ATI PN Pharmacology Proctored Exam|Verified
Questions And Answers Graded A+
Patient identifiers - answers--Medical record number
-home telephone number
What lab values should a nurse monitor for a patient with chronic renal failure? - answers-■ Urinalysis
☐ Hematuria, proteinuria, and alterations in specific gravity
☐ Serum creatinine
- Gradual increase of 1 to 2 mg/dL per every 24 to 48 hr for acute renal
failure (ARF)
- Gradual increase over months to years for chronic renal failure (CRF)
exceeding 4 mg/dL
■ Blood urea nitrogen (BUN)
- 80 to 100 mg/dL within 1 week with ARF
- Gradual increase with elevated serum creatinine over months to years for
CRF
- 180-200 mg/dL with (CRF)
■ Serum electrolytes
- Decreased sodium (dilutional) and calcium, increased potassium,
phosphorus, and magnesium
■ Complete blood count (CBC)
- Decreased hemoglobin
What food should you increase when taking Lasix? - answers--increased amounts of potassium-rich
foods (e.g., bananas, prunes, raisins, and orange juice)
,Patient reports IV discomfort, what is your first action? - answers-color and temperature
Sumatriptan (treats migraine headaches) adverse effect - answers-pain, tightness, pressure, or heaviness
in the chest, throat, neck, and/or jaw
slow or difficult speech
Know about Transdermal patch - answers--• Apply at the same time once each day,
preferably in the morning. Keep patch on
for 12 to 14 hr each day.
• Remove the patch at night to reduce
the risk of developing tolerance to
nitroglycerin. Be medication-free a
minimum of 10 to 12 hr each day (usually
at night).
• Do not cut patches to ensure appropriate
dosage.
• Place the patch on a hairless area of skin
(chest, back, or abdomen) and rotate sites
to prevent skin irritation.
• Wash skin with soap and water and dry
thoroughly before applying new patch.
RBC Blood transfusion - answers-
http://www.atitesting.com/ati_next_gen/FocusedReview/data/datacontext/RM%20AMS%20RN%208.0
%20Chp%2044.pdf (prime with normal saline and infuse with sodium chloride).
What to understand about Parkinson's Meds? - answers--they don't cure disease, they slow the process.
,NEUPOGEN (filgrastim)-what is the appropriate route of this med? - answers-administered by
subcutaneous injection or IV infusion
Lisinopril therapeutic effect - answers-blood pressure answer (e.g. 120/80)
Medication for Schizophrenia - answers-risperidone, Risperdal
Macrodantin medication - answers-used to treat or prevent certain urinary tract infections
Haldol-inform if you are taking ____________ medication. - answers--benzodiazepine class of anti-
anxiety drugs (all ending with "pam") and even, Xanax.
Fosomax - answers-same as-Alendronate is used for treating osteoporosis in men and postmenopausal
women.
Lipitor - answers--lowers cholesterol in blood, "statins". Reduce LDL and total cholesterol. Raise HDL.
Garamycin- - answers-Antibiotic that is toxic to the kidney, injected for radiology studies.
Digoxin side effects - answers--Fatigue
-Bradycardia
-Anorexia
-Nausea/Vomiting
Singulair - answers-used before exercise to prevent breathing problems during exercise (bronchospasm).
What medication to administer with Tylenol overdose? - answers-acetylcysteine (Mucomyst) must be
given IV
, HPV vaccine - answers-Human Papilloma Virus (HPV2, HPV4) - -Three doses should be given over a 6
month
-interval for females at 11 to 12 years of age (minimum age is 9 years).
-The second dose should be administered 2 months after the first dose, and the third dose should be
administered 6 months after the first dose.
-HPV4 may be given to males starting at age 9 years of age.
Opioid toxicity-what to check first - answers-oxygen saturation
Valporic Acid lab - answers-liver
Lithium report immediately - answers-slurred speech
Prednisone report - answers-sore throat
Food to avoid when taking Lithium - answers--salty foods
-alcoholic beverages
Labs for patients taking hydrothiazide - answers-Periodic determination of serum electrolytes to detect
possible electrolyte imbalance should be done at appropriate intervals.
1) A nurse is caring for a client with hyperparathyroidism and notes that the client's serum calcium level
is 13 mg/dL. Which medication should the nurse prepare to administer as prescribed to the client?
1. Calcium chloride
2. Calcium gluconate
3. Calcitonin (Miacalcin)
4. Large doses of vitamin D - answers-3. Calcitonin (Miacalcin)
Rationale:
The normal serum calcium level is 8.6 to 10.0 mg/dL. This client is experiencing hypercalcemia. Calcium
gluconate and calcium chloride are medications used for the treatment of tetany, which occurs as a
result of acute hypocalcemia. In hypercalcemia, large doses of vitamin D need to be avoided. Calcitonin,
Questions And Answers Graded A+
Patient identifiers - answers--Medical record number
-home telephone number
What lab values should a nurse monitor for a patient with chronic renal failure? - answers-■ Urinalysis
☐ Hematuria, proteinuria, and alterations in specific gravity
☐ Serum creatinine
- Gradual increase of 1 to 2 mg/dL per every 24 to 48 hr for acute renal
failure (ARF)
- Gradual increase over months to years for chronic renal failure (CRF)
exceeding 4 mg/dL
■ Blood urea nitrogen (BUN)
- 80 to 100 mg/dL within 1 week with ARF
- Gradual increase with elevated serum creatinine over months to years for
CRF
- 180-200 mg/dL with (CRF)
■ Serum electrolytes
- Decreased sodium (dilutional) and calcium, increased potassium,
phosphorus, and magnesium
■ Complete blood count (CBC)
- Decreased hemoglobin
What food should you increase when taking Lasix? - answers--increased amounts of potassium-rich
foods (e.g., bananas, prunes, raisins, and orange juice)
,Patient reports IV discomfort, what is your first action? - answers-color and temperature
Sumatriptan (treats migraine headaches) adverse effect - answers-pain, tightness, pressure, or heaviness
in the chest, throat, neck, and/or jaw
slow or difficult speech
Know about Transdermal patch - answers--• Apply at the same time once each day,
preferably in the morning. Keep patch on
for 12 to 14 hr each day.
• Remove the patch at night to reduce
the risk of developing tolerance to
nitroglycerin. Be medication-free a
minimum of 10 to 12 hr each day (usually
at night).
• Do not cut patches to ensure appropriate
dosage.
• Place the patch on a hairless area of skin
(chest, back, or abdomen) and rotate sites
to prevent skin irritation.
• Wash skin with soap and water and dry
thoroughly before applying new patch.
RBC Blood transfusion - answers-
http://www.atitesting.com/ati_next_gen/FocusedReview/data/datacontext/RM%20AMS%20RN%208.0
%20Chp%2044.pdf (prime with normal saline and infuse with sodium chloride).
What to understand about Parkinson's Meds? - answers--they don't cure disease, they slow the process.
,NEUPOGEN (filgrastim)-what is the appropriate route of this med? - answers-administered by
subcutaneous injection or IV infusion
Lisinopril therapeutic effect - answers-blood pressure answer (e.g. 120/80)
Medication for Schizophrenia - answers-risperidone, Risperdal
Macrodantin medication - answers-used to treat or prevent certain urinary tract infections
Haldol-inform if you are taking ____________ medication. - answers--benzodiazepine class of anti-
anxiety drugs (all ending with "pam") and even, Xanax.
Fosomax - answers-same as-Alendronate is used for treating osteoporosis in men and postmenopausal
women.
Lipitor - answers--lowers cholesterol in blood, "statins". Reduce LDL and total cholesterol. Raise HDL.
Garamycin- - answers-Antibiotic that is toxic to the kidney, injected for radiology studies.
Digoxin side effects - answers--Fatigue
-Bradycardia
-Anorexia
-Nausea/Vomiting
Singulair - answers-used before exercise to prevent breathing problems during exercise (bronchospasm).
What medication to administer with Tylenol overdose? - answers-acetylcysteine (Mucomyst) must be
given IV
, HPV vaccine - answers-Human Papilloma Virus (HPV2, HPV4) - -Three doses should be given over a 6
month
-interval for females at 11 to 12 years of age (minimum age is 9 years).
-The second dose should be administered 2 months after the first dose, and the third dose should be
administered 6 months after the first dose.
-HPV4 may be given to males starting at age 9 years of age.
Opioid toxicity-what to check first - answers-oxygen saturation
Valporic Acid lab - answers-liver
Lithium report immediately - answers-slurred speech
Prednisone report - answers-sore throat
Food to avoid when taking Lithium - answers--salty foods
-alcoholic beverages
Labs for patients taking hydrothiazide - answers-Periodic determination of serum electrolytes to detect
possible electrolyte imbalance should be done at appropriate intervals.
1) A nurse is caring for a client with hyperparathyroidism and notes that the client's serum calcium level
is 13 mg/dL. Which medication should the nurse prepare to administer as prescribed to the client?
1. Calcium chloride
2. Calcium gluconate
3. Calcitonin (Miacalcin)
4. Large doses of vitamin D - answers-3. Calcitonin (Miacalcin)
Rationale:
The normal serum calcium level is 8.6 to 10.0 mg/dL. This client is experiencing hypercalcemia. Calcium
gluconate and calcium chloride are medications used for the treatment of tetany, which occurs as a
result of acute hypocalcemia. In hypercalcemia, large doses of vitamin D need to be avoided. Calcitonin,
