
Valporic Acid lab liver
Lithium report immediately slurred speech
Prednisone report sore throat
Food to avoid when taking -salty foods
Lithium -alcoholic beverages
Labs for patients taking Periodic determination of serum electrolytes to detect possible
hydrothiazide electrolyte imbalance should be done at appropriate intervals.
1) A nurse is caring for a client 3. Calcitonin (Miacalcin)
with hyperparathyroidism and Rationale:
notes that the client's serum The normal serum calcium level is 8.6 to 10.0 mg/dL. This client is
calcium level is 13 mg/dL. Which experiencing hypercalcemia. Calcium gluconate and calcium
medication should the nurse chloride are medications used for the treatment of tetany, which
prepare to administer as occurs as a result of acute hypocalcemia. In hypercalcemia, large
prescribed to the client? doses of vitamin D need to be avoided. Calcitonin, a thyroid
1. Calcium chloride hormone, decreases the plasma calcium level by inhibiting bone
2. Calcium gluconate resorption and lowering the serum calcium concentration.
3. Calcitonin (Miacalcin)
4. Large doses of vitamin D
See an expert-written answer!
2.) Oral iron supplements are 4. Orange juice
prescribed for a 6-year-old child Rationale:
with iron deficiency anemia. The Vitamin C increases the absorption of iron by the body. The
nurse instructs the mother to mother should be instructed to administer the medication with a
administer the iron with which citrus fruit or a juice that is high in vitamin C. Milk may affect
best food item? absorption of the iron. Water will not assist in absorption. Orange
1. Milk juice contains a greater amount of vitamin C than apple juice.
2. Water
3. Apple juice
4. Orange juice
3.) Salicylic acid is prescribed 1. Tinnitus
for a client with a diagnosis of Rationale:
psoriasis. The nurse monitors the Salicylic acid is absorbed readily through the skin, and systemic
client, knowing that which of the toxicity (salicylism) can result. Symptoms include tinnitus,
following would indicate the dizziness, hyperpnea, and psychological disturbances.
presence of systemic toxicity Constipation and diarrhea are not associated with salicylism.
from this medication?
1. Tinnitus
2. Diarrhea
3. Constipation
4. Decreased respirations
