ATI PN PHARMACOLOGY PROCTORED EXAM
REVIEW QUESTIONS AND 100% CORRECT
Patient identifiers - ANSWER-
B B B -Medical record number B B
-home telephone number
B B
What lab values should a nurse monitor for a patient with chronic renal failure? - ANSWER-
B B B B B B B B B B B B B B B
■ UrinalysisB B
☐ Hematuria, proteinuria, and alterations in specific gravity
B B B B B B B
☐ Serum creatinine
B B B
- Gradual increase of 1 to 2 mg/dL per every 24 to 48 hr for acute renal
B B B B B B B B B B B B B B B B B
failure (ARF) B
- Gradual increase over months to years for chronic renal failure (CRF)
B B B B B B B B B B B B
exceeding 4 mg/dL B B
■ Blood urea nitrogen (BUN)
B B B B
- 80 to 100 mg/dL within 1 week with ARF
B B B B B B B B B
- Gradual increase with elevated serum creatinine over months to years for
B B B B B B B B B B B B
CRF
- 180-200 mg/dL with (CRF)
B B B B
■ Serum electrolytes
B B B
- Decreased sodium (dilutional) and calcium, increased potassium,
B B B B B B B B
phosphorus, and magnesium B B
■ Complete blood count (CBC)
B B B B
- Decreased hemoglobin
B B
What food should you increase when taking Lasix? - ANSWER-
B B - B B B B B B B
increased amounts of potassium-rich foods (e.g., bananas, prunes, raisins, and orange juice)
B B B B B B B B B B B
,Patient reports IV discomfort, what is your first action? - ANSWER-
B B B B B B B B B B
color and temperature B B
Sumatriptan (treats migraine headaches) adverse effect - ANSWER- B B B B B B B
pain, tightness, pressure, or heaviness in the chest, throat, neck, and/or jaw
B B B B B B B B B B B
slow or difficult speech
B B B
Know about Transdermal patch - ANSWER-
B B B B B -• Apply at the same time once each day,
B B B B B B B B B
preferably in the morning. Keep patch on B B B B B B B
for 12 to 14 hr each day.
B B B B B B
• Remove the patch at night to reduce
B B B B B B B B
the risk of developing tolerance to
B B B B B B
nitroglycerin. Be medication-free a B B B B
minimum of 10 to 12 hr each day (usually B B B B B B B B B
at night).
B
• Do not cut patches to ensure appropriate
B B B B B B B B
dosage. B
• Place the patch on a hairless area of skin
B B B B B B B B B B
(chest, back, or abdomen) and rotate sites
B B B B B B B
to prevent skin irritation.
B B B B
• Wash skin with soap and water and dry
B B B B B B B B B
thoroughly before applying new patch. B B B B
RBC Blood transfusion - ANSWER-
B B B B
http://www.atitesting.com/ati_next_gen/FocusedReview/data/datacontext/RM%20A
MS%20RN%208.0%20Chp%2044.pdf (prime with normal saline and infuse with sodium chlori B B B B B B B B B
de).
,What to understand about Parkinson's Meds? - ANSWER-
B B B B B B B -
they don't cure disease, they slow the process.
B B B B B B B
NEUPOGEN (filgrastim)-what is the appropriate route of this med? - ANSWER-
B B B B B B B B B B
administered by subcutaneous injection or IV infusion B B B B B B
Lisinopril therapeutic effect - ANSWER-
B B B B blood pressure answer (e.g. 120/80)
B B B B
Medication for Schizophrenia - ANSWER-
B B B B risperidone, Risperdal B
Macrodantin medication - ANSWER- B B B
used to treat or prevent certain urinary tract infections
B B B B B B B B
Haldol-inform if you are taking ____________ medication. - ANSWER-
B B B - B B B B B
benzodiazepine class of anti-anxiety drugs (all ending with "pam") and even, Xanax.
B B B B B B B B B B B
Fosomax - ANSWER- B B same as- B
Alendronate is used for treating osteoporosis in men and postmenopausal women.
B B B B B B B B B B
Lipitor - ANSWER-
B B -
lowers cholesterol in blood, "statins". Reduce LDL and total cholesterol. Raise HDL.
B B B B B B B B B B B
Garamycin- - ANSWER- B B
Antibiotic that is toxic to the kidney, injected for radiology studies.
B B B B B B B B B B
Digoxin side effects - ANSWER-
B B B B -Fatigue
-Bradycardia
-Anorexia
-Nausea/Vomiting
, Singulair - ANSWER- B B
used before exercise to prevent breathing problems during exercise (bronchospasm).
B B B B B B B B B
What medication to administer with Tylenol overdose? - ANSWER-
B B B B B B B B
acetylcysteine (Mucomyst) must be given IV B B B B B
HPV vaccine - ANSWER-
B Human Papilloma Virus (HPV2, HPV4) - -
B B B B B B B B
Three doses should be given over a 6 month
B B B B B B B B B
-interval for females at 11 to 12 years of age (minimum age is 9 years).
B B B B B B B B B B B B B B B
-
B
The second dose should be administered 2 months after the first dose, and the third dose sho
B B B B B B B B B B B B B B B B
uld be administered 6 months after the first dose.
B B B B B B B B B
-HPV4 may be given to males starting at age 9 years of age.
B B B B B B B B B B B B
Opioid toxicity-what to check first - ANSWER-
B B B B B B oxygen saturation B
Valporic Acid lab - ANSWER- B B B B liver
Lithium report immediately - ANSWER-
B B B B slurred speech B
Prednisone report - ANSWER- B B B sore throat B
Food to avoid when taking Lithium - ANSWER-
B B B B B B B -salty foods B
-alcoholic beverages B
Labs for patients taking hydrothiazide - ANSWER-
B B B B B B
Periodic determination of serum electrolytes to detect possible electrolyte imbalance s
B B B B B B B B B B
hould be done at appropriate intervals.
B B B B B
REVIEW QUESTIONS AND 100% CORRECT
Patient identifiers - ANSWER-
B B B -Medical record number B B
-home telephone number
B B
What lab values should a nurse monitor for a patient with chronic renal failure? - ANSWER-
B B B B B B B B B B B B B B B
■ UrinalysisB B
☐ Hematuria, proteinuria, and alterations in specific gravity
B B B B B B B
☐ Serum creatinine
B B B
- Gradual increase of 1 to 2 mg/dL per every 24 to 48 hr for acute renal
B B B B B B B B B B B B B B B B B
failure (ARF) B
- Gradual increase over months to years for chronic renal failure (CRF)
B B B B B B B B B B B B
exceeding 4 mg/dL B B
■ Blood urea nitrogen (BUN)
B B B B
- 80 to 100 mg/dL within 1 week with ARF
B B B B B B B B B
- Gradual increase with elevated serum creatinine over months to years for
B B B B B B B B B B B B
CRF
- 180-200 mg/dL with (CRF)
B B B B
■ Serum electrolytes
B B B
- Decreased sodium (dilutional) and calcium, increased potassium,
B B B B B B B B
phosphorus, and magnesium B B
■ Complete blood count (CBC)
B B B B
- Decreased hemoglobin
B B
What food should you increase when taking Lasix? - ANSWER-
B B - B B B B B B B
increased amounts of potassium-rich foods (e.g., bananas, prunes, raisins, and orange juice)
B B B B B B B B B B B
,Patient reports IV discomfort, what is your first action? - ANSWER-
B B B B B B B B B B
color and temperature B B
Sumatriptan (treats migraine headaches) adverse effect - ANSWER- B B B B B B B
pain, tightness, pressure, or heaviness in the chest, throat, neck, and/or jaw
B B B B B B B B B B B
slow or difficult speech
B B B
Know about Transdermal patch - ANSWER-
B B B B B -• Apply at the same time once each day,
B B B B B B B B B
preferably in the morning. Keep patch on B B B B B B B
for 12 to 14 hr each day.
B B B B B B
• Remove the patch at night to reduce
B B B B B B B B
the risk of developing tolerance to
B B B B B B
nitroglycerin. Be medication-free a B B B B
minimum of 10 to 12 hr each day (usually B B B B B B B B B
at night).
B
• Do not cut patches to ensure appropriate
B B B B B B B B
dosage. B
• Place the patch on a hairless area of skin
B B B B B B B B B B
(chest, back, or abdomen) and rotate sites
B B B B B B B
to prevent skin irritation.
B B B B
• Wash skin with soap and water and dry
B B B B B B B B B
thoroughly before applying new patch. B B B B
RBC Blood transfusion - ANSWER-
B B B B
http://www.atitesting.com/ati_next_gen/FocusedReview/data/datacontext/RM%20A
MS%20RN%208.0%20Chp%2044.pdf (prime with normal saline and infuse with sodium chlori B B B B B B B B B
de).
,What to understand about Parkinson's Meds? - ANSWER-
B B B B B B B -
they don't cure disease, they slow the process.
B B B B B B B
NEUPOGEN (filgrastim)-what is the appropriate route of this med? - ANSWER-
B B B B B B B B B B
administered by subcutaneous injection or IV infusion B B B B B B
Lisinopril therapeutic effect - ANSWER-
B B B B blood pressure answer (e.g. 120/80)
B B B B
Medication for Schizophrenia - ANSWER-
B B B B risperidone, Risperdal B
Macrodantin medication - ANSWER- B B B
used to treat or prevent certain urinary tract infections
B B B B B B B B
Haldol-inform if you are taking ____________ medication. - ANSWER-
B B B - B B B B B
benzodiazepine class of anti-anxiety drugs (all ending with "pam") and even, Xanax.
B B B B B B B B B B B
Fosomax - ANSWER- B B same as- B
Alendronate is used for treating osteoporosis in men and postmenopausal women.
B B B B B B B B B B
Lipitor - ANSWER-
B B -
lowers cholesterol in blood, "statins". Reduce LDL and total cholesterol. Raise HDL.
B B B B B B B B B B B
Garamycin- - ANSWER- B B
Antibiotic that is toxic to the kidney, injected for radiology studies.
B B B B B B B B B B
Digoxin side effects - ANSWER-
B B B B -Fatigue
-Bradycardia
-Anorexia
-Nausea/Vomiting
, Singulair - ANSWER- B B
used before exercise to prevent breathing problems during exercise (bronchospasm).
B B B B B B B B B
What medication to administer with Tylenol overdose? - ANSWER-
B B B B B B B B
acetylcysteine (Mucomyst) must be given IV B B B B B
HPV vaccine - ANSWER-
B Human Papilloma Virus (HPV2, HPV4) - -
B B B B B B B B
Three doses should be given over a 6 month
B B B B B B B B B
-interval for females at 11 to 12 years of age (minimum age is 9 years).
B B B B B B B B B B B B B B B
-
B
The second dose should be administered 2 months after the first dose, and the third dose sho
B B B B B B B B B B B B B B B B
uld be administered 6 months after the first dose.
B B B B B B B B B
-HPV4 may be given to males starting at age 9 years of age.
B B B B B B B B B B B B
Opioid toxicity-what to check first - ANSWER-
B B B B B B oxygen saturation B
Valporic Acid lab - ANSWER- B B B B liver
Lithium report immediately - ANSWER-
B B B B slurred speech B
Prednisone report - ANSWER- B B B sore throat B
Food to avoid when taking Lithium - ANSWER-
B B B B B B B -salty foods B
-alcoholic beverages B
Labs for patients taking hydrothiazide - ANSWER-
B B B B B B
Periodic determination of serum electrolytes to detect possible electrolyte imbalance s
B B B B B B B B B B
hould be done at appropriate intervals.
B B B B B