ATI PN PHARMACOLOGY
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Case Study 1: Cardiovascular Pharmacology
A 68-year-old client with a history of hypertension and heart failure is admitted
with shortness of breath and bilateral ankle edema. Current prescriptions include
furosemide, lisinopril, and digoxin.
Question 1 (NGN – Select All That Apply)
Which findings indicate the furosemide is having a therapeutic effect?
A. Decreased peripheral edema
B. Increased urine output
C. Serum potassium of 2.9 mEq/L
D. Decreased crackles in lung bases
E. Blood pressure 88/54 mm Hg
COrrect Answer: A, B, D
Explanation:
,Furosemide is a loop diuretic used to reduce fluid overload. Decreased edema,
increased urine output, and improved lung sounds indicate effectiveness.
Hypokalemia and hypotension are adverse effects, not therapeutic outcomes.
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, Question 2 (NGN – Bow-Tie Item)
Condition: Worsening heart failure
Action: Administer digoxin Parameters
to Monitor:
Heart rate below 60 bpm
Serum potassium level
Apical pulse
Digoxin level
Correct Bow-Tie Mapping:
Condition: Worsening heart failure
Action: Administer digoxin
Monitor: Apical pulse, serum potassium, digoxin level
Explanation:
Digoxin improves cardiac contractility. Bradycardia, electrolyte imbalance, and
elevated digoxin levels increase toxicity risk and must be monitored.
Case Study 2: Endocrine – Insulin Therapy
A 45-year-old client with type 1 diabetes receives insulin lispro at 0730 before
breakfast.
Question 3 (NGN – Multiple Choice)
When should the nurse anticipate peak insulin action?
Nursestar1 Stuvia NGN-STYLE
Qs and Ans with Explanation (Latest ), Verified Revised Full
Exam
NURSESTAR1 STUVIA
This Document Contain:
100% 100% Guarantee Pass
Questions And Answers
Verified Explanations
Verified Revised Full Exam
, https://www.stuvia.com/user/nursestar1
ATI PN PHARMACOLOGY NGN-STYLE EXAM QUESTIONS
AND CORRECT ANSWER WITH EXPLANATIONS GRADED
A+ LATEST
https://www.stuvia.com/user/nursestar1
Case Study 1: Cardiovascular Pharmacology
A 68-year-old client with a history of hypertension and heart failure is admitted
with shortness of breath and bilateral ankle edema. Current prescriptions include
furosemide, lisinopril, and digoxin.
Question 1 (NGN – Select All That Apply)
Which findings indicate the furosemide is having a therapeutic effect?
A. Decreased peripheral edema
B. Increased urine output
C. Serum potassium of 2.9 mEq/L
D. Decreased crackles in lung bases
E. Blood pressure 88/54 mm Hg
COrrect Answer: A, B, D
Explanation:
,Furosemide is a loop diuretic used to reduce fluid overload. Decreased edema,
increased urine output, and improved lung sounds indicate effectiveness.
Hypokalemia and hypotension are adverse effects, not therapeutic outcomes.
https://www.stuvia.com/user/nursestar1
, Question 2 (NGN – Bow-Tie Item)
Condition: Worsening heart failure
Action: Administer digoxin Parameters
to Monitor:
Heart rate below 60 bpm
Serum potassium level
Apical pulse
Digoxin level
Correct Bow-Tie Mapping:
Condition: Worsening heart failure
Action: Administer digoxin
Monitor: Apical pulse, serum potassium, digoxin level
Explanation:
Digoxin improves cardiac contractility. Bradycardia, electrolyte imbalance, and
elevated digoxin levels increase toxicity risk and must be monitored.
Case Study 2: Endocrine – Insulin Therapy
A 45-year-old client with type 1 diabetes receives insulin lispro at 0730 before
breakfast.
Question 3 (NGN – Multiple Choice)
When should the nurse anticipate peak insulin action?
