ATI Learning System RN: Pharmacology 1,
Final
A home health nurse is visiting an older adult patient who has Alzheimer's disease. His
caregiver tells the nurse she has been administering prescribed lorazepam, 1 mg three times
per day, to the patient for restlessness and anxiety during the past few days. For which of the
following adverse effects of the nurse assessing the patient? - ANS sedation
-benzodiazepine w/ anti-anxiety and sedative effects
-older adults especially at risk for CNS depression even w/ los doses
A hospice nurse is caring for a patient who has cancer and is taking naproxen 250 MG three
times daily PO and gabapentin 1800 mg three times daily PO to manage pain. The patient tells
the nurse, "I'm having pain that keeps me from doing what I'd like most of the time." Which of
the following additions should the nurse anticipate to the patient's medication regimen? - ANS
oral oxycodone
-relieves moderate to moderately severe pain
-meperidine: opioid analgesic, not indicted for cancer pain b/c it can cause severe toxic effect
when given for more than a few doses
-parenteral naloxone: opioid antagonist, not indicated for cancer pain; for pts who have opioid
overdose
-diazepam: no analgesic effects and can cause sedation, interfere's w/ daily activities
A nurse and an outpatient facility is assessing a patient who is prescribed furosemide 40 MG
daily but the patient reports she has been taking extra doses to promote weight loss. Which of
the following findings should indicate to the nurse that the patient is dehydrated? - ANS USG
1.035
-expected findings of pt w/ dehydration (FVD): oliguria, increased urine concentration, increase
in USG (>1.030), elevated BUN, hematocrit
-expected findings of FVE: distended neck vein, bounding radial pulse,
A nurse is administering adenosine via IV bolus for a patient who has developed paroxysmal
atrial tachycardia. For which of the following findings should the nurse assess the patient during
administration of adenosine? - ANS dyspnea
-can occur during administration of med d/t bronchoconstriction
-short half-life of 10 sec, dyspnea effect is short lived
,-flushing of face and feeling of warmth are transient findings occuring during administration of
med
-quinidine: anti-dysrhythmic med; cinchonism, manifested by tinnitus, headache, vertigo, visual
disturbances
A nurse is administering ciprofloxacin and phenazopyridine to a patient who has a severe UTI.
The patient asks why both medications are needed. Which of the following responses should
the nurse make? - ANS "ciprofloxacin hydrochloride treats the infection, and the
phenazopyridine treats pain"
-phenazopyridine: bladder analgesic/ anesthetic that relieves burning/pain in bladder mucosa
caused by bladder spasm and inflammation
-has no effect on any aspect of cipro med
-has no antibiotic/antiseptic qualities
A nurse is administering insulin glulisine 10 units subcutaneously at 0730 to an adolescent
patient who has type 1 diabetes mellitus. The nurse should anticipate onset of action of the
insulin at which of the following times? - ANS 0745
-very short onset of action of 15 min
-ensure pt eats breakfast immediately following administration
-regular insulin: onset of action 30-60 min
-NPH: onset of action 1-2 hr
A nurse is administering oral hydroxyzine to a patient. Which of the following adverse effects
should the nurse instruct the patient to expect? - ANS dry mouth
A nurse is assessing a patient who has a new prescription for chlorpromazine to treat
schizophrenia. The patient has a mask-like facial expression and is experiencing involuntary
movements and tremors. What medication should the nurse anticipate administering? - ANS
amantadine
-used to treat extrapyramidal manifestations (parkinsonism)
adverse effects: parkinsonism (manifestations include mask-like facial expression, involuntary
movements and tremors)
-bupropion: atypical antidepressant
-phenelzine: MAOI antidepressant
, -hydroxyzine: antihistamine used to treat mild to moderate anxiety
A nurse is assessing a patient who has hypothyroidism and takes levothyroxine. Which of the
following findings should alert the nurse that the patient is experiencing acute levothyroxine
overdose? - ANS tremor
A nurse is assessing a patient who takes oral theophylline for relief of chronic bronchitis. The
nurse should recognize that which of the following findings indicates toxicity of theophylline? -
ANS tremors
-med is a xanthine derivative bronchodilator
-theophylline toxicity: CNS stimulation/ tremors (early manifestation), diarrhea
adverse effects: tachycardia
-an increase in blood level of this med causes restlessness and irritability
A nurse is caring for a patient and realizes after administering the 0900 medications that she
administered digoxin 0.25 MG PO to the patient instead of the prescribed digoxin 0.125 MG PO.
Which of the following actions should the nurse take first? - ANS assess apical pulse
-assessment will provide further info to make appropriate decision
A nurse is caring for a patient who has a new diagnosis of oral candidiasis after taking
tetracycline for 7 days. the nurse should recognize that candidiasis is a manifestation of what
adverse effect? - ANS superinfection
-can develop from overgrowth of fungus d/t antibacterial effect of tetracycline
-nurse should monitor for manifestations of superinfection-adverse effects: hepatotoxicity-
jaundice; superinfection- soreness of mouth, swollen tongue; allergic rxn to med- urticaria and
rash
-polyuria and proteinuria are manifestations of renal toxicity (not r/t med)
A nurse is caring for a patient who has a positive tuberculin skin test and is beginning a
prescription of isoniazid. The nurse should teach the patient that which of the following lab
values should be monitored while taking isoniazid? - ANS AST
-can be toxic to liver
-notify provider if jaundice, nausea, dark-colored urine or other findings of hepatitis occur
-no need to monitor TSH, K, Na
A nurse is caring for a patient who has alcohol use disorder and is admitted with lower extremity
fractures following a motor vehicle crash. A few hours after admission, the patient develops
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