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NR 293 ATI Pharmacology Final Review 2020
Chamberlain College of Nursing
nursing (Chamberlain University)
, NR 293 ATI Pharmacology Final ReVIEW_2020 – Chamberlain
College of Nursing
1) A nurse is assessing a client who is taking levothyroxine. The nurse should recognize that which of
the following findings is a manifestation of levothyroxine overdose?
a) Insomnia
i) Rationale: Levothyroxine overdose will result in manifestations of
hyperthyroidism, which include Insomnia, tachycardia, and
hyperthermia.
b) Constipation
i) Rationale: Constipation is a manifestation of hypothyroidism and indicates an
inadequate dose of levothyroxine.
c) Drowsiness
i) Rationale: Drowsiness is a manifestation of hypothyroidism and indicates an
inadequate dose of levothyroxine.
d) Hypoactive deep-tendon reflexes
i) Rationale: Hypoactive deep-tendon reflexes are manifestations of hypothyroidism and
indicate an inadequate dose of levothyroxine.
2) A nurse is reviewing the medical record of a client who has been on levothyroxine for several
months. Which of the following findings indicates a therapeutic response to the medication?
a) Decrease in level of thyroxine (T4)
i) Rationale: If the dose of this medication has been adequate, the nurse should see an
increase in the T4.
, b) Increase in weight
i) Rationale: If the dose of this medication has been adequate, the nurse should see a decrease
in weight, as hypothyroidism causes a decrease in metabolism with weight gain.
c) Increase in hr of sleep per night
i) Rationale: If the dose of this medication has been adequate, the nurse should see a decrease
in the hr of sleep per night, as hypothyroidism causes sluggishness with increased hr of sleep.
d) Decrease in level of thyroid stimulating hormone (TSH).
i) Rationale: In hypothyroidism, the nonfunctioning thyroid gland is unable to
respond to the TSH, and no endogenous thyroid hormones are released. This
results in an elevation of the TSH level as the anterior pituitary continues to release
the TSH to stimulate the thyroid gland.
Administration of exogenous thyroid hormones, such as levothyroxine, turns off this
feedback loop, which results in a decreased level of TSH.
3) A nurse is reviewing the medication list for a client who has a new diagnosis of type 2 diabetes
mellitus. The nurse should recognize which of the following medications can cause glucose
intolerance?
a) Ranitidine
i) Serum creatinine levels
b) Guafenesin
i) Drowsiness and dizziness
c) Prednisone
i) Glucose intolerance and hyperglycemia, patient might require increased dosage of
hypoglycemic med.
d) Atorvastatin
i) Thyroid function tests.
, 4) A nurse is caring for a client receiving mydriatic eye drops. Which of the following clinical
manifestations indicates to the nurse that the client has developed a systemic anticholinergic
effect?
a) Seizures
b) Tachypnea
c) Constipation
i) Mydriatic eye drops can cause systemic anticholinergic effects such as
constipation, dry mouth, photophobia, and tachycardia.
d) Hypothermia
5) A nurse is caring for a client who has heart failure and is receiving IV furosemide. The nurse
should monitor the client for which of the following electrolyte imbalances?
a) Hypernatremia
i) Rationale: The nurse should monitor the client who is receiving IV furosemide
for hyponatremia.
b) Hyperuricemia
i) Rationale: The nurse should monitor the client who is receiving IV furosemide for
hyperuricemia. The nurse should instruct the client to notify the provider for any tenderness
or swelling of the joints.
c) Hypercalcemia
i) Rationale: The nurse should monitor the client who is receiving IV furosemide
for hypocalcemia.
d) Hyperchloremia
i) Rationale: The nurse should monitor the client who is receiving IV furosemide
for hypochloremia.
NR 293 ATI Pharmacology Final Review 2020
Chamberlain College of Nursing
nursing (Chamberlain University)
, NR 293 ATI Pharmacology Final ReVIEW_2020 – Chamberlain
College of Nursing
1) A nurse is assessing a client who is taking levothyroxine. The nurse should recognize that which of
the following findings is a manifestation of levothyroxine overdose?
a) Insomnia
i) Rationale: Levothyroxine overdose will result in manifestations of
hyperthyroidism, which include Insomnia, tachycardia, and
hyperthermia.
b) Constipation
i) Rationale: Constipation is a manifestation of hypothyroidism and indicates an
inadequate dose of levothyroxine.
c) Drowsiness
i) Rationale: Drowsiness is a manifestation of hypothyroidism and indicates an
inadequate dose of levothyroxine.
d) Hypoactive deep-tendon reflexes
i) Rationale: Hypoactive deep-tendon reflexes are manifestations of hypothyroidism and
indicate an inadequate dose of levothyroxine.
2) A nurse is reviewing the medical record of a client who has been on levothyroxine for several
months. Which of the following findings indicates a therapeutic response to the medication?
a) Decrease in level of thyroxine (T4)
i) Rationale: If the dose of this medication has been adequate, the nurse should see an
increase in the T4.
, b) Increase in weight
i) Rationale: If the dose of this medication has been adequate, the nurse should see a decrease
in weight, as hypothyroidism causes a decrease in metabolism with weight gain.
c) Increase in hr of sleep per night
i) Rationale: If the dose of this medication has been adequate, the nurse should see a decrease
in the hr of sleep per night, as hypothyroidism causes sluggishness with increased hr of sleep.
d) Decrease in level of thyroid stimulating hormone (TSH).
i) Rationale: In hypothyroidism, the nonfunctioning thyroid gland is unable to
respond to the TSH, and no endogenous thyroid hormones are released. This
results in an elevation of the TSH level as the anterior pituitary continues to release
the TSH to stimulate the thyroid gland.
Administration of exogenous thyroid hormones, such as levothyroxine, turns off this
feedback loop, which results in a decreased level of TSH.
3) A nurse is reviewing the medication list for a client who has a new diagnosis of type 2 diabetes
mellitus. The nurse should recognize which of the following medications can cause glucose
intolerance?
a) Ranitidine
i) Serum creatinine levels
b) Guafenesin
i) Drowsiness and dizziness
c) Prednisone
i) Glucose intolerance and hyperglycemia, patient might require increased dosage of
hypoglycemic med.
d) Atorvastatin
i) Thyroid function tests.
, 4) A nurse is caring for a client receiving mydriatic eye drops. Which of the following clinical
manifestations indicates to the nurse that the client has developed a systemic anticholinergic
effect?
a) Seizures
b) Tachypnea
c) Constipation
i) Mydriatic eye drops can cause systemic anticholinergic effects such as
constipation, dry mouth, photophobia, and tachycardia.
d) Hypothermia
5) A nurse is caring for a client who has heart failure and is receiving IV furosemide. The nurse
should monitor the client for which of the following electrolyte imbalances?
a) Hypernatremia
i) Rationale: The nurse should monitor the client who is receiving IV furosemide
for hyponatremia.
b) Hyperuricemia
i) Rationale: The nurse should monitor the client who is receiving IV furosemide for
hyperuricemia. The nurse should instruct the client to notify the provider for any tenderness
or swelling of the joints.
c) Hypercalcemia
i) Rationale: The nurse should monitor the client who is receiving IV furosemide
for hypocalcemia.
d) Hyperchloremia
i) Rationale: The nurse should monitor the client who is receiving IV furosemide
for hypochloremia.
