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ATI PN Pharmacology Proctored Exam
Questions with Detailed Verified Answers
Patient identifiers Ans: -Medical record number
-home telephone number
What lab values should a nurse monitor for a patient with chronic renal
failure? Ans: ■ 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
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- 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? Ans: -increased
amounts of potassium-rich foods (e.g., bananas, prunes, raisins, and
orange juice)
Patient reports IV discomfort, what is your first action? Ans: color and
temperature
Sumatriptan (treats migraine headaches) adverse effect Ans: pain,
tightness, pressure, or heaviness in the chest, throat, neck, and/or jaw
slow or difficult speech
Know about Transdermal patch Ans: -• 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
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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 Ans:
http://www.atitesting.com/ati_next_gen/FocusedReview/data/datacontex
t/RM%20AMS%20RN%208.0%20Chp%2044.pdf (prime with normal
saline and infuse with sodium chloride).
What to understand about Parkinson's Meds? Ans: -they don't cure
disease, they slow the process.
NEUPOGEN (filgrastim)-what is the appropriate route of this med? Ans:
administered by subcutaneous injection or IV infusion
Lisinopril therapeutic effect Ans: blood pressure answer (e.g. 120/80)
Medication for Schizophrenia Ans: risperidone, Risperdal
Macrodantin medication Ans: used to treat or prevent certain urinary
tract infections
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Haldol-inform if you are taking ____________ medication. Ans: -
benzodiazepine class of anti-anxiety drugs (all ending with "pam") and
even, Xanax.
Fosomax Ans: same as-Alendronate is used for treating osteoporosis in
men and postmenopausal women.
Lipitor Ans: -lowers cholesterol in blood, "statins". Reduce LDL and total
cholesterol. Raise HDL.
Garamycin- Ans: Antibiotic that is toxic to the kidney, injected for
radiology studies.
Digoxin side effects Ans: -Fatigue
-Bradycardia
-Anorexia
-Nausea/Vomiting
Singulair Ans: used before exercise to prevent breathing problems
during exercise (bronchospasm).
What medication to administer with Tylenol overdose? Ans:
acetylcysteine (Mucomyst) must be given IV
HPV vaccine Ans: 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 Ans: oxygen saturation
ATI PN Pharmacology Proctored Exam
Questions with Detailed Verified Answers
Patient identifiers Ans: -Medical record number
-home telephone number
What lab values should a nurse monitor for a patient with chronic renal
failure? Ans: ■ 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
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- 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? Ans: -increased
amounts of potassium-rich foods (e.g., bananas, prunes, raisins, and
orange juice)
Patient reports IV discomfort, what is your first action? Ans: color and
temperature
Sumatriptan (treats migraine headaches) adverse effect Ans: pain,
tightness, pressure, or heaviness in the chest, throat, neck, and/or jaw
slow or difficult speech
Know about Transdermal patch Ans: -• 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
, Page | 3
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 Ans:
http://www.atitesting.com/ati_next_gen/FocusedReview/data/datacontex
t/RM%20AMS%20RN%208.0%20Chp%2044.pdf (prime with normal
saline and infuse with sodium chloride).
What to understand about Parkinson's Meds? Ans: -they don't cure
disease, they slow the process.
NEUPOGEN (filgrastim)-what is the appropriate route of this med? Ans:
administered by subcutaneous injection or IV infusion
Lisinopril therapeutic effect Ans: blood pressure answer (e.g. 120/80)
Medication for Schizophrenia Ans: risperidone, Risperdal
Macrodantin medication Ans: used to treat or prevent certain urinary
tract infections
, Page | 4
Haldol-inform if you are taking ____________ medication. Ans: -
benzodiazepine class of anti-anxiety drugs (all ending with "pam") and
even, Xanax.
Fosomax Ans: same as-Alendronate is used for treating osteoporosis in
men and postmenopausal women.
Lipitor Ans: -lowers cholesterol in blood, "statins". Reduce LDL and total
cholesterol. Raise HDL.
Garamycin- Ans: Antibiotic that is toxic to the kidney, injected for
radiology studies.
Digoxin side effects Ans: -Fatigue
-Bradycardia
-Anorexia
-Nausea/Vomiting
Singulair Ans: used before exercise to prevent breathing problems
during exercise (bronchospasm).
What medication to administer with Tylenol overdose? Ans:
acetylcysteine (Mucomyst) must be given IV
HPV vaccine Ans: 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 Ans: oxygen saturation
