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ATI PHARMACOLOGY PROCTORED EXAM – STUDY GUIDE 2021/2022

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ATI PHARMACOLOGY PROCTORED EXAM – STUDY GUIDE 2021 Assess vital signs - First action a nurse should take if a medication error is detected Specific characteristics of medications – factor nurse should recognize as primary considerations when determining schedule of meds administratio...

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  • 21 de abril de 2022
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  • 2021/2022
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ATI PHARMACOLOGY PROCTORED EXAM – STUDY
GUIDE 2021

Assess vital signs - First action a nurse should take if a medication error is detected

Specific characteristics of medications – factor nurse should recognize as primary considerations when determining
schedule of meds administration

Discard the first bead of ointment before each application – instructions to give a mother on proper technique of
applying ophthalmic ointment to her child

Taking Alprazolam – A CNS depressant such as alprazolam can cause dizziness leading to a reason for a fall

Ginger root – should not be taken with warfarin, it can interfere with blood clotting effect of medication

A client aged 62 – would be contraindicated to take nasal spray flu vaccine (appropriate for ages 2-49 healthy)

Tinnitus – and hearing loss are adverse effects to monitor for patients taking cisplatin (Platinol is a chemotherapy drug)

Metabolic Alkalosis – can occur in clients who have excessive vomiting (loss of hydrochloric acid) such as a
chemotherapy patient

Respiratory Rate – priority when assessing a patient prior to the administration of morphine

Client taking garlic – should be cautioned when also taking warfarin as it can potentiate (increase) the action of
warfarin

Bananas – recommend for a best source of potassium – contain tyramine

Keep open vial of insulin at room temp – instructions for client with new prescription for regular and NPH insulin

Take ferrous sulfate between meals – teaching for iron deficient anemia patient newly taking ferrous sulfate for best
absorption of this type of iron supplement – take with Vit C, it helps with the absorption

Administer a SABA (short acting B2 agonist, like albuterol) – for a child having an asthma attack to relieve
bronchoconstriction

Remain with the client for the first 15 minutes of the transfusion – action the nurse should plan to take when
administering a unit of packed red blood cells to a client (watch for fever, low back pain, rash, itching)

Use an electric razor with this medication – instructions for a new patient taking warfarin

The nurse starts the transfusion of another unit of blood product – should be a reason for a charge nurse to
intervene after the nurse suspects the first unit of blood has caused a hemolytic reaction

Check the clients vital signs every hour during the transfusion – Action the nurse should plan to take when preparing to
initiate a transfusion of packed RBC for a client with anemia

Client reports low back pain – sign of acute hemolytic reaction when patient is receiving unit of packed RBC

Clients who are pregnant should not take warfarin – instructions included when teaching clients about warfarin

Stop the infusion, leave saline line intact – first action to take when a there is a suspected reaction of patient receiving
packed RBC

Administer a saline solution after injection – action nurse should plan to take after administering phenytoin IV to prevent
venous irritation

Phenylephrine (vasoconstrictor) – used to dilate pupils to facilitate intraocular surgery

, lOMoARcPSD|3920845




Elevated temperature – sign of fat overload syndrome in patient receiving parental lipid infusion

Anorexia – sign of toxicity on patient receiving digoxin

Take this medication 4 hours after other medications – instructions for patients taking colesevelam to lower his low
density lipoprotein level (colesevelam HCl added to statin therapy significantly lowers LDL cholesterol levels)

I will take this medication 1 hour before meals and at bedtime – Client understanding the teaching for taking the
medication sucralfate to treat gastric ulcer (to create a protective coating over the ulcer)

Systolic blood pressure has increased – sign that dopamine IV is having a therapeutic effect (it raises

BP) Expect the NPH insulin to peak in 6 to 14 hours – teaching a DM client taking NPH insulin every

morning

Naloxone (Narcan) – the nurse should plan to have on hand for adverse reaction to butorphanol (opioid) for a patient
that is in labor

I will take this medicine first thing in the morning – instructions for a patient taking fluoxetine to treat depression to
prevent the patient from experiencing insomnia

Take this medication with a full glass of water – instructions for a patient taking docusate, a stool softener (water will
reduce the risk of constipation)

Avoid activities that require alertness such as driving – instructions for a new prescription for methylphenidate (ADD
medication that will take time to determine how it will affect the patient)

Constipation – side effect teaching for patient starting to take aluminum hydroxide (Mylanta) for

heartburn Inject the medication into the abdomen above the level of the iliac crest – when injecting

heparin

Decreased fat in stools – expected gastrointestinal change when taking pancrelipase (Creon) to aid in digestion

Discard regular insulin that looks cloudy – regular insulin should be clear; the nurse should teach the client to discard any
regular insulin that appears cloudy

Reduced dyspepsia – indication that omeprazole therapy is effective

Monitor for dizziness – teaching a client newly taking dimenhydrinate (motion sickness drug Dramamine)

Do not drink alcohol while taking this medication – disulfiram (used in alcohol aversion therapy)

Prednisone – can cause glucose intolerance (it is a corticosteroid)

Avoid activities that require alertness such as driving – teaching a client newly taking alprazolam to treat insomnia

A headache is an expected adverse effect of the medication – instructions for a patient who took 3 nitroglycerin tablets
sublingually for chest pain

Apply the transdermal patch in the morning – instructions for a new patient taking transdermal nitroglycerin to treat
angina pectoris

Urticaria- administer diphenhydramine prior to a transfusion when the patient has had a previous mild reaction while
receiving a transfusion of packed RBC

Miosis – adverse effect to monitor for after administering a postoperative dose of nalbuphine for pain (miosis is excessive
constriction of the pupil of the eye)

An inability to void – an indication the nurse should administer PRN dose of bethanechol post op of transurethral

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