GRADE
A+
ATI PROCTORED
PHARMACOLOGY
TEST_BANK (LATEST)
1. 1) A nurse is caring for a 1. Tinnitus 2.Diarrhea 3.Constipation
client with 4. Decreased respirations
hyperparathyroidism and
4. 4.) The camp nurse asks the children preparing to swim in
notes that the client's serum
the lake if they have applied sunscreen. The nurse reminds
calcium level is 13 mg/dL.
the children that chemical sunscreens are most effective
Which medication should the
when applied:
nurse prepare to administer
1. Immediately before swimming
as prescribed to the client?
2.15 minutes before exposure to the sun
1. Calcium
3.Immediately before exposure to the sun
chloride 2.Calcium
4. At least 30 minutes before exposure to the sun
gluconate
3.Calcitonin 5. 5.) Mafenide acetate (Sulfamylon) is prescribed for the client
(Miacalcin) with a burn injury. When applying the medication, the client
4. Large doses of vitamin D complains of local discomfort and burning. Which of the
following is the most appropriate nursing action?
2. 2.) Oral iron supplements
1. Notifying the registered nurse 2.Discontinuing the
are prescribed for a 6-year-
medication 3.Informing the client that this is
old child with iron deficiency normal
anemia. The nurse instructs 4. Applying a thinner film than prescribed to the burn
the mother to administer the site
iron with which best food
item?
1. Milk
2.Water
3.Apple
juice
4. Orange juice
3. 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?
,3. Calcitonin, a thyroid hormone, decreases the plasma calcium level by
C inhibiting bone resorption and lowering the serum calcium
a concentration.
l
c
4. Orange
i juice
t
Rationale:
o Vitamin C increases the absorption of iron by the body. The mother
n should be instructed to administer the medication with a citrus fruit
i or a juice that is high in vitamin C. Milk may affect absorption of
n the iron. Water will not assist in absorption. Orange juice contains a
greater amount of vitamin C than apple juice.
(
M
i
a
c 1.
a Tinnitus
Rational
l
e:
c
i Salicylic acid is absorbed readily through the skin, and systemic
n toxicity (salicylism) can result. Symptoms include tinnitus, dizziness,
) hyperpnea, and psychological disturbances. Constipation and
diarrhea are not associated with salicylism.
R
a
t
i
o 4. At least 30 minutes before exposure
n to the sun Rationale:
a Sunscreens are most effective when applied at least 30 minutes
l before exposure to the sun so that they can penetrate the skin. All
e sunscreens should be reapplied after swimming or sweating.
:
The normal serum calcium
level is 8.6 to 10.0 mg/dL. This
client is experiencing
hypercalcemia. Calcium
gluconate and calcium 3. Informing the client that
chloride are medications used this is normal Rationale:
for the treatment of tetany, Mafenide acetate is bacteriostatic for gram-negative and gram-
which occurs as a result of positive organisms and is used to treat burns to reduce bacteria
acute hypocalcemia. In present in avascular tissues. The client should be informed that the
hypercalcemia, large doses of medication will cause local discomfort and burning and that this is a
vitamin D need to be avoided. normal reaction; therefore options 1, 2, and 4 are incorrect
6. 6.) The burn client is receiving 4. White blood cell count
treatments of topical mafenide
8. 8.) A client with severe acne is seen in the clinic and the
acetate (Sulfamylon) to the
health care provider (HCP) prescribes isotretinoin. The nurse
site of injury. The nurse
reviews the client's medication record and would contact the
monitors the client, knowing
(HCP) if the client is taking which medication?
that which of the following
1. Vitamin A 2.Digoxin (Lanoxin)
indicates that a systemic
3.Furosemide (Lasix)
effect has occurred?
4. Phenytoin (Dilantin)
1.Hyperventilation 2.Elevated
blood 9. 9.) The nurse is applying a topical corticosteroid to a clien
pressure 3.Local with eczema. The nurse would monitor for the potential fo
pain at the burn increased systemic absorption of the medication if the
site 4.Local rash at medication were being applied to which of the following
the burn site body areas?
1. Back 2.Axilla
7. 7.) Isotretinoin is prescribed
3.Soles of the feet
for a client with severe acne.
4. Palms of the hands
Before the administration of
this medication, the nurse 10. 10.) The clinic nurse is performing an admission assessmen
anticipates that which on a client. The nurse notes that the client is taking azelaic
laboratory test will be acid (Azelex). Because of the medication prescription, the
prescribed? nurse would suspect that the client is being treated for:
1. Platelet count 1. Acne 2.Eczema 3.Hair loss
2.Triglyceride level 4. Herpes simplex
3.Complete blood
count 11. 11.) The health care provider has
,1. iglyceride level
H Rationale:
y Isotretinoin can elevate triglyceride levels. Blood triglyceride levels
p should be measured before treatment and periodically thereafter until
e the effect on the triglycerides has been evaluated. Options 1, 3, and 4
r do not need to be monitored specifically during this treatment.
v
e
n
1. Vit
t
a min A
Rationale
i :
l Isotretinoin is a metabolite of vitamin A and can produce
a generalized intensification of isotretinoin toxicity. Because of the
t potential for increased toxicity, vitamin A supplements should be
i discontinued before isotretinoin therapy. Options 2, 3, and 4 are not
o contraindicated with the use of isotretinoin.
n
R
a
t 2. Axilla
i Rational
o e
n
:
a
Topical corticosteroids can be absorbed into the systemic
l
circulation. Absorption is higher from regions where the skin is
e
especially permeable (scalp, axilla, face, eyelids, neck, perineum,
:
genitalia), and lower from regions in which permeability is poor (back,
Mafenide acetate is a carbonic
palms, soles).
anhydrase inhibitor and can
suppress renal excretion of acid,
thereby causing acidosis. Clients
receiving this treatment should
be monitored for signs of an acid-
base imbalance 1. A
(hyperventilation). If this occurs, cne
the medication should be Rationale
discontinued for 1 to 2 days. :
Options 3 and 4 describe local Azelaic acid is a topical medication used to treat mild to moderate
rather than systemic effects. An acne. The acid appears to work by suppressing the growth of
elevated blood pressure may be Propionibacterium acnes and decreasing the proliferation of
expected from the pain that keratinocytes. Options 2, 3, and 4 are incorrect.
occurs with a burn injury.
2.
T
r
3."The medication will permanently stain my skin."
prescribed silver sulfadiazine 4. "The medication should be applied directly to the
(Silvadene) for the client with a wound."
partial- thickness burn, which has
12.12.) A nurse is caring for a client who is receiving a
cultured positive for gram- negative
intravenous (IV) infusion of an antineoplastic
bacteria. The nurse is reinforcing
medication. During the infusion, the client complains
information to the client about the
of pain at the insertion site. During an inspection of
medication. Which statement made
the site, the nurse notes redness and swelling and
by the client indicates a lack of
that the rate of infusion of the medication has
understanding about the
slowed. The nurse should take which appropriate
treatments?
action?
1. "The medication is an
1. Notify the registered nurse.
antibacterial." 2."The medication
2. Administer pain medication to reduce the
will help heal the burn."
discomfort. 3.Apply ice and maintain the
infusion rate, as prescribed.
4. Elevate the extremity of the IV caring for the client anticipates that which diagnostic
site, and slow the infusion. study will be prescribed?
1. Echocardiography
13. 13.) The client with squamous cell
2.Electrocardiography
carcinoma of the larynx is receiving
3.Cervical radiography
bleomycin intravenously. The nurse
4. Pulmonary function studies
, 3. "The medication will permanently
14.14.) The client with acute stain my skin." Rationale:
myelocytic leukemia is being Silver sulfadiazine (Silvadene) is an antibacterial that has a
treated with busulfan (Myleran). broad spectrum of activity against gram-negative bacteria,
gram-positive bacteria, and yeast. It is applied directly to the
Which laboratory value would the
wound to assist in healing. It does not stain the skin.
nurse specifically monitor during
treatment with this medication?
1. Clotting
time 2.Uric
acid level
3.Potassium
level 1. Notify the
4. Blood glucose level registered nurse.
Rationale:
When antineoplastic medications (Chemotheraputic Agents)
are administered via IV, great care must be taken to prevent
the medication from escaping into the tissues surrounding the
injection site, because pain, tissue damage, and necrosis can
result. The nurse monitors for signs of extravasation, such as
redness or swelling at the insertion site and a decreased
infusion rate. If extravasation occurs, the registered nurse
needs to be notified; he or she will then contact the health
care provider.
4. Pulmonary function
studies Rationale:
Bleomycin is an antineoplastic medication (Chemotheraputic
Agents) that can cause interstitial pneumonitis, which can
progress to pulmonary fibrosis. Pulmonary function studies
along with hematological, hepatic, and renal function tests
need to be monitored. The nurse needs to monitor lung
sounds for dyspnea and crackles, which indicate pulmonary
toxicity. The medication needs to be discontinued
immediately if pulmonary toxicity occurs. Options 1, 2, and 3
are unrelated to the specific use of this medication.
2. Uric acid
level
Rationale:
Busulfan (Myleran) can cause an increase in the uric acid
level. Hyperuricemia can produce uric acid nephropathy,
renal stones, and acute renal failure. Options 1, 3, and 4 are
15.15.) The client with small cell not specifically related to this medication.
lung cancer is being treated with
etoposide (VePesid). The nurse 2.Drink beverages containing alcohol in moderate
who is assisting in caring for the amounts each evening
client during its administration 3.Consult with health care providers (HCPs) before
understands that which side receiving immunizations
effect is specifically associated 4. That it is not necessary to consult HCPs before
with this medication? receiving a flu vaccine at the local health fair
1. Alopec 17.17.) The client with ovarian cancer is being treated
ia 2.Chest with vincristine (Oncovin). The nurse monitors the
pain client, knowing that which of the following indicates a
3.Pulmonary fibrosis side effect specific to this medication?
4. Orthostatic hypotension 1.
16.16.) The clinic nurse is
reviewing a teaching plan for the Diarrhea
client receiving an antineoplastic 2.Hair
medication. When implementing loss
the plan, the nurse tells the 3.Chest
client: pain
1. To take aspirin 4. Numbness and tingling in the fingers and toes
(acetylsalicylic acid) as 18.18.) The nurse is reviewing the history and physical
needed for headache examination of a client who will be receiving asparaginase
