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ATI PN Pharmacology Proctored Exam|Verified Questions And Answers Graded A+

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  • 29 de abril de 2024
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  • ATI PN Pharmacology
  • ATI PN Pharmacology

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ATI PN Pharmacology Proctored Exam|Verified
Questions And Answers Graded A+


Patient identifiers - answers--Medical record number

-home telephone number



What lab values should a nurse monitor for a patient with chronic renal failure? - answers-■ 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? - answers--increased amounts of potassium-rich
foods (e.g., bananas, prunes, raisins, and orange juice)

,Patient reports IV discomfort, what is your first action? - answers-color and temperature



Sumatriptan (treats migraine headaches) adverse effect - answers-pain, tightness, pressure, or heaviness
in the chest, throat, neck, and/or jaw



slow or difficult speech



Know about Transdermal patch - answers--• 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 - answers-
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? - answers--they don't cure disease, they slow the process.

,NEUPOGEN (filgrastim)-what is the appropriate route of this med? - answers-administered by
subcutaneous injection or IV infusion



Lisinopril therapeutic effect - answers-blood pressure answer (e.g. 120/80)



Medication for Schizophrenia - answers-risperidone, Risperdal



Macrodantin medication - answers-used to treat or prevent certain urinary tract infections



Haldol-inform if you are taking ____________ medication. - answers--benzodiazepine class of anti-
anxiety drugs (all ending with "pam") and even, Xanax.



Fosomax - answers-same as-Alendronate is used for treating osteoporosis in men and postmenopausal
women.



Lipitor - answers--lowers cholesterol in blood, "statins". Reduce LDL and total cholesterol. Raise HDL.



Garamycin- - answers-Antibiotic that is toxic to the kidney, injected for radiology studies.



Digoxin side effects - answers--Fatigue

-Bradycardia

-Anorexia

-Nausea/Vomiting



Singulair - answers-used before exercise to prevent breathing problems during exercise (bronchospasm).



What medication to administer with Tylenol overdose? - answers-acetylcysteine (Mucomyst) must be
given IV

, HPV vaccine - answers-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 - answers-oxygen saturation



Valporic Acid lab - answers-liver



Lithium report immediately - answers-slurred speech



Prednisone report - answers-sore throat



Food to avoid when taking Lithium - answers--salty foods

-alcoholic beverages



Labs for patients taking hydrothiazide - answers-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 - answers-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,

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