PHARMACOLOGY DRUGS FOR ATI TEST, ATI LPN PHARMAC M M M M M M M
OLOGY PROCTORED E XAM R EVIEW QUESTIONS WITH CORRECT AN
M M M M M M M
SWERS M
1) mAmnurse mismcaringmformamclientmwithmhyperparathyroidismmandmnotesmthatmthemclient'smserummcalcium
m levelm ism 13m mg/dL. mWhichm medication mshould m them nursem preparemtomadministerm asm prescribed mtomthem c
lient?
m 1.mCalciummchloride
m 2.mCalciummgluconate
m 3.mCalcitoninm(Miacalcin)
m 4.mLarge mdosesmof mvitaminmDm-mCORRECTmANSWER-
2.) mOralmironmsupplementsmare mprescribedmformam6-year-
oldmchildmwithmironmdeficiencymanemia.mThemnurse minstructsmthe mmothermtomadministermthemironmwithmw
hichmbestmfoodmitem?
m 1.mMilk
m 2.mWater
m 3.mApple mjuice
m 4.mOrange mjuice m-mCORRECTmANSWER-4.mOrange mjuice
Rationale:
VitaminmCmincreasesmthe mabsorptionmofmironmbymthe mbody.mThemmothermshouldmbeminstructedmtomadmini
stermthe mmedicationmwithmamcitrusmfruitmormamjuice mthatmismhighminmvitaminmC.mMilkmmaymaffectmabsorptio
nmof mthe miron.mWatermwillmnotmassistminmabsorption.mOrangemjuicemcontainsmamgreatermamountmof mvitami
nmCmthanmapple mjuice.
3.) mSalicylicmacidmismprescribedmformamclientmwithmamdiagnosismofmpsoriasis.mThe mnursemmonitorsmthemclien
t,mknowingmthatmwhichmofmthemfollowingmwouldmindicate mthempresence mofmsystemicmtoxicitymfrommthismm
edication?
m 1.mTinnitus
m 2.mDiarrhea
m 3.mConstipation
m 4.mDecreasedmrespirationsm-mCORRECTmANSWER-1.mTinnitus
PHARMACOLOGYmDRUGSmformATImtest,mATImLPN mPharmaco logy m Proctoredm ExammRev iew mquesti ons mwithmc orrect manswers m
,Rationale:
Salicylicmacidmismabsorbedmreadilymthroughmthemskin,mandmsystemicmtoxicitym(salicylism) mcanmresult.mSymp
tomsminclude mtinnitus,mdizziness,mhyperpnea,mandmpsychologicalmdisturbances.mConstipationmandmdiarrhe
amare mnotmassociatedmwithmsalicylism.
4.) mThe mcampmnursemasksmthe mchildrenmpreparingmtomswimminmthemlake mif mtheymhavemappliedmsunscreen.m
The mnurse mremindsmthe mchildrenmthatmchemicalmsunscreensmare mmostmeffective mwhenmapplied:
m 1.mImmediatelymbefore mswimming
m 2.m15mminutesmbefore mexposure mtomthe msun
m 3.mImmediatelymbefore mexposure mtomthe msun
m4.mAtmleastm30mminutesmbefore mexposure mtomthe msunm-mCORRECTmANSWER-
4.mAtmleastm30mminutesmbefore mexposure mtomthe msun
Rationale:
Sunscreensmaremmostmeffective mwhenmappliedmatmleastm30mminutesmbefore mexposuremtomthemsunmsomthat
m they m canm penetrate m the m skin. m Allm sunscreens m should m be m reapplied m afterm swimmingm orm sweating.
5.) mMafenidemacetatem(Sulfamylon)mismprescribedmformthemclientmwithmamburnminjury.mWhenmapplyingmthe
m medication, m them clientmcomplains m of mlocalm discomfortmandmburning. mWhichm ofmthem followingmism them mo
stmappropriate mnursingmaction?
m 1.mNotifyingmthe mregisteredmnurse
m 2.mDiscontinuingmthe mmedication
m 3.mInformingmthe mclientmthatmthismismnormal
m4.mApplyingmamthinnermfilmmthanmprescribedmtomthe mburnmsite m-mCORRECTmANSWER-
3.mInformingmthe mclientmthatmthismismnormal
Rationale:
Mafenide macetate mismbacteriostaticmformgram-negative mandmgram-
positive morganismsmandmismusedmtomtreatmburnsmtomreduce mbacteriampresentminmavascularmtissues.mThemcli
entmshouldmbe minformedmthatmthemmedicationmwillmcause mlocalmdiscomfortmandmburningmandmthatmthismis
m am normalm reaction;m therefore m options m 1, m 2, m andm 4m are m incorrect
6.) mThe mburnmclientmismreceivingmtreatmentsmofmtopicalmmafenide macetate m(Sulfamylon)mtomthe msitemof minj
ury.mThe mnurse mmonitorsmthemclient,mknowingmthatmwhichmofmthemfollowingmindicatesmthatmamsystemicmef
fectmhasmoccurred?
PHARMACOLOGYmDRUGSmformATImtest,mATImLPN mPharmaco logy m Proctoredm ExammRev iew mquesti ons mwithmc orrect manswers m
,m 1.Hyperventilation
m 2.Elevatedmbloodmpressure
m 3.Localmpainmatmthe mburnmsite
m 4.Localmrashmatmthe mburnmsite m-mCORRECTmANSWER-1.Hyperventilation
Rationale:
Mafenide macetatemismamcarbonicmanhydraseminhibitormandmcanmsuppressmrenalmexcretionmofmacid,mthereb
ymcausingmacidosis.mClientsmreceivingmthismtreatmentmshouldmbe mmonitoredmformsignsmofmanmacid-
base mimbalance m(hyperventilation). mIfmthismoccurs,mthe mmedicationmshouldmbe mdiscontinuedmform1mtom2md
ays.mOptionsm3mandm4mdescribemlocalmrathermthanmsystemicmeffects.mAnmelevatedmbloodmpressure mmaymb
e mexpectedmfrommthe mpainmthatmoccursmwithmamburnminjury.
7.) mIsotretinoinmismprescribedmformamclientmwithmseveremacne.mBefore mthe madministrationmofmthismmedicat
ion,mthe mnurse manticipatesmthatmwhichmlaboratorymtestmwillmbe mprescribed?
m 1.mPlateletmcount
m 2.mTriglyceride mlevel
m 3.mComplete mbloodmcount
m 4.mWhite mbloodmcellmcountm-mCORRECTmANSWER-2.mTriglyceride mlevel
Rationale:
Isotretinoinmcanmelevate mtriglyceridemlevels.mBloodmtriglyceride mlevelsmshouldmbemmeasuredmbeforemtreat
mentmandmperiodicallymthereaftermuntilmthemeffectmonmthemtriglyceridesmhasmbeenmevaluated.mOptionsm1,
m 3, m andm 4m dom notm need m tom be m monitored m specifically m duringm thism treatment.
8.) mAmclientmwithmseveremacne mismseenminmthemclinicmandmthe mhealthmcare mproviderm(HCP) mprescribesmisotr
etinoin.mThe mnursemreviewsmthe mclient'smmedicationmrecordmandmwouldmcontactmthem(HCP)mifmthemclientmi
smtakingmwhichmmedication?
m 1.mVitaminmA
m 2.mDigoxinm(Lanoxin)
m 3.mFurosemide m(Lasix)
m 4.mPhenytoinm(Dilantin) m-mCORRECTmANSWER-1.mVitaminmA
Rationale:
Isotretinoinmismammetabolite mofmvitaminmAmandmcanmproducemgeneralizedmintensificationmofmisotretinoinmt
oxicity.mBecause mofmthe mpotentialmformincreasedmtoxicity,mvitaminmAmsupplementsmshouldmbemdiscontinue
PHARMACOLOGYmDRUGSmformATImtest,mATImLPN mPharmaco logy m Proctoredm ExammRev iew mquesti ons mwithmc orrect manswers m
, dmbefore misotretinoinmtherapy.mOptionsm2,m3,mandm4mare mnotmcontraindicatedmwithmthemusemofmisotretino
in.
9.) mThe mnursemismapplyingmamtopicalmcorticosteroidmtomamclientmwithmeczema.mThemnursemwouldmmonitorm
formthe mpotentialmformincreasedmsystemicmabsorptionmofmthemmedicationmifmthemmedicationmwerembeingm
appliedmtomwhichmofmthe mfollowingmbodymareas?
m 1.mBack
m 2.mAxilla
m 3.mSolesmofmthe mfeet
m 4.mPalmsmofmthe mhandsm-mCORRECTmANSWER-2.mAxilla
Rationale:
Topicalmcorticosteroidsmcanmbemabsorbedmintomthemsystemicmcirculation.mAbsorptionmismhighermfrommregi
onsmwheremthe mskinmismespeciallympermeablem(scalp,maxilla,mface,meyelids,mneck,mperineum,mgenitalia),man
dmlowermfrommregionsminmwhichmpermeabilitymismpoorm(back,mpalms,msoles).
10.) mThe mclinicmnurse mismperformingmanmadmissionmassessmentmonmamclient.mThemnursemnotesmthatmthemcl
ientmismtakingmazelaicmacidm(Azelex).mBecausemofmthe mmedicationmprescription, mthemnursemwouldmsuspect
m thatm the m clientm ism beingm treatedm for:
m 1.mAcne
m 2.mEczema
m 3.mHairmloss
m 4.mHerpesmsimplex m-mCORRECTmANSWER-1.mAcne
Rationale:
Azelaicmacidmismamtopicalmmedicationmusedmtomtreatmmildmtommoderatemacne.mThemacidmappearsmtomworkm
bymsuppressingmthe mgrowthmofmPropionibacteriummacnesmandmdecreasingmthemproliferationmofmkeratinoc
ytes.mOptionsm2,m3,mandm4mare mincorrect.
11.) mThe mhealthmcare mprovidermhasmprescribedmsilvermsulfadiazine m(Silvadene)mformthemclientmwithmamparti
al-thicknessmburn,mwhichmhasmculturedmpositive mformgram-
negative mbacteria.mThemnursemismreinforcingminformationmtomthemclientmaboutmthemmedication.mWhichmst
atementmmade mbymthe mclientmindicatesmamlackmof munderstandingmaboutmthe mtreatments?
m 1.m"The mmedicationmismanmantibacterial."
m 2.m"The mmedicationmwillmhelpmhealmthe mburn."
PHARMACOLOGYmDRUGSmformATImtest,mATImLPN mPharmaco logy m Proctoredm ExammRev iew mquesti ons mwithmc orrect manswers m
OLOGY PROCTORED E XAM R EVIEW QUESTIONS WITH CORRECT AN
M M M M M M M
SWERS M
1) mAmnurse mismcaringmformamclientmwithmhyperparathyroidismmandmnotesmthatmthemclient'smserummcalcium
m levelm ism 13m mg/dL. mWhichm medication mshould m them nursem preparemtomadministerm asm prescribed mtomthem c
lient?
m 1.mCalciummchloride
m 2.mCalciummgluconate
m 3.mCalcitoninm(Miacalcin)
m 4.mLarge mdosesmof mvitaminmDm-mCORRECTmANSWER-
2.) mOralmironmsupplementsmare mprescribedmformam6-year-
oldmchildmwithmironmdeficiencymanemia.mThemnurse minstructsmthe mmothermtomadministermthemironmwithmw
hichmbestmfoodmitem?
m 1.mMilk
m 2.mWater
m 3.mApple mjuice
m 4.mOrange mjuice m-mCORRECTmANSWER-4.mOrange mjuice
Rationale:
VitaminmCmincreasesmthe mabsorptionmofmironmbymthe mbody.mThemmothermshouldmbeminstructedmtomadmini
stermthe mmedicationmwithmamcitrusmfruitmormamjuice mthatmismhighminmvitaminmC.mMilkmmaymaffectmabsorptio
nmof mthe miron.mWatermwillmnotmassistminmabsorption.mOrangemjuicemcontainsmamgreatermamountmof mvitami
nmCmthanmapple mjuice.
3.) mSalicylicmacidmismprescribedmformamclientmwithmamdiagnosismofmpsoriasis.mThe mnursemmonitorsmthemclien
t,mknowingmthatmwhichmofmthemfollowingmwouldmindicate mthempresence mofmsystemicmtoxicitymfrommthismm
edication?
m 1.mTinnitus
m 2.mDiarrhea
m 3.mConstipation
m 4.mDecreasedmrespirationsm-mCORRECTmANSWER-1.mTinnitus
PHARMACOLOGYmDRUGSmformATImtest,mATImLPN mPharmaco logy m Proctoredm ExammRev iew mquesti ons mwithmc orrect manswers m
,Rationale:
Salicylicmacidmismabsorbedmreadilymthroughmthemskin,mandmsystemicmtoxicitym(salicylism) mcanmresult.mSymp
tomsminclude mtinnitus,mdizziness,mhyperpnea,mandmpsychologicalmdisturbances.mConstipationmandmdiarrhe
amare mnotmassociatedmwithmsalicylism.
4.) mThe mcampmnursemasksmthe mchildrenmpreparingmtomswimminmthemlake mif mtheymhavemappliedmsunscreen.m
The mnurse mremindsmthe mchildrenmthatmchemicalmsunscreensmare mmostmeffective mwhenmapplied:
m 1.mImmediatelymbefore mswimming
m 2.m15mminutesmbefore mexposure mtomthe msun
m 3.mImmediatelymbefore mexposure mtomthe msun
m4.mAtmleastm30mminutesmbefore mexposure mtomthe msunm-mCORRECTmANSWER-
4.mAtmleastm30mminutesmbefore mexposure mtomthe msun
Rationale:
Sunscreensmaremmostmeffective mwhenmappliedmatmleastm30mminutesmbefore mexposuremtomthemsunmsomthat
m they m canm penetrate m the m skin. m Allm sunscreens m should m be m reapplied m afterm swimmingm orm sweating.
5.) mMafenidemacetatem(Sulfamylon)mismprescribedmformthemclientmwithmamburnminjury.mWhenmapplyingmthe
m medication, m them clientmcomplains m of mlocalm discomfortmandmburning. mWhichm ofmthem followingmism them mo
stmappropriate mnursingmaction?
m 1.mNotifyingmthe mregisteredmnurse
m 2.mDiscontinuingmthe mmedication
m 3.mInformingmthe mclientmthatmthismismnormal
m4.mApplyingmamthinnermfilmmthanmprescribedmtomthe mburnmsite m-mCORRECTmANSWER-
3.mInformingmthe mclientmthatmthismismnormal
Rationale:
Mafenide macetate mismbacteriostaticmformgram-negative mandmgram-
positive morganismsmandmismusedmtomtreatmburnsmtomreduce mbacteriampresentminmavascularmtissues.mThemcli
entmshouldmbe minformedmthatmthemmedicationmwillmcause mlocalmdiscomfortmandmburningmandmthatmthismis
m am normalm reaction;m therefore m options m 1, m 2, m andm 4m are m incorrect
6.) mThe mburnmclientmismreceivingmtreatmentsmofmtopicalmmafenide macetate m(Sulfamylon)mtomthe msitemof minj
ury.mThe mnurse mmonitorsmthemclient,mknowingmthatmwhichmofmthemfollowingmindicatesmthatmamsystemicmef
fectmhasmoccurred?
PHARMACOLOGYmDRUGSmformATImtest,mATImLPN mPharmaco logy m Proctoredm ExammRev iew mquesti ons mwithmc orrect manswers m
,m 1.Hyperventilation
m 2.Elevatedmbloodmpressure
m 3.Localmpainmatmthe mburnmsite
m 4.Localmrashmatmthe mburnmsite m-mCORRECTmANSWER-1.Hyperventilation
Rationale:
Mafenide macetatemismamcarbonicmanhydraseminhibitormandmcanmsuppressmrenalmexcretionmofmacid,mthereb
ymcausingmacidosis.mClientsmreceivingmthismtreatmentmshouldmbe mmonitoredmformsignsmofmanmacid-
base mimbalance m(hyperventilation). mIfmthismoccurs,mthe mmedicationmshouldmbe mdiscontinuedmform1mtom2md
ays.mOptionsm3mandm4mdescribemlocalmrathermthanmsystemicmeffects.mAnmelevatedmbloodmpressure mmaymb
e mexpectedmfrommthe mpainmthatmoccursmwithmamburnminjury.
7.) mIsotretinoinmismprescribedmformamclientmwithmseveremacne.mBefore mthe madministrationmofmthismmedicat
ion,mthe mnurse manticipatesmthatmwhichmlaboratorymtestmwillmbe mprescribed?
m 1.mPlateletmcount
m 2.mTriglyceride mlevel
m 3.mComplete mbloodmcount
m 4.mWhite mbloodmcellmcountm-mCORRECTmANSWER-2.mTriglyceride mlevel
Rationale:
Isotretinoinmcanmelevate mtriglyceridemlevels.mBloodmtriglyceride mlevelsmshouldmbemmeasuredmbeforemtreat
mentmandmperiodicallymthereaftermuntilmthemeffectmonmthemtriglyceridesmhasmbeenmevaluated.mOptionsm1,
m 3, m andm 4m dom notm need m tom be m monitored m specifically m duringm thism treatment.
8.) mAmclientmwithmseveremacne mismseenminmthemclinicmandmthe mhealthmcare mproviderm(HCP) mprescribesmisotr
etinoin.mThe mnursemreviewsmthe mclient'smmedicationmrecordmandmwouldmcontactmthem(HCP)mifmthemclientmi
smtakingmwhichmmedication?
m 1.mVitaminmA
m 2.mDigoxinm(Lanoxin)
m 3.mFurosemide m(Lasix)
m 4.mPhenytoinm(Dilantin) m-mCORRECTmANSWER-1.mVitaminmA
Rationale:
Isotretinoinmismammetabolite mofmvitaminmAmandmcanmproducemgeneralizedmintensificationmofmisotretinoinmt
oxicity.mBecause mofmthe mpotentialmformincreasedmtoxicity,mvitaminmAmsupplementsmshouldmbemdiscontinue
PHARMACOLOGYmDRUGSmformATImtest,mATImLPN mPharmaco logy m Proctoredm ExammRev iew mquesti ons mwithmc orrect manswers m
, dmbefore misotretinoinmtherapy.mOptionsm2,m3,mandm4mare mnotmcontraindicatedmwithmthemusemofmisotretino
in.
9.) mThe mnursemismapplyingmamtopicalmcorticosteroidmtomamclientmwithmeczema.mThemnursemwouldmmonitorm
formthe mpotentialmformincreasedmsystemicmabsorptionmofmthemmedicationmifmthemmedicationmwerembeingm
appliedmtomwhichmofmthe mfollowingmbodymareas?
m 1.mBack
m 2.mAxilla
m 3.mSolesmofmthe mfeet
m 4.mPalmsmofmthe mhandsm-mCORRECTmANSWER-2.mAxilla
Rationale:
Topicalmcorticosteroidsmcanmbemabsorbedmintomthemsystemicmcirculation.mAbsorptionmismhighermfrommregi
onsmwheremthe mskinmismespeciallympermeablem(scalp,maxilla,mface,meyelids,mneck,mperineum,mgenitalia),man
dmlowermfrommregionsminmwhichmpermeabilitymismpoorm(back,mpalms,msoles).
10.) mThe mclinicmnurse mismperformingmanmadmissionmassessmentmonmamclient.mThemnursemnotesmthatmthemcl
ientmismtakingmazelaicmacidm(Azelex).mBecausemofmthe mmedicationmprescription, mthemnursemwouldmsuspect
m thatm the m clientm ism beingm treatedm for:
m 1.mAcne
m 2.mEczema
m 3.mHairmloss
m 4.mHerpesmsimplex m-mCORRECTmANSWER-1.mAcne
Rationale:
Azelaicmacidmismamtopicalmmedicationmusedmtomtreatmmildmtommoderatemacne.mThemacidmappearsmtomworkm
bymsuppressingmthe mgrowthmofmPropionibacteriummacnesmandmdecreasingmthemproliferationmofmkeratinoc
ytes.mOptionsm2,m3,mandm4mare mincorrect.
11.) mThe mhealthmcare mprovidermhasmprescribedmsilvermsulfadiazine m(Silvadene)mformthemclientmwithmamparti
al-thicknessmburn,mwhichmhasmculturedmpositive mformgram-
negative mbacteria.mThemnursemismreinforcingminformationmtomthemclientmaboutmthemmedication.mWhichmst
atementmmade mbymthe mclientmindicatesmamlackmof munderstandingmaboutmthe mtreatments?
m 1.m"The mmedicationmismanmantibacterial."
m 2.m"The mmedicationmwillmhelpmhealmthe mburn."
PHARMACOLOGYmDRUGSmformATImtest,mATImLPN mPharmaco logy m Proctoredm ExammRev iew mquesti ons mwithmc orrect manswers m
