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ATI PN NEWEST PHARMACOLOGY PROCTORED EXAM 2023/2024 LATEST STUDY GUIDE//ALREADY PASSED /GRADED A+
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ATI PN NEWEST PHARMACOLOGY PROCTORED EXAM 2023/2024 LATEST STUDY GUIDE//ALREADY PASSED /GRADED A+
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ATI PN NEWEST PHARMACOLOGY PROCTORED EXAM2023/2024 LATEST STUDY GUIDE//ALREADY PASSED
/GRADED A+
1. A 34-year-old female patient just arrived to the emergency room and the nurse is unable
to start an intravenous line during CPR. The doctor wants to administer Naloxone
because it is believed that the patient is suffering from a narcotic overdose. Which of
the following is an appropriate alternative route of administration?
A. Through the feeding tube
B. Aerosolized via SVN
C. Through the nasogastric tube
D. Through the endotracheal tube
To get this one correct, first and foremost, you needed to know that Naloxone is another
name for Narcan. Narcan is given to patients that are having a narcotic overdose — for
example — for drugs like morphine.
You also had to know that some medications can be instilled directly down
endotracheal tube. To make it easy to remember, you can learn
the NAVEL mnemonic.
Here are the drugs:
• N – Naloxone (Narcan)
• A – Atropine
• V – Vasopressin
• E – Epinephrine
• L – Lidocaine
Remember that when directly instilling medications down the ET tube, you have
to administer 2–2.5 times more of the medication than the normal dose in order for it
to be effective.
I can almost guarantee that you will see a question about Narcan (naloxone) on the
exam, so prepare accordingly. None of the other answer choices really make sense in
this situation, so we know that the correct answer has to be D.
The correct answer is: D. Through the endotracheal tube
,2. A 50-year-old male patient was just admitted for asthma. After obtaining the patient’s
medication history, which of the following would you consider least important?
A. Self-administration techniques
B. Frequency of rescue inhaler usage
C. Use of generic vs. brand name medications
D. Patient understanding of controllers vs. relievers
For patients that have been admitted for asthma, generally, they must know how to
properly administer the medication with correct technique. Also, the patient should
understand the difference between controller drugs and reliever drugs.
And it’s also important for you, the Respiratory Therapist, to know how frequent the
patient uses their rescue inhaler.
It does not matter if the patient uses generic medications or brand name medications.
That is because, generic medications are 100% equivalent to their brand name
counterparts.
So taking everything into consideration, you can determine that the correct answer has
to be C.
The correct answer is: C. Use of generic vs. brand name medications
3. An infant with severe RSV has just been admitted. The physician has ordered ribavirin
(Virazole) to be administered by aerosol. Which of the following devices would you
recommend in this situation?
A. Small particle aerosol generator
B. Small volume jet nebulizer
C. Vibrating mesh nebulizer
D. Dry powder inhaler
This one is very straightforward. You must know that Ribavirin (Virazole) must be
administered with a SPAG, or small particle aerosol generator. You may see a question
similar to this one on the TMC Exam.
Ribavirin is a drug that is used to treat RSV or severe lung infections in infants. You
must use a SPAG to deliver this drug because it can provide small and uniformly
distributed aerosol particles that can penetrate into the fine bronchioles of infants.
, Also note that Ribavirin may be used in treating RSV infections in
immunocompromised adults as well. None of the other answer choices really make
sense in this situation, so we know that the correct answer has to be A.
The correct answer is: A. Small particle aerosol generator
4. Which of the following would not be recommended for a critically ill patient with signs
and symptoms of fluid overload?
A. The initiation of diuretic therapy
B. The administration of corticosteroids
C. The administration of dialysis for renal failure
D. The restriction and close monitoring of fluid intake
If the patient has signs and symptoms of fluid overload, it means that they have too
much fluid in their body. In this case, the patient need a diuretic medication such as
Lasix. You would want to restrict and closely monitor the patients fluid levels until they
returned to normal.
Also, if renal failure is present, you can recommend dialysis for this patient.
You would not want to recommend corticosteroids for a patient that is fluid overloaded
because they can cause sodium and fluid retention. You need to help the patient excrete
fluid — not retain it.
So by using what we know about fluid balance, as well as the process of elimination,
you know that the correct answer has to be B.
The correct answer is: B. The administration of corticosteroids
5. You are called to administer aerosolized albuterol to a 38-year-old patient. Which of
the following side effects would you expect to see?
A. Hypotension
B. Bradycardia
C. Bronchospasm
D. Shaking and tremors
To get this one right, you simply just need to know the side effects of beta-2 adrenergic
bronchodilators, like albuterol.
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