ATI PROCTORED PHARMACOLOGY EXAMINATION. ALL EXAM REVISION
QUESTIONS AND CORRECT ANSWERS (ALREADY GRADED A+) (2024 UPDATE)
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.
The client is also taking lisinopril.
Trimethoprim/Sulfamethoxazole teaching - ANSWER- The nurse should instruct the client to
increase water intake to 1,920 to 2,400 mL (65 to 81 oz) a day to decrease the chance of kidney
damage from crystallization.
Heparin adverse effects - ANSWER- Bleeding; Heparin Induced Thrombocytopenia
thrombocytopenia indications - ANSWER- generalized petechiae
Antidote for acetaminophen toxicity - ANSWER- acetylcysteine
captopril teaching - ANSWER- The client should report a sore throat to the provider because
this can indicate neutropenia, a serious adverse effect of captopril. Neutropenia can be reversed if
it is identified early and the medication is promptly discontinued.
,NSAIDs like Ibuprofen can reduce effectiveness
Propranolol contraindications - ANSWER- Asthma is a contraindication for receiving
propranolol. Propranolol is an adrenergic antagonist that blocks the beta2 receptors in the lungs,
causing bronchoconstriction and leading to serious airway resistance and possibly respiratory
arrest.
captopril adverse effects - ANSWER- Persistent nonproductive cough, angioedema, rash,
hypotension, neutropenia, and dyspnea. hyperkalemia
sumatriptan adverse effects - ANSWER- fatigue ,chest pain
Anticholinergic effects - ANSWER- dry mouth
constipation
photophobia
blurred vision
Tachycardia
Fluphenazine (what is it, how does it work) - ANSWER- high potency typical antipsychotic
Block dopamine (D2), acetylcholine, histamine, and norepinephrine receptors in the brain and
periphery.
Inhibition of psychotic manifestations, believed to be a result of D2 blockade in the brain.
, A nurse is providing teaching with a client, who has schizophrenia, about strategies to minimize
the anticholinergic effects of fluphenazine. Which of the following instructions should the nurse
suggest for the client? - ANSWER- Chew sugarless gum to moisten the mouth.
When taking action, the nurse should instruct the client who is taking fluphenazine and is
experiencing anticholinergic effects to chew sugarless gum. This instruction would provide
moisture to the client's mouth and decrease the severity of dry mouth which is an anticholinergic
adverse effect.
Gentamicin - ANSWER- Gentamicin is a narrow-spectrum aminoglycoside antibiotic
prescribed to treat serious infections caused by aerobic bacilli
Complications of Gentamicin - ANSWER- Gentamicin can injure cells of the proximal renal
tubules.
Naproxen and other NSAIDs can cause renal insufficiency.
The glomerular filtration rate of the kidneys decreases with advanced age, making this client at
increased risk for nephrotoxicity.
What lab values should a nurse monitor for a patient taking Gentamicin? - ANSWER- BUN
Blood creatinine
Peak and trough levels of gentamicin
Specific gravity of urine
Urinalysis
BUN - ANSWER- blood urea nitrogen
QUESTIONS AND CORRECT ANSWERS (ALREADY GRADED A+) (2024 UPDATE)
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.
The client is also taking lisinopril.
Trimethoprim/Sulfamethoxazole teaching - ANSWER- The nurse should instruct the client to
increase water intake to 1,920 to 2,400 mL (65 to 81 oz) a day to decrease the chance of kidney
damage from crystallization.
Heparin adverse effects - ANSWER- Bleeding; Heparin Induced Thrombocytopenia
thrombocytopenia indications - ANSWER- generalized petechiae
Antidote for acetaminophen toxicity - ANSWER- acetylcysteine
captopril teaching - ANSWER- The client should report a sore throat to the provider because
this can indicate neutropenia, a serious adverse effect of captopril. Neutropenia can be reversed if
it is identified early and the medication is promptly discontinued.
,NSAIDs like Ibuprofen can reduce effectiveness
Propranolol contraindications - ANSWER- Asthma is a contraindication for receiving
propranolol. Propranolol is an adrenergic antagonist that blocks the beta2 receptors in the lungs,
causing bronchoconstriction and leading to serious airway resistance and possibly respiratory
arrest.
captopril adverse effects - ANSWER- Persistent nonproductive cough, angioedema, rash,
hypotension, neutropenia, and dyspnea. hyperkalemia
sumatriptan adverse effects - ANSWER- fatigue ,chest pain
Anticholinergic effects - ANSWER- dry mouth
constipation
photophobia
blurred vision
Tachycardia
Fluphenazine (what is it, how does it work) - ANSWER- high potency typical antipsychotic
Block dopamine (D2), acetylcholine, histamine, and norepinephrine receptors in the brain and
periphery.
Inhibition of psychotic manifestations, believed to be a result of D2 blockade in the brain.
, A nurse is providing teaching with a client, who has schizophrenia, about strategies to minimize
the anticholinergic effects of fluphenazine. Which of the following instructions should the nurse
suggest for the client? - ANSWER- Chew sugarless gum to moisten the mouth.
When taking action, the nurse should instruct the client who is taking fluphenazine and is
experiencing anticholinergic effects to chew sugarless gum. This instruction would provide
moisture to the client's mouth and decrease the severity of dry mouth which is an anticholinergic
adverse effect.
Gentamicin - ANSWER- Gentamicin is a narrow-spectrum aminoglycoside antibiotic
prescribed to treat serious infections caused by aerobic bacilli
Complications of Gentamicin - ANSWER- Gentamicin can injure cells of the proximal renal
tubules.
Naproxen and other NSAIDs can cause renal insufficiency.
The glomerular filtration rate of the kidneys decreases with advanced age, making this client at
increased risk for nephrotoxicity.
What lab values should a nurse monitor for a patient taking Gentamicin? - ANSWER- BUN
Blood creatinine
Peak and trough levels of gentamicin
Specific gravity of urine
Urinalysis
BUN - ANSWER- blood urea nitrogen
