ATI PN Pharmacology Proctored Exam Review
1.Patient identifiers: -Medical record number
-home telephone number
2.What lab values should a nurse monitor for a patient with chronic renal failure?:
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
3.What food should you increase when taking Lasix?: -increased amounts of potassium-
rich foods (e.g., bananas, prunes, raisins, and orange juice)
4.Patient reports IV discomfort, what is your first action?: color and temperature
5.Sumatriptan (treats migraine headaches) adverse effect: pain, tightness, pressure, or
heaviness in the chest, throat, neck, and/or jaw
slow or difficult speech
6.Know about Transdermal patch: -• 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
, ATI PN Pharmacology Proctored Exam Review
Study online at https://quizlet.com/_8xyljt
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.
7. RBC Blood transfusion:
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). 8. What to understand about Parkinson's Meds?: -they don't cure disease, they
slow the process. 9. NEUPOGEN (filgrastim)-what is the appropriate route of this med?:
administered by subcutaneous injection or IV infusion
10. Lisinopril therapeutic effect: blood pressure answer (e.g. 120/80)
11. Medication for Schizophrenia: risperidone, Risperdal
12. Macrodantin medication: used to treat or prevent certain urinary tract infections
13. Haldol-inform if you are taking ____________ medication.: -benzodiazepine class of
anti-anxiety drugs (all ending with "pam") and even, Xanax.
14. Fosomax: same as-Alendronate is used for treating osteoporosis in men and
postmenopausal women.
15. Lipitor: -lowers cholesterol in blood, "statins". Reduce LDL and total cholesterol. Raise
HDL.
16. Garamycin-: Antibiotic that is toxic to the kidney, injected for radiology studies.
17. Digoxin side effects: -Fatigue
-Bradycardia
-Anorexia
-Nausea/Vomiting
, ATI PN Pharmacology Proctored Exam Review
18. Singulair: used before exercise to prevent breathing problems during exercise
(bronchospasm).
19. What medication to administer with Tylenol overdose?: acetylcysteine (Mucomyst)
must be given IV
20. HPV vaccine: 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.
21. Opioid toxicity-what to check first: oxygen saturation
22. Valporic Acid lab: liver
23. Lithium report immediately: slurred speech
24. Prednisone report: sore throat
25. Food to avoid when taking Lithium: -salty foods
-alcoholic beverages
26. Labs for patients taking hydrothiazide: Periodic determination of serum electrolytes
to detect possible electrolyte imbalance should be done at appropriate intervals.
27. 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)
4. Large doses of vitamin D: 3. Calcitonin (Miacalcin)
Rationale:
The normal serum calcium level is 8.6 to 10.0 mg/dL. This client is experiencing
hypercalcemia. Calcium gluconate and calcium chloride are medications used for the
treatment of tetany, which occurs as a result of acute hypocalcemia. In hypercalcemia, large
doses of vitamin D need to be avoided. Calcitonin, a thyroid hormone, decreases the
plasma calcium level by inhibiting bone resorption and lowering the serum calcium
concentration.
, ATI PN Pharmacology Proctored Exam Review
Study online at https://quizlet.com/_8xyljt
28. 2.) Oral iron supplements are prescribed for a 6-year-old child with iron deficiency
anemia. The nurse instructs the mother to administer the iron with which best food item?
1. Milk
2. Water
3. Apple juice
4. Orange juice: 4. Orange juice
Rationale:
Vitamin C increases the absorption of iron by the body. The mother should be instructed to
administer the medication with a citrus fruit or a juice that is high in vitamin C. Milk may
affect absorption of the iron. Water will not assist in absorption. Orange juice contains a
greater amount of vitamin C than apple juice.
29. 3.) Salicylic acid is prescribed for a client with a diagnosis of psoriasis. The nurse
monitors the client, knowing that which of the following would indicate the presence of
systemic toxicity from this medication?
1. Tinnitus
2. Diarrhea
3. Constipation
4. Decreased respirations: 1. Tinnitus
Rationale:
Salicylic acid is absorbed readily through the skin, and systemic toxicity (salicylism) can
result. Symptoms include tinnitus, dizziness, hyperpnea, and psychological disturbances.
Constipation and diarrhea are not associated with salicylism.
30. 4.) The camp nurse asks the children preparing to swim in the 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. Immediately before exposure to the sun
4. At least 30 minutes before exposure to the sun: 4. At least 30 minutes before exposure
to the sun Rationale:
1.Patient identifiers: -Medical record number
-home telephone number
2.What lab values should a nurse monitor for a patient with chronic renal failure?:
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
3.What food should you increase when taking Lasix?: -increased amounts of potassium-
rich foods (e.g., bananas, prunes, raisins, and orange juice)
4.Patient reports IV discomfort, what is your first action?: color and temperature
5.Sumatriptan (treats migraine headaches) adverse effect: pain, tightness, pressure, or
heaviness in the chest, throat, neck, and/or jaw
slow or difficult speech
6.Know about Transdermal patch: -• 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
, ATI PN Pharmacology Proctored Exam Review
Study online at https://quizlet.com/_8xyljt
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.
7. RBC Blood transfusion:
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). 8. What to understand about Parkinson's Meds?: -they don't cure disease, they
slow the process. 9. NEUPOGEN (filgrastim)-what is the appropriate route of this med?:
administered by subcutaneous injection or IV infusion
10. Lisinopril therapeutic effect: blood pressure answer (e.g. 120/80)
11. Medication for Schizophrenia: risperidone, Risperdal
12. Macrodantin medication: used to treat or prevent certain urinary tract infections
13. Haldol-inform if you are taking ____________ medication.: -benzodiazepine class of
anti-anxiety drugs (all ending with "pam") and even, Xanax.
14. Fosomax: same as-Alendronate is used for treating osteoporosis in men and
postmenopausal women.
15. Lipitor: -lowers cholesterol in blood, "statins". Reduce LDL and total cholesterol. Raise
HDL.
16. Garamycin-: Antibiotic that is toxic to the kidney, injected for radiology studies.
17. Digoxin side effects: -Fatigue
-Bradycardia
-Anorexia
-Nausea/Vomiting
, ATI PN Pharmacology Proctored Exam Review
18. Singulair: used before exercise to prevent breathing problems during exercise
(bronchospasm).
19. What medication to administer with Tylenol overdose?: acetylcysteine (Mucomyst)
must be given IV
20. HPV vaccine: 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.
21. Opioid toxicity-what to check first: oxygen saturation
22. Valporic Acid lab: liver
23. Lithium report immediately: slurred speech
24. Prednisone report: sore throat
25. Food to avoid when taking Lithium: -salty foods
-alcoholic beverages
26. Labs for patients taking hydrothiazide: Periodic determination of serum electrolytes
to detect possible electrolyte imbalance should be done at appropriate intervals.
27. 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)
4. Large doses of vitamin D: 3. Calcitonin (Miacalcin)
Rationale:
The normal serum calcium level is 8.6 to 10.0 mg/dL. This client is experiencing
hypercalcemia. Calcium gluconate and calcium chloride are medications used for the
treatment of tetany, which occurs as a result of acute hypocalcemia. In hypercalcemia, large
doses of vitamin D need to be avoided. Calcitonin, a thyroid hormone, decreases the
plasma calcium level by inhibiting bone resorption and lowering the serum calcium
concentration.
, ATI PN Pharmacology Proctored Exam Review
Study online at https://quizlet.com/_8xyljt
28. 2.) Oral iron supplements are prescribed for a 6-year-old child with iron deficiency
anemia. The nurse instructs the mother to administer the iron with which best food item?
1. Milk
2. Water
3. Apple juice
4. Orange juice: 4. Orange juice
Rationale:
Vitamin C increases the absorption of iron by the body. The mother should be instructed to
administer the medication with a citrus fruit or a juice that is high in vitamin C. Milk may
affect absorption of the iron. Water will not assist in absorption. Orange juice contains a
greater amount of vitamin C than apple juice.
29. 3.) Salicylic acid is prescribed for a client with a diagnosis of psoriasis. The nurse
monitors the client, knowing that which of the following would indicate the presence of
systemic toxicity from this medication?
1. Tinnitus
2. Diarrhea
3. Constipation
4. Decreased respirations: 1. Tinnitus
Rationale:
Salicylic acid is absorbed readily through the skin, and systemic toxicity (salicylism) can
result. Symptoms include tinnitus, dizziness, hyperpnea, and psychological disturbances.
Constipation and diarrhea are not associated with salicylism.
30. 4.) The camp nurse asks the children preparing to swim in the 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. Immediately before exposure to the sun
4. At least 30 minutes before exposure to the sun: 4. At least 30 minutes before exposure
to the sun Rationale:
