ATI Pharmacology PN Exam Questions
and Answers Top Graded 2024-2025
What are specific considerations for adult clients, clients who are taking anticoagulants,
and clients who have fragile veins? -Correct Answer ✔- avoiding tourniquets, using BP
cuff to visualize.
- no slapping
- hold their hand below the heart.
- avoid using the back of the hand
- avoid rigorous friction while cleaning site.
An IV that is pale, has local swelling, decreased skin temperature around the site, damp
dressing and slowed infusion is what complication? -Correct Answer ✔Infiltration
What is the treatment for infiltrated IV? -Correct Answer ✔- Stop the infusion and
remove catheter
- elevate extremity
- encourage ROM
- apply a cold or warm compress depending on the solution infiltrated.
- check with the provider to determine whether they still need IV therapy.
An IV is painful, burning, red and swelling what complication is occurring? -Correct
Answer ✔Extravasation (infiltration of vesicant)
what is the treatment for extravasation? -Correct Answer ✔- Stop the infusion and notify
the provider
- follow facility protocol. (withdrawing the vesicant solution from the IV access and
infusing an antidote through catheter before removal.
- repeated treatment for infiltration.
A pt receiving IV solutions begins appearing with distended neck veins, hypertension,
tachycardia, SOB, crackles in lungs, and edema what complication is occurring? -
Correct Answer ✔Fluid overload
What is the treatment for fluid overload? -Correct Answer ✔- Slow IV rate or stop.
- raise HOB
- monitor VS & O2
- Adjust the rate after correcting fluid.
- anticipate administering diuretics
A pt with an IV appears edematous, erythema, throbbing, burning, or pain at the site,
increased skin temperature, red line, and slowed infusion
ATI Pharmacology - PN
,ATI Pharmacology - PN
are s/s of what IV complication? -Correct Answer ✔Phlebitis/thrombophlebitis
what treatments are there for phlebitis/thrombophlebitis? -Correct Answer ✔- promptly
d/c the infusion and remove the catheter.
- elevate extremity
- apply a cold compress to minimize flow of blood, then warm to increase circulation.
- restart if needed.
- obtain a specimen for culture at site.
What are some ways to prevent thrombophlebitis? -Correct Answer ✔- Rotate sites at
least every 72 hours according to facility policy.
- Monitory IV sites using phlebitis scale
- avoid lower extremities
- use hand hygiene
- use surgical aseptic technique.
what type of medication would put a patient at risk for seizures and precautions should
be taken. -Correct Answer ✔Central nervous system stimulation
what type of medication would require a patient to do not drive, operate heavy
machinery, or participate in other activities can be dangerous. -Correct Answer
✔Central nervous system depression
what type of medications will require clients to increase fluids for their dry mouth, wear
sunglasses for photophobia, maintaining urinary habits, and avoid overheating. -Correct
Answer ✔Anticholinergic drugs
What type of medications would make clients monitor for indications of orthostatic
hypotension (lightheadedness, dizziness). -Correct Answer ✔Cardiovascular
medications
A nurse should do what when giving medications that can create hepatoxicity? -Correct
Answer ✔- monitoring AST and ALT
- n/v
- jaundice
- dark urine
- abdominal discomfort
- anorexia
Primarily with acetaminophen.
What should the nurse monitor for drugs that cause nephrotoxicity? -Correct Answer
✔Primarily result of antimicrobial agents and NSAIDs.
- monitor creatinine and BUN
- peak and trough
ATI Pharmacology - PN
, ATI Pharmacology - PN
Acyclovir, ahminoglycosides, cyclosporine, NSAIDs, amphotericin B are all medications
that can cause what? -Correct Answer ✔Nephrotoxicity
Clients taking MAOIs should avoid food with what in it? -Correct Answer ✔Tyramine
(cheese and processed meat)
Clients taking tetracycline can interact with what? -Correct Answer ✔Chelating agent in
milk. Should not take tetracycline within 2 hr of consuming dairy products.
What kind of car does -pam drive?
Diazepam, Lorazempam, Chlordiazepoxide, Clonazepam. -Correct Answer
✔Benzodiazepines: Sedative Hypnotic Anxiolytics
What class of medication inhibits effects of gamma-aminobutyric acid (GABA) in the
CNS. Short term use due to dependence potential. -Correct Answer ✔Benzodiazepines
What are complications when dealing with Benzodiazepines? -Correct Answer ✔- CNS
depression
- anterograde amnesia
- toxicity
- administer flumazenil for to counteract sedation and reverse adverse effects.
- monitor VS
- maintain patent airway
-maintain fluids for BP.
are nursing actions for what drug class? -Correct Answer ✔Benzodiazepines
- Insomnia
- excitation
- euphoria
- anxiety
- rage
are s/s of what response? -Correct Answer ✔Paradoxical response to benzodiazepines
- anxiety
- insomnia
- diaphoresis
- tremors
- lighteheadedness
- delirium
- HTN
- muscle twitching
ATI Pharmacology - PN