ATI pharmacology proctored exam Actual Exam Latest 2024 Version/ ATI pharmacology proctored exam
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Course
ATI pharmacology
Institution
ATI Pharmacology
An immunizing agent that confers active immunity protects by: - Answer- providing antibodies obtained from immune humans or animals.
Antacids should be given one hour apart from most other drugs. Which is the rationale? - Answer- Antacids may interfere with absorption of drugs taken at the same ...
ATI pharmacology proctored exam Actual Exam Latest
2024 Version/ ATI pharmacology proctored exam
An immunizing agent that confers active immunity protects by: - Answer- providing antibodies
obtained from immune humans or animals.
Antacids should be given one hour apart from most other drugs. Which is the rationale? -
Answer- Antacids may interfere with absorption of drugs taken at the same time.
Vancomycin should not be used to treat minor infections because it: - Answer- can cause "red
man syndrome", a hypertensive crisis that is almost always fatal.
The antagonist for a client who has overdosed on morphine is: - Answer- narcan.
A nurse in a providers office is preparing to teach a middle aged adult client who has a new
diagnosis of metabolic syndrome and an HbA1c of 6.5%. Which of the following medication
should the nurse plan to teach the client about first? - Answer- Metformin
A nurse is reviewing a client laboratory results before administering furosemide 40 mg IV bolus.
For which of the following values should the nurse with hold the medication and contact the
provider? - Answer- Potassium 2.5 mEq/L
A nurse is preparing to administer the initial dose of penicillin G IM to a client. The nurse should
monitor which of the following as an indication of an allergic reaction following the injection? -
Answer- Urticaria
The most serious adverse reaction to oral contraceptives is: - Answer- thromboembolism.
,When a client develops tolerance to a drug, the nurse would expect: - Answer- higher dose
needed to achieve same effect.
Antihyperglycemic agents are prescribed for clients with: - Answer- Type 2 diabetes mellitus.
The nurse assesses a client shortly after an intravenous infusion of the osmotic diuretic mannitol
is started. Which finding represents an early adverse effect of mannitol? - Answer- Bounding
pulse
Compared to other beta adrenergic blockers, cardioselective beta adrenergic blockers: - Answer-
are less likely to cause bronchoconstriction.
Side effects of Gentamicin (Garamycin) - Answer- ototoxicity (hearing loss and loss of balance)
nephrotoxicity (BUN increases while creatine decreases)
respiratory depression (from intensified neuromuscular blockade)
hypersensitivity
How to monitor for side effects of gentamycin - Answer- ototoxicity
- symptoms of tinnitus, headache, hearing loss, nausea, dizziness, vertigo
- notify provider (who will discontinue the med)
nephrotoxicity
- I&O, BUN, and serum creatinine levels
- report significant decrease in amount of urine
hypersensitivity
- allergic symptoms
A client who experiences motion sickness during airplane flights obtains a prescription for
meclizine (Antivert). When is the best time to take the drug? - Answer- One hour before the
flight
,Before prescribing a cephalosporin, the nurse practitioner asks if the client is allergic to
penicillin. Why is this important to assess? - Answer- A client who is allergic to penicillin can
have a cross sensitivity to cephalosporins.
The use of which class of antibiotics should be avoided in children? - Answer- Tetracyclines
because it can permantely stain teeth
In a walk-in clinic, clients are often given intramuscular injections. Which drug should be readily
available in case a client has an anaphylactic reaction? - Answer- Epinephrine
Thiazide and loop (high ceiling) diuretics are similar in that both: - Answer- decrease tubular
reabsorption of sodium and water.
Which of the statements by the nurse most accurately describes the effects of declined plasma
albumin levels in older adults? - Answer- "There is an increased risk for adverse effects."
To prevent oral fungal infections, the nurse should instruct the client who uses a beclomethasone
inhaler to take which action? - Answer- Rinse the mouth after each use.
A client takes ethinyl estradiol/norgestimate (Ortho Tri-Cyclen) birth control pills. She calls the
clinic and relates that she missed her medication yesterday. Which instructions will the nurse
give? - Answer- "Take two pills today then continue on a daily basis."
The nurse may administer acetylcysteine (Mucomyst) inhalation to: - Answer- break up thick
mucus and facilitate mucus expectoration.
Development of a chronic cough is an adverse effect associated with which class of anti-
hypertensive drugs? - Answer- Angiotensin converting enzyme (ACE) inhibitors
The nurse may administer baclofen (Lioresal) for the treatment of which condition? - Answer-
Protracted muscle spasticity
, Oral diazepam (Valium), a benzodiazepine, has been prescribed for a client who has anxiety and
muscle spasms. Which nursing intervention is appropriate for the care of this client? - Answer-
Assess for incoordination and daytime drowsiness.
The nurse practitioner prescribed anhydrous theophylline (Theo-Dur) for the client with chronic
bronchitis. With which disorder would the nurse practitioner reconsider the use of this
medication? - Answer- Hypertension bc this drug can in turn worsening the hypertension
When a client is receiving intravenous fluid with supplementary potassium chloride, it is
especially important for the nurse to monitor for which potential adverse effect? - Answer-
Cardiac dsyrhythmias
Which adverse effect is common for a client being treated with the antidepressant fluoxetine
(Prozac)? - Answer- Sexual dysfunction
After giving a dose of dextromethorphan, an antitussive, which data reflects evaluation of the
drug's effectiveness? - Answer- Client states that cough has been relieved.
Prior to giving a client a dose of digoxin, the nurse counts the apical pulse. If the rate is 62 bpm
and regular, which is the appropriate nursing action? - Answer- Give the drug and document the
heart rate.
Digoxin is started for a client with an atrial arrhythmia. Within three days, the client's heart rate
has decreased from 94 to 74. What action of digitalis explains this change? - Answer- Slowed
impulse conduction
One mechanism by which antihypertensive drugs lower blood pressure is to: - Answer- dilate
peripheral blood vessels.
There are many agents that are useful in the treatment of gastric ulcers. Which agent reacts with
hydrochloric acid to form a viscous protective barrier over the ulcer? - Answer- Sucralfate
(Carafate), drug class: protectants
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