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ATI PN PHARMACOLOGY PROCTORED EXAM Questions and Answers 2025.pdf

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ATI PN PHARMACOLOGY PROCTORED EXAM Questions and Answers 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 potassiumrich foods (e.g., bananas, prunes, raisins, and orange juice)ATI PN PHARMACOLOGY PROCTORED EXAM Questions and Answers 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, 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 - %20Chp% (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.ATI PN PHARMACOLOGY PROCTORED EXAM Questions and Answers 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. 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).ATI PN PHARMACOLOGY PROCTORED EXAM Questions and Answers 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 Valp

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ATI PN PHARMACOLOGY PROCTORED EXAM Questions and
Answers 2025.pdf




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)

,ATI PN PHARMACOLOGY PROCTORED EXAM Questions and
Answers 2025.pdf

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,

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%20RN%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.

,ATI PN PHARMACOLOGY PROCTORED EXAM Questions and
Answers 2025.pdf


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.



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).

, ATI PN PHARMACOLOGY PROCTORED EXAM Questions and
Answers 2025.pdf

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

3. Calcitonin (Miacalcin)

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