NR 293 ATI Pharmacology Final Review latest
– Chamberlain College of Nursing
, 1
NR 293 ATI Pharmacology Final Review latest
– Chamberlain College of Nursing
1. Calcium supplement for osteoporosis--why would they have
flank pain
2. A nurse is preparing to administer a dose of lactulose to a client who
has cirrhosis. The client states, "I don't need this medication. I am
not constipated." The nurse should explain that in clients who have
cirrhosis, lactulose is used to decrease levels of which of the following
components in the bloodstream?
a. Glucose
b. Ammonia
i. Rationale: Lactulose, a disaccharide, is a sugar that
works as an osmotic diuretic. It prevents absorption of
ammonia in the colon. Accumulation of ammonia in the
bloodstream, which occurs in pathologic conditions of the
liver, such as cirrhosis, may affect the central nervous
system, causing hepatic encephalopathy or coma.
c. Potassium
d. Bicarbonate
3. A nurse on a medical unit is planning care for an older adult
client who takes several medications. Which of the following
prescribed medications places the client at risk for orthostatic
hypotension? (Select all that apply.)
a. Furosemide
b. Telmisartan
,Pharmacology Final Review 2
c. Duloxetine
d. Clopidogrel
e.
Atorvastatin
4. Someone has a-fib on coumadin, know what normal PT is
5. Someone is on atorvastatin (statin) what kind of labs do we look at
a. Liver function
6. CKD nephrotoxicity
a. Antibiotic
7. Heart failure and on Lasix, what are adverse effects of Lasix
andwhat would happen if hypokalemic
8. Celecoxib for osteoarthritis (adverse effects??)
a. Not stroke
9. A nurse is caring for a client who has difficulty swallowing
medications and is prescribed enteric-coated aspirin PO once daily.
The client asks if the medication can be crushed to make it easier to
swallow. Which of the following responses should the nurse provide?
a. "Crushing the medication might cause you to have
a stomachache or indigestion.
i. Rationale: The pill is enteric-coated to prevent
breakdown in the stomach and decrease the possibility
of GI distress. Crushing destroys protection.
b. "Crushing the medication is a good idea, and I can mix it
in some ice cream for you.”
c. "Crushing the medication would release all the medication
at once, rather than over time."
d. "Crushing is unsafe, as it destroys the ingredients in
the medication."
, Pharmacology Final Review 3
10. A nurse is providing teaching for a client who is newly
diagnosed with type 2 diabetes mellitus and has a prescription
for glipizide. Which of the following statements by the nurse best
describes the action of glipizide?
a. "Glipizide absorbs the excess carbohydrates in your
system." b. "Glipizide stimulates your pancreas to release
insulin."
i. Rationale: Glipizide is an oral antidiabetic medication
in the pharmacological classification of sulfonylurea
agents. These medications help to lower blood glucose
levels in clients who have type 2 diabetes mellitus using
several methods, including reducing glucose output by
the liver, increasing peripheral sensitivity to insulin, and
stimulating the release of insulin from the functioning
beta cells of the pancreas.
c. "Glipizide replaces insulin that is not being produced by your
pancreas."
d. "Glipizide prevents your liver from destroying your insulin."
11. Having transdermal analgesic-- look up emla
cream 12.SAA--how to use cream with child ^^^
a. Use visual pain rating scale
13.A nurse is caring for a client who has active pulmonary tuberculosis
(TB) and is to be started on intravenous rifampin therapy. The
nurse should instruct the client that this medication can cause
which of the following adverse effects?
a. Constipation
b. Black colored stools
c. Staining of teeth
– Chamberlain College of Nursing
, 1
NR 293 ATI Pharmacology Final Review latest
– Chamberlain College of Nursing
1. Calcium supplement for osteoporosis--why would they have
flank pain
2. A nurse is preparing to administer a dose of lactulose to a client who
has cirrhosis. The client states, "I don't need this medication. I am
not constipated." The nurse should explain that in clients who have
cirrhosis, lactulose is used to decrease levels of which of the following
components in the bloodstream?
a. Glucose
b. Ammonia
i. Rationale: Lactulose, a disaccharide, is a sugar that
works as an osmotic diuretic. It prevents absorption of
ammonia in the colon. Accumulation of ammonia in the
bloodstream, which occurs in pathologic conditions of the
liver, such as cirrhosis, may affect the central nervous
system, causing hepatic encephalopathy or coma.
c. Potassium
d. Bicarbonate
3. A nurse on a medical unit is planning care for an older adult
client who takes several medications. Which of the following
prescribed medications places the client at risk for orthostatic
hypotension? (Select all that apply.)
a. Furosemide
b. Telmisartan
,Pharmacology Final Review 2
c. Duloxetine
d. Clopidogrel
e.
Atorvastatin
4. Someone has a-fib on coumadin, know what normal PT is
5. Someone is on atorvastatin (statin) what kind of labs do we look at
a. Liver function
6. CKD nephrotoxicity
a. Antibiotic
7. Heart failure and on Lasix, what are adverse effects of Lasix
andwhat would happen if hypokalemic
8. Celecoxib for osteoarthritis (adverse effects??)
a. Not stroke
9. A nurse is caring for a client who has difficulty swallowing
medications and is prescribed enteric-coated aspirin PO once daily.
The client asks if the medication can be crushed to make it easier to
swallow. Which of the following responses should the nurse provide?
a. "Crushing the medication might cause you to have
a stomachache or indigestion.
i. Rationale: The pill is enteric-coated to prevent
breakdown in the stomach and decrease the possibility
of GI distress. Crushing destroys protection.
b. "Crushing the medication is a good idea, and I can mix it
in some ice cream for you.”
c. "Crushing the medication would release all the medication
at once, rather than over time."
d. "Crushing is unsafe, as it destroys the ingredients in
the medication."
, Pharmacology Final Review 3
10. A nurse is providing teaching for a client who is newly
diagnosed with type 2 diabetes mellitus and has a prescription
for glipizide. Which of the following statements by the nurse best
describes the action of glipizide?
a. "Glipizide absorbs the excess carbohydrates in your
system." b. "Glipizide stimulates your pancreas to release
insulin."
i. Rationale: Glipizide is an oral antidiabetic medication
in the pharmacological classification of sulfonylurea
agents. These medications help to lower blood glucose
levels in clients who have type 2 diabetes mellitus using
several methods, including reducing glucose output by
the liver, increasing peripheral sensitivity to insulin, and
stimulating the release of insulin from the functioning
beta cells of the pancreas.
c. "Glipizide replaces insulin that is not being produced by your
pancreas."
d. "Glipizide prevents your liver from destroying your insulin."
11. Having transdermal analgesic-- look up emla
cream 12.SAA--how to use cream with child ^^^
a. Use visual pain rating scale
13.A nurse is caring for a client who has active pulmonary tuberculosis
(TB) and is to be started on intravenous rifampin therapy. The
nurse should instruct the client that this medication can cause
which of the following adverse effects?
a. Constipation
b. Black colored stools
c. Staining of teeth
