ATI PN Pharmacology Proctored Exam Questions With Verified Answers.
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Course
ATI PN Pharmacology
Institution
ATI PN Pharmacology
ATI PN Pharmacology Proctored Exam
Questions With Verified Answers.
Patient identifiers - answer-Medical record number
-home telephone number
What lab values should a nurse monitor for a patient with chronic renal failure? - answer■
Urinalysis
Hematuria, proteinuria, and alterations in spec...
ATI PN Pharmacology Proctored Exam
Questions With Verified Answers.
Patient identifiers - answer✔-Medical record number
-home telephone number
What lab values should a nurse monitor for a patient with chronic renal failure? - answer✔■
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
What food should you increase when taking Lasix? - answer✔-increased amounts of potassium-
rich foods (e.g., bananas, prunes, raisins, and orange juice)
Patient reports IV discomfort, what is your first action? - answer✔color and temperature
Sumatriptan (treats migraine headaches) adverse effect - answer✔pain, tightness, pressure, or
heaviness in the chest, throat, neck, and/or jaw
slow or difficult speech
Know about Transdermal patch - answer✔-• 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
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 -
answer✔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).
What to understand about Parkinson's Meds? - answer✔-they don't cure disease, they slow the
process.
Medication for Schizophrenia - answer✔risperidone, Risperdal
Macrodantin medication - answer✔used to treat or prevent certain urinary tract infections
Haldol-inform if you are taking ____________ medication. - answer✔-benzodiazepine class of
anti-anxiety drugs (all ending with "pam") and even, Xanax.
Fosomax - answer✔same as-Alendronate is used for treating osteoporosis in men and
postmenopausal women.
Lipitor - answer✔-lowers cholesterol in blood, "statins". Reduce LDL and total cholesterol.
Raise HDL.
Garamycin- - answer✔Antibiotic that is toxic to the kidney, injected for radiology studies.
Digoxin side effects - answer✔-Fatigue
-Bradycardia
-Anorexia
-Nausea/Vomiting
Singulair - answer✔used before exercise to prevent breathing problems during exercise
(bronchospasm).
What medication to administer with Tylenol overdose? - answer✔acetylcysteine (Mucomyst)
must be given IV
HPV vaccine - answer✔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 - answer✔oxygen saturation
Food to avoid when taking Lithium - answer✔-salty foods
-alcoholic beverages
Labs for patients taking hydrothiazide - answer✔Periodic determination of serum electrolytes to
detect possible electrolyte imbalance should be done at appropriate intervals.
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 - answer✔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.
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 - answer✔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.
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