ATI PROCTORED PHARMACOLOGY EXAM REVISION. ALL EXAM REVISION
QUESTIONS AND CORRECT ANSWERS (ALREADY GRADED A+) (2024 UPDATE)
Digoxin therapeutic effect - ANSWER- Increased cardiac output (positive inotropic effect) and
slowing of the heart rate (negative chronotropic effect).
What drug is used to treat digoxin toxicity - ANSWER- digoxin immune fab
Neostigmine adverse effects - ANSWER- Cholinergic crisis, nausea, vomiting, diarrhea,
miosis, salivation, diaphoresis, bradycardia, and bronchospasm
Heparin toxicity - ANSWER- The nurse should report blood in the urine to the provider because
this can be a manifestation of heparin toxicity. Other manifestations can include bruising,
hematomas, hypotension, and tachycardia.
Sodium polystyrene sulfonate adverse effects - ANSWER- Hypokalemia, other electrolyte
imbalances, gastric irritation, anorexia, nausea, vomiting, and constipation
Client Colonoscopy teaching (bowel cleanser) - ANSWER- The nurse should instruct the client
to drink 240 ml (8 oz) of the bowel cleanser solution every 10 min until 2 L (67.6 oz) are consumed.
Manifestations of hypomagesemia - ANSWER- The nurse should monitor the client for
disorientation and confusion as manifestations of hypomagnesemia. The nurse should also assess
the client for a positive Chvostek's and Trousseau's signs.
Chvostek's sign - ANSWER- Hypocalcemia (facial muscle spasm upon tapping)
Trousseau's sign - ANSWER- arm/carpal spasm associated with hypocalcemia
,Why is it not safe for a client to take aspirin while on warfarin? - ANSWER- Aspirin inhibits
platelet aggregation and can potentiate the action of the anticoagulant warfarin. Therefore, the
client should avoid taking aspirin because it increases the risk for bleeding.
Paresthesia - ANSWER- abnormal sensation of numbness and tingling without objective cause
manifestation of hypocalcemia
Acetazolamide adverse effects - ANSWER- Paresthesia, Weakness, fatigue, rash, anorexia,
nausea, urinary frequency, renal calculi, bone marrow suppression, weight loss
Morphine adverse effects - ANSWER- -Constipation
-Resp depression
-urinary retention
-Sedation
- Orthostatic HOTN
- Cough suppression
Tamoxifen risks - ANSWER- The greatest risk to this client is the development of a
thromboembolism, which is an adverse effect of tamoxifen. The nurse should also monitor the
client for other manifestations of a thromboembolism, including leg tenderness, redness, swelling,
and shortness of breath.
Clozapine adverse effects - ANSWER- Agranulocytosis
S/s of agranulocytosis - ANSWER- lethargy, myalgia
, Simvastatin teaching - ANSWER- Report muscle pain to provider
Avoid grapefruit juice
Expect therapy to be lifelong
Ergotamine teaching - ANSWER- The client should take one tablet immediately after the onset
of aura or headache.
Ceftazidime contraindications - ANSWER- Allergy to cephalosporins
MY ANSWER
Ceftazidime is a third generation cephalosporin antibiotic. An allergy to cephalosporins is a
contraindication to the administration of ceftazidime. Therefore, the nurse should not administer
the medication and report this allergy to the provider.
Metoprolol monitoring - ANSWER- BP and pulse
Life-threatening bradycardia is an adverse effect that might affect this client. Therefore, the nurse
should assess the client's apical pulse prior to administering the medication. If the client's pulse
rate is less than 60/min, the nurse should withhold the medication and notify the provider.
First DTAP dose age - ANSWER- The CDC recommends that newborns receive the first dose
of the five-dose series of the dtap immunization at 2 months of age.
Ceftazidime contraindications - ANSWER- A severe penicillin allergy is a contraindication for
taking ceftazidime, a cephalosporin antibiotic, due to the potential for cross-sensitivity. Shortness
of breath can indicate the client is developing anaphylaxis.
QUESTIONS AND CORRECT ANSWERS (ALREADY GRADED A+) (2024 UPDATE)
Digoxin therapeutic effect - ANSWER- Increased cardiac output (positive inotropic effect) and
slowing of the heart rate (negative chronotropic effect).
What drug is used to treat digoxin toxicity - ANSWER- digoxin immune fab
Neostigmine adverse effects - ANSWER- Cholinergic crisis, nausea, vomiting, diarrhea,
miosis, salivation, diaphoresis, bradycardia, and bronchospasm
Heparin toxicity - ANSWER- The nurse should report blood in the urine to the provider because
this can be a manifestation of heparin toxicity. Other manifestations can include bruising,
hematomas, hypotension, and tachycardia.
Sodium polystyrene sulfonate adverse effects - ANSWER- Hypokalemia, other electrolyte
imbalances, gastric irritation, anorexia, nausea, vomiting, and constipation
Client Colonoscopy teaching (bowel cleanser) - ANSWER- The nurse should instruct the client
to drink 240 ml (8 oz) of the bowel cleanser solution every 10 min until 2 L (67.6 oz) are consumed.
Manifestations of hypomagesemia - ANSWER- The nurse should monitor the client for
disorientation and confusion as manifestations of hypomagnesemia. The nurse should also assess
the client for a positive Chvostek's and Trousseau's signs.
Chvostek's sign - ANSWER- Hypocalcemia (facial muscle spasm upon tapping)
Trousseau's sign - ANSWER- arm/carpal spasm associated with hypocalcemia
,Why is it not safe for a client to take aspirin while on warfarin? - ANSWER- Aspirin inhibits
platelet aggregation and can potentiate the action of the anticoagulant warfarin. Therefore, the
client should avoid taking aspirin because it increases the risk for bleeding.
Paresthesia - ANSWER- abnormal sensation of numbness and tingling without objective cause
manifestation of hypocalcemia
Acetazolamide adverse effects - ANSWER- Paresthesia, Weakness, fatigue, rash, anorexia,
nausea, urinary frequency, renal calculi, bone marrow suppression, weight loss
Morphine adverse effects - ANSWER- -Constipation
-Resp depression
-urinary retention
-Sedation
- Orthostatic HOTN
- Cough suppression
Tamoxifen risks - ANSWER- The greatest risk to this client is the development of a
thromboembolism, which is an adverse effect of tamoxifen. The nurse should also monitor the
client for other manifestations of a thromboembolism, including leg tenderness, redness, swelling,
and shortness of breath.
Clozapine adverse effects - ANSWER- Agranulocytosis
S/s of agranulocytosis - ANSWER- lethargy, myalgia
, Simvastatin teaching - ANSWER- Report muscle pain to provider
Avoid grapefruit juice
Expect therapy to be lifelong
Ergotamine teaching - ANSWER- The client should take one tablet immediately after the onset
of aura or headache.
Ceftazidime contraindications - ANSWER- Allergy to cephalosporins
MY ANSWER
Ceftazidime is a third generation cephalosporin antibiotic. An allergy to cephalosporins is a
contraindication to the administration of ceftazidime. Therefore, the nurse should not administer
the medication and report this allergy to the provider.
Metoprolol monitoring - ANSWER- BP and pulse
Life-threatening bradycardia is an adverse effect that might affect this client. Therefore, the nurse
should assess the client's apical pulse prior to administering the medication. If the client's pulse
rate is less than 60/min, the nurse should withhold the medication and notify the provider.
First DTAP dose age - ANSWER- The CDC recommends that newborns receive the first dose
of the five-dose series of the dtap immunization at 2 months of age.
Ceftazidime contraindications - ANSWER- A severe penicillin allergy is a contraindication for
taking ceftazidime, a cephalosporin antibiotic, due to the potential for cross-sensitivity. Shortness
of breath can indicate the client is developing anaphylaxis.
