lOMoAR cPSD| 14867735
ATI
Pharmacology
Proctored
Test Bank
, lOMoAR cPSD| 14867735
ATI Pharmacology Proctored Test Bank
1. 1) A nurse is caring for a client with
3. Calcitonin (Miacalcin)
hyperparathyroidism and notes that
Rationale:
the client's serum calcium level is 13
The normal serum calcium level is 8.6 to 10.0 mg/dL. This client is experiencing
mg/dL. Which medication should the
hypercalcemia. Calcium gluconate and calcium chloride are medications used
nurse prepare to administer as
for the treatment of tetany, which occurs as a result of acute hypocalcemia. In
prescribed to the client?
hypercalcemia, large doses of vitamin D need to be avoided. Calcitonin, a
1. Calcium chloride
thyroid hormone, decreases the plasma calcium level by inhibiting bone
2.Calcium gluconate
resorption and lowering the serum calcium concentration.
3.Calcitonin (Miacalcin)
4. Large doses of vitamin D
4. Orange juice
2. 2.) Oral iron supplements are
Rationale:
prescribed for a 6-year-old child
Vitamin C increases the absorption of iron by the body. The mother should be
with iron deficiency anemia. The
instructed to administer the medication with a citrus fruit or a juice that is
nurse instructs the mother to
high in vitamin C. Milk may affect absorption of the iron. Water will not assist
administer the iron with which best
in absorption. Orange juice contains a greater amount of vitamin C than apple
food item?
juice.
1. Milk
2.Water
3.Apple juice
4. Orange juice
1. Tinnitus
3. 3.) Salicylic acid is prescribed for
Rationale:
a client with a diagnosis of
Salicylic acid is absorbed readily through the skin, and systemic toxicity (salicylism)
psoriasis. The nurse monitors the
can result. Symptoms include tinnitus, dizziness, hyperpnea, and psychological
client, knowing that which of the
disturbances. Constipation and diarrhea are not associated with salicylism.
following would indicate the
presence of systemic toxicity from
this medication?
1. Tinnitus
2.Diarrhea
3.Constipation 4. At least 30 minutes before exposure to the
4. Decreased respirations sun Rationale:
Sunscreens are most effective when applied at least 30 minutes before
4. 4.) The camp nurse asks the
exposure to the sun so that they can penetrate the skin. All sunscreens should
children preparing to swim in the
be reapplied after swimming or sweating.
lake if they have applied
sunscreen. The nurse reminds the
children that chemical sunscreens
are most effective when applied:
1. Immediately before swimming
2.15 minutes before exposure to the
sun 3. Informing the client that this is
3. Immediately before exposure to normal Rationale:
the sun Mafenide acetate is bacteriostatic for gram-negative and gram-positive
4. At least 30 minutes before organisms and is used to treat burns to reduce bacteria present in avascular
exposure to the sun tissues. The client should be informed that the medication will cause local
5. 5.) Mafenide acetate (Sulfamylon) is discomfort and burning and that this is a normal reaction; therefore options 1, 2,
prescribed for the client with a burn and 4 are incorrect
injury. When applying the
medication, the client complains of
local discomfort and burning. Which
of the following is the most
appropriate nursing action?
1. Notifying the registered nurse
2.Discontinuing the medication
3.Informing the client that this is
normal
4. Applying a thinner film than
prescribed to the burn site
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, lOMoAR cPSD| 14867735
6. 6.) The burn client is receiving
1. Hypervent
treatments of topical mafenide
ilation Rationale:
acetate (Sulfamylon) to the site of
Mafenide acetate is a carbonic anhydrase inhibitor and can suppress renal
injury. The nurse monitors the client,
excretion of acid, thereby causing acidosis. Clients receiving this treatment
knowing that which of the following
should be monitored for signs of an acid-base imbalance (hyperventilation). If this
indicates that a systemic effect has
occurs, the medication should be discontinued for 1 to 2 days. Options 3 and 4
occurred? 1.Hyperventilation
describe local rather than systemic effects. An elevated blood pressure may be
2.Elevated blood
expected from the pain that occurs with a burn injury.
pressure 3.Local pain
at the burn site 4.Local
rash at the burn site 2. Triglyceride level
Rationale:
7. 7.) Isotretinoin is prescribed for a
Isotretinoin can elevate triglyceride levels. Blood triglyceride levels should be
client with severe acne. Before the
measured before treatment and periodically thereafter until the effect on the
administration of this medication, the
triglycerides has been evaluated. Options 1, 3, and 4 do not need to be
nurse anticipates that which
monitored specifically during this treatment.
laboratory test will be prescribed?
1. Platelet count
2.Triglyceride level
3.Complete blood count 1. Vita
4. White blood cell count min A
Rationale:
8. 8.) A client with severe acne is seen in
Isotretinoin is a metabolite of vitamin A and can produce generalized
the clinic and the health care provider
intensification of isotretinoin toxicity. Because of the potential for increased
(HCP) prescribes isotretinoin. The
toxicity, vitamin A supplements should be discontinued before isotretinoin
nurse reviews the client's medication
therapy. Options 2, 3, and 4 are not contraindicated with the use of isotretinoin.
record and would contact the (HCP) if
the client is taking which medication?
1. Vitamin A
2.Digoxin (Lanoxin)
3.Furosemide (Lasix)
4. Phenytoin (Dilantin) 2. Axilla
Rationale
9. 9.) The nurse is applying a topical
:
corticosteroid to a client with
Topical corticosteroids can be absorbed into the systemic circulation.
eczema. The nurse would monitor for
Absorption is higher from regions where the skin is especially permeable
the potential for increased systemic
(scalp, axilla, face, eyelids, neck, perineum, genitalia), and lower from regions in
absorption of the medication if the
which permeability is poor (back, palms, soles).
medication were being applied to
which of the following body areas?
1. Back
2.Axilla
3. Soles of the feet
4. Palms of the hands 1. A
cne
10. 10.) The clinic nurse is performing an
Rationale
admission assessment on a client. The
:
nurse notes that the client is taking
Azelaic acid is a topical medication used to treat mild to moderate acne. The
azelaic acid (Azelex). Because of the
acid appears to work by suppressing the growth of Propionibacterium acnes
medication prescription, the nurse
and decreasing the proliferation of keratinocytes. Options 2, 3, and 4 are
would suspect that the client is being
incorrect.
treated for:
1. Acne
2.Eczema
3.Hair loss
4. Herpes simplex
11. 11.) The health care provider has 3."The medication will permanently stain my skin."
prescribed silver sulfadiazine (Silvadene) 4. "The medication should be applied directly to the wound."
for the client with a partial- thickness burn,
12. 12.) A nurse is caring for a client who is receiving an
which has cultured positive for gram-
intravenous (IV) infusion of an antineoplastic medication. Durin
negative bacteria. The nurse is reinforcing
the infusion, the client complains of pain at the insertion site.
information to the client about the
During an inspection of the site, the nurse notes redness and
medication. Which statement made by the
swelling and that the rate of infusion of the medication has
client indicates a lack of understanding
slowed. The nurse should take which appropriate action?
about the treatments?
1. Notify the registered nurse.
1. "The medication is an antibacterial."
2. Administer pain medication to reduce the discomfort.
2."The medication will help heal the burn."
3.Apply ice and maintain the infusion rate, as prescribed.
Downloaded by Jackie Black ()
, lOMoAR cPSD| 14867735
4. Elevate the extremity of the IV site, and
3. "The medication will permanently stain my
slow the infusion.
skin." Rationale:
13. 13.) The client with squamous cell Silver sulfadiazine (Silvadene) is an antibacterial that has a broad
carcinoma of the larynx is receiving spectrum of activity against gram-negative bacteria, gram-positive
bleomycin intravenously. The nurse caring bacteria, and yeast. It is applied directly to the wound to assist in
for the client anticipates that which healing. It does not stain the skin.
diagnostic study will be prescribed?
1. Echocardiography
2.Electrocardiography
3. Cervical radiography
4. Pulmonary function studies
1. Notify the registered
14. 14.) The client with acute myelocytic nurse. Rationale:
leukemia is being treated with busulfan When antineoplastic medications (Chemotheraputic Agents) are
(Myleran). Which laboratory value would administered via IV, great care must be taken to prevent the medication
the nurse specifically monitor during from escaping into the tissues surrounding the injection site, because pain,
treatment with this medication? tissue damage, and necrosis can result. The nurse monitors for signs of
1. Clotting time extravasation, such as redness or swelling at the insertion site and a
2.Uric acid level decreased infusion rate. If extravasation occurs, the registered nurse
3.Potassium level needs to be notified; he or she will then contact the health care
4. Blood glucose level 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 not specifically related to
this medication.
15. 15.) The client with small cell lung 2. Drink beverages containing alcohol in moderate amounts each
cancer is being treated with etoposide evening
(VePesid). The nurse who is assisting in 3. Consult with health care providers (HCPs) before receiving
caring for the client during its immunizations
administration understands that which 4. That it is not necessary to consult HCPs before receiving a flu
side effect is specifically associated with vaccine at the local health fair
this medication?
17. 17.) The client with ovarian cancer is being treated with vincristine
1. Alopecia (Oncovin). The nurse monitors the client, knowing that which of the
2. Chest pain
following indicates a side effect specific to this medication?
3.Pulmonary fibrosis
1. Diarrhea
4. Orthostatic hypotension 2.Hair loss
16. 16.) The clinic nurse is reviewing a 3.Chest pain
teaching plan for the client receiving an 4. Numbness and tingling in the fingers and toes
antineoplastic medication. When 18. 18.) The nurse is reviewing the history and physical examination of a
implementing the plan, the nurse tells
the client: client who will be receiving asparaginase (Elspar), an antineoplastic
agent. The nurse consults with the registered nurse regarding the
1. To take aspirin (acetylsalicylic
acid) as needed for headache administration of the medication if which of the following is documente
in the client's history?
Downloaded by Jackie Black ()
ATI
Pharmacology
Proctored
Test Bank
, lOMoAR cPSD| 14867735
ATI Pharmacology Proctored Test Bank
1. 1) A nurse is caring for a client with
3. Calcitonin (Miacalcin)
hyperparathyroidism and notes that
Rationale:
the client's serum calcium level is 13
The normal serum calcium level is 8.6 to 10.0 mg/dL. This client is experiencing
mg/dL. Which medication should the
hypercalcemia. Calcium gluconate and calcium chloride are medications used
nurse prepare to administer as
for the treatment of tetany, which occurs as a result of acute hypocalcemia. In
prescribed to the client?
hypercalcemia, large doses of vitamin D need to be avoided. Calcitonin, a
1. Calcium chloride
thyroid hormone, decreases the plasma calcium level by inhibiting bone
2.Calcium gluconate
resorption and lowering the serum calcium concentration.
3.Calcitonin (Miacalcin)
4. Large doses of vitamin D
4. Orange juice
2. 2.) Oral iron supplements are
Rationale:
prescribed for a 6-year-old child
Vitamin C increases the absorption of iron by the body. The mother should be
with iron deficiency anemia. The
instructed to administer the medication with a citrus fruit or a juice that is
nurse instructs the mother to
high in vitamin C. Milk may affect absorption of the iron. Water will not assist
administer the iron with which best
in absorption. Orange juice contains a greater amount of vitamin C than apple
food item?
juice.
1. Milk
2.Water
3.Apple juice
4. Orange juice
1. Tinnitus
3. 3.) Salicylic acid is prescribed for
Rationale:
a client with a diagnosis of
Salicylic acid is absorbed readily through the skin, and systemic toxicity (salicylism)
psoriasis. The nurse monitors the
can result. Symptoms include tinnitus, dizziness, hyperpnea, and psychological
client, knowing that which of the
disturbances. Constipation and diarrhea are not associated with salicylism.
following would indicate the
presence of systemic toxicity from
this medication?
1. Tinnitus
2.Diarrhea
3.Constipation 4. At least 30 minutes before exposure to the
4. Decreased respirations sun Rationale:
Sunscreens are most effective when applied at least 30 minutes before
4. 4.) The camp nurse asks the
exposure to the sun so that they can penetrate the skin. All sunscreens should
children preparing to swim in the
be reapplied after swimming or sweating.
lake if they have applied
sunscreen. The nurse reminds the
children that chemical sunscreens
are most effective when applied:
1. Immediately before swimming
2.15 minutes before exposure to the
sun 3. Informing the client that this is
3. Immediately before exposure to normal Rationale:
the sun Mafenide acetate is bacteriostatic for gram-negative and gram-positive
4. At least 30 minutes before organisms and is used to treat burns to reduce bacteria present in avascular
exposure to the sun tissues. The client should be informed that the medication will cause local
5. 5.) Mafenide acetate (Sulfamylon) is discomfort and burning and that this is a normal reaction; therefore options 1, 2,
prescribed for the client with a burn and 4 are incorrect
injury. When applying the
medication, the client complains of
local discomfort and burning. Which
of the following is the most
appropriate nursing action?
1. Notifying the registered nurse
2.Discontinuing the medication
3.Informing the client that this is
normal
4. Applying a thinner film than
prescribed to the burn site
Downloaded by Jackie Black ()
, lOMoAR cPSD| 14867735
6. 6.) The burn client is receiving
1. Hypervent
treatments of topical mafenide
ilation Rationale:
acetate (Sulfamylon) to the site of
Mafenide acetate is a carbonic anhydrase inhibitor and can suppress renal
injury. The nurse monitors the client,
excretion of acid, thereby causing acidosis. Clients receiving this treatment
knowing that which of the following
should be monitored for signs of an acid-base imbalance (hyperventilation). If this
indicates that a systemic effect has
occurs, the medication should be discontinued for 1 to 2 days. Options 3 and 4
occurred? 1.Hyperventilation
describe local rather than systemic effects. An elevated blood pressure may be
2.Elevated blood
expected from the pain that occurs with a burn injury.
pressure 3.Local pain
at the burn site 4.Local
rash at the burn site 2. Triglyceride level
Rationale:
7. 7.) Isotretinoin is prescribed for a
Isotretinoin can elevate triglyceride levels. Blood triglyceride levels should be
client with severe acne. Before the
measured before treatment and periodically thereafter until the effect on the
administration of this medication, the
triglycerides has been evaluated. Options 1, 3, and 4 do not need to be
nurse anticipates that which
monitored specifically during this treatment.
laboratory test will be prescribed?
1. Platelet count
2.Triglyceride level
3.Complete blood count 1. Vita
4. White blood cell count min A
Rationale:
8. 8.) A client with severe acne is seen in
Isotretinoin is a metabolite of vitamin A and can produce generalized
the clinic and the health care provider
intensification of isotretinoin toxicity. Because of the potential for increased
(HCP) prescribes isotretinoin. The
toxicity, vitamin A supplements should be discontinued before isotretinoin
nurse reviews the client's medication
therapy. Options 2, 3, and 4 are not contraindicated with the use of isotretinoin.
record and would contact the (HCP) if
the client is taking which medication?
1. Vitamin A
2.Digoxin (Lanoxin)
3.Furosemide (Lasix)
4. Phenytoin (Dilantin) 2. Axilla
Rationale
9. 9.) The nurse is applying a topical
:
corticosteroid to a client with
Topical corticosteroids can be absorbed into the systemic circulation.
eczema. The nurse would monitor for
Absorption is higher from regions where the skin is especially permeable
the potential for increased systemic
(scalp, axilla, face, eyelids, neck, perineum, genitalia), and lower from regions in
absorption of the medication if the
which permeability is poor (back, palms, soles).
medication were being applied to
which of the following body areas?
1. Back
2.Axilla
3. Soles of the feet
4. Palms of the hands 1. A
cne
10. 10.) The clinic nurse is performing an
Rationale
admission assessment on a client. The
:
nurse notes that the client is taking
Azelaic acid is a topical medication used to treat mild to moderate acne. The
azelaic acid (Azelex). Because of the
acid appears to work by suppressing the growth of Propionibacterium acnes
medication prescription, the nurse
and decreasing the proliferation of keratinocytes. Options 2, 3, and 4 are
would suspect that the client is being
incorrect.
treated for:
1. Acne
2.Eczema
3.Hair loss
4. Herpes simplex
11. 11.) The health care provider has 3."The medication will permanently stain my skin."
prescribed silver sulfadiazine (Silvadene) 4. "The medication should be applied directly to the wound."
for the client with a partial- thickness burn,
12. 12.) A nurse is caring for a client who is receiving an
which has cultured positive for gram-
intravenous (IV) infusion of an antineoplastic medication. Durin
negative bacteria. The nurse is reinforcing
the infusion, the client complains of pain at the insertion site.
information to the client about the
During an inspection of the site, the nurse notes redness and
medication. Which statement made by the
swelling and that the rate of infusion of the medication has
client indicates a lack of understanding
slowed. The nurse should take which appropriate action?
about the treatments?
1. Notify the registered nurse.
1. "The medication is an antibacterial."
2. Administer pain medication to reduce the discomfort.
2."The medication will help heal the burn."
3.Apply ice and maintain the infusion rate, as prescribed.
Downloaded by Jackie Black ()
, lOMoAR cPSD| 14867735
4. Elevate the extremity of the IV site, and
3. "The medication will permanently stain my
slow the infusion.
skin." Rationale:
13. 13.) The client with squamous cell Silver sulfadiazine (Silvadene) is an antibacterial that has a broad
carcinoma of the larynx is receiving spectrum of activity against gram-negative bacteria, gram-positive
bleomycin intravenously. The nurse caring bacteria, and yeast. It is applied directly to the wound to assist in
for the client anticipates that which healing. It does not stain the skin.
diagnostic study will be prescribed?
1. Echocardiography
2.Electrocardiography
3. Cervical radiography
4. Pulmonary function studies
1. Notify the registered
14. 14.) The client with acute myelocytic nurse. Rationale:
leukemia is being treated with busulfan When antineoplastic medications (Chemotheraputic Agents) are
(Myleran). Which laboratory value would administered via IV, great care must be taken to prevent the medication
the nurse specifically monitor during from escaping into the tissues surrounding the injection site, because pain,
treatment with this medication? tissue damage, and necrosis can result. The nurse monitors for signs of
1. Clotting time extravasation, such as redness or swelling at the insertion site and a
2.Uric acid level decreased infusion rate. If extravasation occurs, the registered nurse
3.Potassium level needs to be notified; he or she will then contact the health care
4. Blood glucose level 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 not specifically related to
this medication.
15. 15.) The client with small cell lung 2. Drink beverages containing alcohol in moderate amounts each
cancer is being treated with etoposide evening
(VePesid). The nurse who is assisting in 3. Consult with health care providers (HCPs) before receiving
caring for the client during its immunizations
administration understands that which 4. That it is not necessary to consult HCPs before receiving a flu
side effect is specifically associated with vaccine at the local health fair
this medication?
17. 17.) The client with ovarian cancer is being treated with vincristine
1. Alopecia (Oncovin). The nurse monitors the client, knowing that which of the
2. Chest pain
following indicates a side effect specific to this medication?
3.Pulmonary fibrosis
1. Diarrhea
4. Orthostatic hypotension 2.Hair loss
16. 16.) The clinic nurse is reviewing a 3.Chest pain
teaching plan for the client receiving an 4. Numbness and tingling in the fingers and toes
antineoplastic medication. When 18. 18.) The nurse is reviewing the history and physical examination of a
implementing the plan, the nurse tells
the client: client who will be receiving asparaginase (Elspar), an antineoplastic
agent. The nurse consults with the registered nurse regarding the
1. To take aspirin (acetylsalicylic
acid) as needed for headache administration of the medication if which of the following is documente
in the client's history?
Downloaded by Jackie Black ()
