ATI Pharmacology Proctored Test Bank
ATI Pharmacology Proctored Exam, Test Bank(100 % Of 313 Verified Questions and ALL CORRECT Answers)
1. 1) A nurse is caring for a client with
3. Calcitonin (Miacalcin)
hyperparathyroidism and notes that
Rationale:
the client's serum calcium level is 13
The normal serum calcium level is 8.6 to 10.0 mg/dL. This client is experiencing
mg/dL. Which medication should the
hypercalcemia. Calcium gluconate and calcium chloride are medications used
nurse prepare to administer as
for the treatment of tetany, which occurs as a result of acute hypocalcemia. In
prescribed to the client?
hypercalcemia, large doses of vitamin D need to be avoided. Calcitonin, a
1. Calcium chloride
thyroid 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
4. Orange juice
2. 2.) Oral iron supplements are
Rationale:
prescribed for a 6-year-old child
Vitamin C increases the absorption of iron by the body. The mother should be
with iron deficiency anemia. The
instructed to administer the medication with a citrus fruit or a juice that is
nurse instructs the mother to
high in vitamin C. Milk may affect absorption of the iron. Water will not assist
administer the iron with which best
in absorption. Orange juice contains a greater amount of vitamin C than apple
food item?
juice.
1. Milk
2.Water
3.Apple juice
4. Orange juice
1. Tinnitus
3. 3.) Salicylic acid is prescribed for
Rationale:
a client with a diagnosis of
Salicylic acid is absorbed readily through the skin, and systemic toxicity (salicylism)
psoriasis. The nurse monitors the
can result. Symptoms include tinnitus, dizziness, hyperpnea, and psychological
client, knowing that which of the
disturbances. Constipation and diarrhea are not associated with salicylism.
following would indicate the
presence of systemic toxicity from
this medication?
1. Tinnitus
2.Diarrhea
3.Constipation 4. At least 30 minutes before exposure to the
4. Decreased respirations sun Rationale:
Sunscreens are most effective when applied at least 30 minutes before
4. 4.) The camp nurse asks the
exposure to the sun so that they can penetrate the skin. All sunscreens should
children preparing to swim in the
be reapplied after swimming or sweating.
lake if they have applied
sunscreen. The nurse reminds the
children that chemical sunscreens
are most effective when applied:
1. Immediately before swimming
2.15 minutes before exposure to the
sun 3. Informing the client that this is
3. Immediately before exposure to normal Rationale:
the sun Mafenide acetate is bacteriostatic for gram-negative and gram-positive
4. At least 30 minutes before organisms and is used to treat burns to reduce bacteria present in avascular
exposure to the sun tissues. The client should be informed that the medication will cause local
5. 5.) Mafenide acetate (Sulfamylon) is discomfort and burning and that this is a normal reaction; therefore options 1, 2,
prescribed for the client with a burn and 4 are incorrect
injury. When applying the
medication, the client complains of
local discomfort and burning. Which
of the following is the most
appropriate nursing action?
1. Notifying the registered nurse
2.Discontinuing the medication
3.Informing the client that this is
normal
4. Applying a thinner film than
prescribed to the burn site
,
,6. 6.) The burn client is receiving 1. Hypervent
treatments of topical mafenide ilation Rationale:
acetate (Sulfamylon) to the site of Mafenide acetate is a carbonic anhydrase inhibitor and can suppress renal
injury. The nurse monitors the client, excretion of acid, thereby causing acidosis. Clients receiving this treatment
knowing that which of the following should be monitored for signs of an acid-base imbalance (hyperventilation). If this
indicates that a systemic effect has occurs, the medication should be discontinued for 1 to 2 days. Options 3 and 4
occurred? 1.Hyperventilation describe local rather than systemic effects. An elevated blood pressure may be
2.Elevated blood expected from the pain that occurs with a burn injury.
pressure 3.Local pain
at the burn site 4.Local 2. Triglyceride level
rash at the burn site Rationale:
7. 7.) Isotretinoin is prescribed for a Isotretinoin can elevate triglyceride levels. Blood triglyceride levels should be
client with severe acne. Before the measured before treatment and periodically thereafter until the effect on the
administration of this medication, the triglycerides has been evaluated. Options 1, 3, and 4 do not need to be
nurse anticipates that which monitored specifically during this treatment.
laboratory test will be prescribed?
1. Platelet count
2.Triglyceride level 1. Vita
3.Complete blood count min A
4. White blood cell count Rationale:
8. 8.) A client with severe acne is seen in Isotretinoin is a metabolite of vitamin A and can produce generalized
the clinic and the health care provider intensification of isotretinoin toxicity. Because of the potential for increased
(HCP) prescribes isotretinoin. The toxicity, vitamin A supplements should be discontinued before isotretinoin
nurse reviews the client's medication therapy. Options 2, 3, and 4 are not contraindicated with the use of isotretinoin.
record and would contact the (HCP) if
the client is taking which medication?
1. Vitamin A
2.Digoxin (Lanoxin)
3.Furosemide (Lasix) 2. Axilla
4. Phenytoin (Dilantin) Rationale
9. 9.) The nurse is applying a topical :
corticosteroid to a client with Topical corticosteroids can be absorbed into the systemic circulation.
eczema. The nurse would monitor for Absorption is higher from regions where the skin is especially permeable
the potential for increased systemic (scalp, axilla, face, eyelids, neck, perineum, genitalia), and lower from regions in
absorption of the medication if the which permeability is poor (back, palms, soles).
medication were being applied to
which of the following body areas?
1. Back
2.Axilla
3. Soles of the feet
1. A
4. Palms of the hands
cne
10. 10.) The clinic nurse is performing an Rationale
admission assessment on a client. The :
nurse notes that the client is taking Azelaic acid is a topical medication used to treat mild to moderate acne. The
azelaic acid (Azelex). Because of the acid appears to work by suppressing the growth of Propionibacterium acnes
medication prescription, the nurse and decreasing the proliferation of keratinocytes. Options 2, 3, and 4 are
would suspect that the client is being incorrect.
treated for:
1. Acne
2.Eczema
3.Hair loss
4. Herpes simplex
3."The medication will permanently stain my skin."
11. 11.) The health care provider has
prescribed silver sulfadiazine (Silvadene) 2."The medication will help heal the burn."
for the client with a partial- thickness burn,
which has cultured positive for gram-
negative bacteria. The nurse is reinforcing
information to the client about the
medication. Which statement made by the
client indicates a lack of understanding
about the treatments?
1. "The medication is an antibacterial."
, 4. "The medication should be applied directly
to the wound."
12.12.) A nurse is caring for a client who is
receiving an intravenous (IV) infusion of
an antineoplastic medication. During the
infusion, the client complains of pain at
the insertion site. During an inspection of
the site, the nurse notes redness and
swelling and that the rate of infusion of
the medication has slowed. The nurse
should take which appropriate action?
1. Notify the registered nurse.
2. Administer pain medication to
reduce the discomfort. 3.Apply
ice and maintain the infusion
rate, as prescribed.
ATI Pharmacology Proctored Exam, Test Bank(100 % Of 313 Verified Questions and ALL CORRECT Answers)
1. 1) A nurse is caring for a client with
3. Calcitonin (Miacalcin)
hyperparathyroidism and notes that
Rationale:
the client's serum calcium level is 13
The normal serum calcium level is 8.6 to 10.0 mg/dL. This client is experiencing
mg/dL. Which medication should the
hypercalcemia. Calcium gluconate and calcium chloride are medications used
nurse prepare to administer as
for the treatment of tetany, which occurs as a result of acute hypocalcemia. In
prescribed to the client?
hypercalcemia, large doses of vitamin D need to be avoided. Calcitonin, a
1. Calcium chloride
thyroid 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
4. Orange juice
2. 2.) Oral iron supplements are
Rationale:
prescribed for a 6-year-old child
Vitamin C increases the absorption of iron by the body. The mother should be
with iron deficiency anemia. The
instructed to administer the medication with a citrus fruit or a juice that is
nurse instructs the mother to
high in vitamin C. Milk may affect absorption of the iron. Water will not assist
administer the iron with which best
in absorption. Orange juice contains a greater amount of vitamin C than apple
food item?
juice.
1. Milk
2.Water
3.Apple juice
4. Orange juice
1. Tinnitus
3. 3.) Salicylic acid is prescribed for
Rationale:
a client with a diagnosis of
Salicylic acid is absorbed readily through the skin, and systemic toxicity (salicylism)
psoriasis. The nurse monitors the
can result. Symptoms include tinnitus, dizziness, hyperpnea, and psychological
client, knowing that which of the
disturbances. Constipation and diarrhea are not associated with salicylism.
following would indicate the
presence of systemic toxicity from
this medication?
1. Tinnitus
2.Diarrhea
3.Constipation 4. At least 30 minutes before exposure to the
4. Decreased respirations sun Rationale:
Sunscreens are most effective when applied at least 30 minutes before
4. 4.) The camp nurse asks the
exposure to the sun so that they can penetrate the skin. All sunscreens should
children preparing to swim in the
be reapplied after swimming or sweating.
lake if they have applied
sunscreen. The nurse reminds the
children that chemical sunscreens
are most effective when applied:
1. Immediately before swimming
2.15 minutes before exposure to the
sun 3. Informing the client that this is
3. Immediately before exposure to normal Rationale:
the sun Mafenide acetate is bacteriostatic for gram-negative and gram-positive
4. At least 30 minutes before organisms and is used to treat burns to reduce bacteria present in avascular
exposure to the sun tissues. The client should be informed that the medication will cause local
5. 5.) Mafenide acetate (Sulfamylon) is discomfort and burning and that this is a normal reaction; therefore options 1, 2,
prescribed for the client with a burn and 4 are incorrect
injury. When applying the
medication, the client complains of
local discomfort and burning. Which
of the following is the most
appropriate nursing action?
1. Notifying the registered nurse
2.Discontinuing the medication
3.Informing the client that this is
normal
4. Applying a thinner film than
prescribed to the burn site
,
,6. 6.) The burn client is receiving 1. Hypervent
treatments of topical mafenide ilation Rationale:
acetate (Sulfamylon) to the site of Mafenide acetate is a carbonic anhydrase inhibitor and can suppress renal
injury. The nurse monitors the client, excretion of acid, thereby causing acidosis. Clients receiving this treatment
knowing that which of the following should be monitored for signs of an acid-base imbalance (hyperventilation). If this
indicates that a systemic effect has occurs, the medication should be discontinued for 1 to 2 days. Options 3 and 4
occurred? 1.Hyperventilation describe local rather than systemic effects. An elevated blood pressure may be
2.Elevated blood expected from the pain that occurs with a burn injury.
pressure 3.Local pain
at the burn site 4.Local 2. Triglyceride level
rash at the burn site Rationale:
7. 7.) Isotretinoin is prescribed for a Isotretinoin can elevate triglyceride levels. Blood triglyceride levels should be
client with severe acne. Before the measured before treatment and periodically thereafter until the effect on the
administration of this medication, the triglycerides has been evaluated. Options 1, 3, and 4 do not need to be
nurse anticipates that which monitored specifically during this treatment.
laboratory test will be prescribed?
1. Platelet count
2.Triglyceride level 1. Vita
3.Complete blood count min A
4. White blood cell count Rationale:
8. 8.) A client with severe acne is seen in Isotretinoin is a metabolite of vitamin A and can produce generalized
the clinic and the health care provider intensification of isotretinoin toxicity. Because of the potential for increased
(HCP) prescribes isotretinoin. The toxicity, vitamin A supplements should be discontinued before isotretinoin
nurse reviews the client's medication therapy. Options 2, 3, and 4 are not contraindicated with the use of isotretinoin.
record and would contact the (HCP) if
the client is taking which medication?
1. Vitamin A
2.Digoxin (Lanoxin)
3.Furosemide (Lasix) 2. Axilla
4. Phenytoin (Dilantin) Rationale
9. 9.) The nurse is applying a topical :
corticosteroid to a client with Topical corticosteroids can be absorbed into the systemic circulation.
eczema. The nurse would monitor for Absorption is higher from regions where the skin is especially permeable
the potential for increased systemic (scalp, axilla, face, eyelids, neck, perineum, genitalia), and lower from regions in
absorption of the medication if the which permeability is poor (back, palms, soles).
medication were being applied to
which of the following body areas?
1. Back
2.Axilla
3. Soles of the feet
1. A
4. Palms of the hands
cne
10. 10.) The clinic nurse is performing an Rationale
admission assessment on a client. The :
nurse notes that the client is taking Azelaic acid is a topical medication used to treat mild to moderate acne. The
azelaic acid (Azelex). Because of the acid appears to work by suppressing the growth of Propionibacterium acnes
medication prescription, the nurse and decreasing the proliferation of keratinocytes. Options 2, 3, and 4 are
would suspect that the client is being incorrect.
treated for:
1. Acne
2.Eczema
3.Hair loss
4. Herpes simplex
3."The medication will permanently stain my skin."
11. 11.) The health care provider has
prescribed silver sulfadiazine (Silvadene) 2."The medication will help heal the burn."
for the client with a partial- thickness burn,
which has cultured positive for gram-
negative bacteria. The nurse is reinforcing
information to the client about the
medication. Which statement made by the
client indicates a lack of understanding
about the treatments?
1. "The medication is an antibacterial."
, 4. "The medication should be applied directly
to the wound."
12.12.) A nurse is caring for a client who is
receiving an intravenous (IV) infusion of
an antineoplastic medication. During the
infusion, the client complains of pain at
the insertion site. During an inspection of
the site, the nurse notes redness and
swelling and that the rate of infusion of
the medication has slowed. The nurse
should take which appropriate action?
1. Notify the registered nurse.
2. Administer pain medication to
reduce the discomfort. 3.Apply
ice and maintain the infusion
rate, as prescribed.
