TEST BANK
, ATI Pharmacology Proctored Test Bank
ATI Pharmacology Proctored Exam, Test Bank(100 % Of 313 Verified Questions an
ALL CORRECT Answers), GRADED A+
1. 1) A nurse is caring for a client with
3. Calcitonin (Miacalcin)
hyperparathyroidism and notes that
Rationale:
the client's serum calcium level is 13
The normal serum calcium level is 8.6 to 10.0 mg/dL. This client is experiencing
mg/dL. Which medication should the
hypercalcemia. Calcium gluconate andcalciumchloridearemedications
nurse prepare to administer as
usedforthe treatment of tetany, which occurs as a result of acute
prescribed to the client?
hypocalcemia. In hypercalcemia, large doses of vitamin D need to be avoided.
1. Calcium chloride
Calcitonin, a thyroid hormone, decreases the plasma calcium level by inhibiting
2. Calcium gluconate bone resorption and lowering the serum calcium concentration.
3. Calcitonin (Miacalcin)
4. Large doses of vitamin D
4. Orange juice
2. 2.) Oral iron supplements are Rationale:
prescribed for a 6-year-old child with Vitamin C increases the absorption of iron by the body. The mother should be
iron deficiency anemia. The nurse instructed to administer themedication with a citrus fruit or a juice that is high
instructs the mother to administer the in vitamin C. Milkmayaffectabsorption of theiron. Water will not assist in
iron with which best food item? absorption. Orange juice contains a greater amount of vitamin C than apple
1. Milk juice.
2. Water
3. Apple juice
4. Orange juice
3. 3.) Salicylic acid is prescribed for a 1. Tinnitus
client with a diagnosis of psoriasis. Rationale:
The nurse monitors the client, Salicylic acid is absorbed readily through the skin, and systemic toxicity (salicylism)
knowing that which of the following can result. Symptoms include tinnitus, dizziness, hyperpnea, andpsychological
would indicate the presence of disturbances. Constipation and diarrhea arenot associated with salicylism.
systemic toxicity from this
medication?
1. Tinnitus
2. Diarrhea
3. Constipation
4. At least 30 minutes beforeexposure to the
4. Decreased respirations
sun Rationale:
4. 4.) The camp nurse asks the children Sunscreens are most effective when applied at least 30 minutes
preparing to swim in the lake if they beforeexposure to the sun so that they can penetrate the skin. All sunscreens
have applied sunscreen. The nurse should be reapplied after swimming or sweating.
reminds the children that chemical
sunscreens are most effective when
applied:
1. Immediately before swimming
2.15 minutes before exposure to the
sun
3. Informing the client that this is normal
3. Immediately before exposure to the
Rationale:
sun
Mafenideacetateis bacteriostatic forgram-negativeandgram-positive organisms
4. At least 30 minutes before
and is used to treatburns to reducebacteria present in avascular tissues.
exposure to the sun
Theclient should be informed that themedication will cause local discomfort
5. 5.) Mafenide acetate (Sulfamylon) is and burningand that this is a normal reaction; therefore options 1, 2, and 4 are
prescribed for the client with a burn incorrect
injury. When applying the medication,
the client complains of local
discomfort and burning. Which of the
following is the most appropriate
nursing action?
1. Notifying the registered nurse
2. Discontinuing the medication
3. Informing the client that this is
normal
4. Applying a thinner film than
prescribed to the burn site
,
, 1. Hyperven
6. 6.) The burn client is receiving
tilation Rationale:
treatments of topical mafenide
Mafenideacetate is a carbonic anhydraseinhibitor andcan suppress
acetate(Sulfamylon) tothe site of
renalexcretion of acid, thereby causing acidosis. Clients receiving this
injury. The nurse monitors the client,
treatment should be monitored for signs of an acid-base imbalance
knowing that which of the following
(hyperventilation). If this occurs, the medication should be discontinued for 1 to
indicates that a systemic effect has
2 days. Options 3 and 4 describe local ratherthan systemic effects. An
occurred? 1.Hyperventilation
elevated blood pressuremay be expected from the pain that occurs with a
2.Elevated blood
burn injury.
pressure 3.Local pain at
the burn site 4.Local
rash at the burn site 2. Triglyceride level
Rationale:
7. 7.) Isotretinoin is prescribed for a client
Isotretinoin can elevate triglyceride levels. Blood triglyceride levels should be
with severe acne. Before the measured before treatment and periodically thereafter until the effect on the
administration of this medication, the triglycerides has been evaluated. Options 1, 3, and 4 do not need to be
nurse anticipates that which laboratory monitored specifically during this treatment.
test will be prescribed?
1. Platelet count
2.Triglyceride level
3.Complete blood count 1. Vita
4. White blood cell count min A
Rationale:
8. 8.) A client with severe acne is seen in Isotretinoinis ametabolite of vitamin Aand
the clinic and the health care provider canproducegeneralizedintensification of isotretinoin toxicity. Because of the
(HCP) prescribes isotretinoin. The nurse potential for increased toxicity, vitamin A supplementsshould be discontinued
reviews the client's medication record beforeisotretinointherapy.Options 2, 3, and 4 are not contraindicated with the
and would contact the (HCP) if the use of isotretinoin.
client is taking which medication?
1. Vitamin A
2. Digoxin (Lanoxin)
3. Furosemide (Lasix)
4. Phenytoin (Dilantin)
2. Axilla
9. 9.) The nurse is applying a topical Rationale
corticosteroid to a client with eczema. :
The nurse would monitor for the Topicalcorticosteroids can beabsorbedinto the systemic circulation. Absorption
potential for increased systemic is higher from regions where the skin is especially permeable (scalp, axilla,
absorption of the medication if the face, eyelids, neck, perineum, genitalia), and lower from regions in which
medication were being applied to permeability is poor (back, palms, soles).
which of the following body areas?
1. Back
2.Axilla
3. Soles of the feet
4. Palms of the hands
1. A
10. 10.) The clinic nurse is performing an cne
admission assessment on a client. The Rationale
nurse notes that the client is taking :
azelaic acid (Azelex). Because of the Azelaic acid is a topical medication used to treat mild to moderate acne. The
medication prescription, the nurse acid appears to work by suppressing the growth of Propionibacterium acnes
would suspect that the client is being and decreasing the proliferation of keratinocytes. Options 2, 3, and 4
treated for: areincorrect.
1. Acne
2.Eczema
3.Hair loss
4. Herpes simplex