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PHARMACOLOGY ATI PROCTORED Actual
Exam Newest Version Question and Correct
Detailed Answers Graded A+
Medications for Infection: Antifungals
Amphotericin B, Ketoconazole: treats fungal infections
- C: Anemia, pregnancy/lactation, renal issues
- AE: Gynecomastia, nephrotoxicity, hepatotoxicity, electrolyte
imbalance, bone marrow suppression
- NC: Amphotericin B is VERY toxic, used only for life-threatening
situations, use additional birth control, complete entire course of
therapy even it pt. is feeling better.
Medications for Infection: Antivirals
Acyclovir, Oseltamivir: Herpes Simplex & Herpes Zoster
(Acyclovir), Influenza (Oseltamivir)
- C: Renal impairment
- AE: Acyclovir can cause phlebitis and nephrotoxicity
- NC: Use additional contraception, complete entire course of
therapy even it pt. is feeling better.
Medications for Pain and Inflammation: Non-opioid
Analgesics
Aspirin, Ibuprofen, Naproxen, Celecoxib: treats fever, pain,
inflammation, Antiplatelet (aspirin)
- C: Children (aspirin), pregnancy/lactation, peptic ulcer disease
- AE: Reye's syndrome, GI upset, renal issues, increased risk of
stroke or heart attack
- NC: Take with food, DO NOT CRUSH/CHEW enteric coated or
extended release aspirin tablets
Medications for Pain and Inflammation: Acetaminophen
Acetaminophen: pain, fever
- C: liver issues, chronic alcohol use disorder
- AE: Toxicity
,2
- NC: Read medication labels, if pain/fever lasts >3 days, contact
provider
Medications for Pain and Inflammation: Opioid Agonists
Morphine: pain, sedation, cough suppression (codeine)
- C: premature infants, asthma, renal/hepatic disease, kidney
failure
- AE: Respiratory depression, sedation, ortho. hypo, constipation
- NC: Assess pain level, check vitals especially RR, double check
doses with another nurse.
Medications for Pain and Inflammation: Agonist-Antagonist
Opioids
Butorphanol: pain, less potential for abuse
- C: MI, kidney/liver disease, respiratory depression, opioid
dependancy
- AE: Abstinence syndrome, sedation, dizziness, headache
- NC: baseline vitals, have naloxone ready
Medications for Pain and Inflammation: Opioid Antagonist
Naloxone: Treats opioid overose
- C: Liver failure, opioid dependency, pragnancy
- AE: Tachycardia, tachypenia, abstinence syndrome
- NC: Rescue medication
Medications Affecting the Nervous System: Benzodiazepines
Alprazolam, diazepam, lorazepam: Anxiety disorder, panic
disorder, Seizure disorder, alcohol withdrawal
- C: Pregnancy/lactation, liver disease, substance abuse
- AE: CNS depression, amnesia, toxicity
- NC: Take at bedtime
Medications Affecting the Nervous System: Atypical
Anxiolytics
Buspirone: Generalized anxiety disorder, panic disorder
- C: Pregnancy, liver & kidney problems
- AE: Dizziness, constipation, suicidal ideation
- NC: Short term treatment, take with meals, won't see effects
until 2-4 weeks of taking drug.
Medications Affecting the Nervous System: SSRI's
, 3
Paroxetine, Fluoxetine, Sertraline: OCD, anxiety, panic disorder,
depression
- C: Pregnancy, MAOIs or TCAs, Liver/kidney problems
- AE: Sexual dysfunction, weight changes, Bruxism (grinding of
teeth), Serotonin syndrome, Suicidal ideation
- NC: Take with food and in the morning, takes 2-4 weeks to see
effects
Medications Affecting the Nervous System: SNRI's
Venlafaxine, Duloxetine: Depression, panic/anxiety disorder
- C: pregnancy, MAOIs or TCAs
- AE: Sexual dysfunction, weight loss, anxiety, withdrawal (if
stopped abruptly), Suicide (children & adolescents), Serotonin
syndrome
- NC: Take in the morning, avoid use with other antidepressants
Medications Affecting the Nervous System: Atypical
Antidepressants
Buproprion: Depression, smoking cessation
- C: Seizure disorder, MAOIs, eating disorder
- AE: Has anticholinergic effects, weight loss, seizures
- NC: Do not give within 2 weeks of MAOIs
Medications Affecting the Nervous System: Tricyclic
Antidepressants
Amitriptyline: Depression, neuropathic pain
- C: MI, Seizure disorder, CAS, diabetes, liver/kidney/respiratory
disorders
- AE: Anticholinergic effects, sedation, decreased seizure
threshold
Medications Affecting the Nervous System: MAOIs
Phenelzine: Depression
- C: pregnancy, tyramine-rich foods (hypertensive crisis)
- AE: CNS stimulation, orthostatic hypotension, hypertensive
crisis
- NC: May take more than 2 weeks to feel effects, avoid hard
cheeses, chocolate, red wine, processed meats, etc.
Medications Affecting the Nervous System: Mood Stabilizers
PHARMACOLOGY ATI PROCTORED Actual
Exam Newest Version Question and Correct
Detailed Answers Graded A+
Medications for Infection: Antifungals
Amphotericin B, Ketoconazole: treats fungal infections
- C: Anemia, pregnancy/lactation, renal issues
- AE: Gynecomastia, nephrotoxicity, hepatotoxicity, electrolyte
imbalance, bone marrow suppression
- NC: Amphotericin B is VERY toxic, used only for life-threatening
situations, use additional birth control, complete entire course of
therapy even it pt. is feeling better.
Medications for Infection: Antivirals
Acyclovir, Oseltamivir: Herpes Simplex & Herpes Zoster
(Acyclovir), Influenza (Oseltamivir)
- C: Renal impairment
- AE: Acyclovir can cause phlebitis and nephrotoxicity
- NC: Use additional contraception, complete entire course of
therapy even it pt. is feeling better.
Medications for Pain and Inflammation: Non-opioid
Analgesics
Aspirin, Ibuprofen, Naproxen, Celecoxib: treats fever, pain,
inflammation, Antiplatelet (aspirin)
- C: Children (aspirin), pregnancy/lactation, peptic ulcer disease
- AE: Reye's syndrome, GI upset, renal issues, increased risk of
stroke or heart attack
- NC: Take with food, DO NOT CRUSH/CHEW enteric coated or
extended release aspirin tablets
Medications for Pain and Inflammation: Acetaminophen
Acetaminophen: pain, fever
- C: liver issues, chronic alcohol use disorder
- AE: Toxicity
,2
- NC: Read medication labels, if pain/fever lasts >3 days, contact
provider
Medications for Pain and Inflammation: Opioid Agonists
Morphine: pain, sedation, cough suppression (codeine)
- C: premature infants, asthma, renal/hepatic disease, kidney
failure
- AE: Respiratory depression, sedation, ortho. hypo, constipation
- NC: Assess pain level, check vitals especially RR, double check
doses with another nurse.
Medications for Pain and Inflammation: Agonist-Antagonist
Opioids
Butorphanol: pain, less potential for abuse
- C: MI, kidney/liver disease, respiratory depression, opioid
dependancy
- AE: Abstinence syndrome, sedation, dizziness, headache
- NC: baseline vitals, have naloxone ready
Medications for Pain and Inflammation: Opioid Antagonist
Naloxone: Treats opioid overose
- C: Liver failure, opioid dependency, pragnancy
- AE: Tachycardia, tachypenia, abstinence syndrome
- NC: Rescue medication
Medications Affecting the Nervous System: Benzodiazepines
Alprazolam, diazepam, lorazepam: Anxiety disorder, panic
disorder, Seizure disorder, alcohol withdrawal
- C: Pregnancy/lactation, liver disease, substance abuse
- AE: CNS depression, amnesia, toxicity
- NC: Take at bedtime
Medications Affecting the Nervous System: Atypical
Anxiolytics
Buspirone: Generalized anxiety disorder, panic disorder
- C: Pregnancy, liver & kidney problems
- AE: Dizziness, constipation, suicidal ideation
- NC: Short term treatment, take with meals, won't see effects
until 2-4 weeks of taking drug.
Medications Affecting the Nervous System: SSRI's
, 3
Paroxetine, Fluoxetine, Sertraline: OCD, anxiety, panic disorder,
depression
- C: Pregnancy, MAOIs or TCAs, Liver/kidney problems
- AE: Sexual dysfunction, weight changes, Bruxism (grinding of
teeth), Serotonin syndrome, Suicidal ideation
- NC: Take with food and in the morning, takes 2-4 weeks to see
effects
Medications Affecting the Nervous System: SNRI's
Venlafaxine, Duloxetine: Depression, panic/anxiety disorder
- C: pregnancy, MAOIs or TCAs
- AE: Sexual dysfunction, weight loss, anxiety, withdrawal (if
stopped abruptly), Suicide (children & adolescents), Serotonin
syndrome
- NC: Take in the morning, avoid use with other antidepressants
Medications Affecting the Nervous System: Atypical
Antidepressants
Buproprion: Depression, smoking cessation
- C: Seizure disorder, MAOIs, eating disorder
- AE: Has anticholinergic effects, weight loss, seizures
- NC: Do not give within 2 weeks of MAOIs
Medications Affecting the Nervous System: Tricyclic
Antidepressants
Amitriptyline: Depression, neuropathic pain
- C: MI, Seizure disorder, CAS, diabetes, liver/kidney/respiratory
disorders
- AE: Anticholinergic effects, sedation, decreased seizure
threshold
Medications Affecting the Nervous System: MAOIs
Phenelzine: Depression
- C: pregnancy, tyramine-rich foods (hypertensive crisis)
- AE: CNS stimulation, orthostatic hypotension, hypertensive
crisis
- NC: May take more than 2 weeks to feel effects, avoid hard
cheeses, chocolate, red wine, processed meats, etc.
Medications Affecting the Nervous System: Mood Stabilizers
