A Pharmacology Proctored ATI, ATI
Pharmacology Proctored Review
Acetazolamide - CORRECT ANSWER ✅✅✅Non-antimicrobial sulphonamide
which can be used as an emergency medication prior to surgery for acute angle-
closure glaucoma
Can also treat acute mountain sickness, seizures, and heart failure
*Ask about sulfonamide allergy*
Lithium levels should be monitored regularly if taking this medication
Question clients about use of sodium bicarbonate and OTC antacids
Teach clients who are taking phenytoin to watch for bone pain or weakness
Diagnostic test to undergo when on long term use of prednisone - CORRECT
ANSWER ✅✅✅Bone density scans
What to drink when on Furosemide - CORRECT ANSWER ✅✅✅Milk to reduce
gastric irritation
Acetazolamide for chronic open angle glaucoma adverse effect - CORRECT
ANSWER ✅✅✅Tingling of fingers
Atropine eye drops adverse effect - CORRECT ANSWER ✅✅✅Blurred vision
Trimethrompin/Sulfamethoxazole teaching - CORRECT ANSWER ✅✅✅Drink 8-
10 glasses of water daily
Test to get before administering Clozapine for schizo - CORRECT ANSWER
✅✅✅Total cholesterol because it can cause hyperlipidemia
Medication that is contraindicated in pregnancy - CORRECT ANSWER
✅✅✅Doxycycline
Medication that can interfere with effectiveness of birth control - CORRECT
ANSWER ✅✅✅Carbamazepine
Ketorolac can cause... - CORRECT ANSWER ✅✅✅Bruising
Meds that treat TB - CORRECT ANSWER ✅✅✅Rifampin
Isoniazid
Zolpidem - CORRECT ANSWER ✅✅✅Used for short term insomnia
,Diltiazem - CORRECT ANSWER ✅✅✅A calcium channel blocker
Adverse effect: shortness of breath
Helps promote absorption of ferrous sulfate - CORRECT ANSWER ✅✅✅Orange
juice
Sumatriptan Adverse Effect - CORRECT ANSWER ✅✅✅Chest pressure
Warfarin Adverse Effect - CORRECT ANSWER ✅✅✅Bleeding gums
Ciprofloxacin Contraindication - CORRECT ANSWER ✅✅✅Tendonitis due to
tendon rupture
Guaifenesin for upper respiratory infection teaching - CORRECT ANSWER
✅✅✅Increase fluid intake to at least 2L each day while taking this medication
Simvastatin Teaching - CORRECT ANSWER ✅✅✅Report muscle pain to
provider
Avoid grapefruit juice
Expect therapy to be lifelong
Dopamine - CORRECT ANSWER ✅✅✅Increases cardiac output and improves
perfusion
Lisinopril A/E - CORRECT ANSWER ✅✅✅Dry cough from a build up of
bradykinin
Fetanyl patches for end of life care - CORRECT ANSWER ✅✅✅Take a stool
softener on a daily basis
(Constipation is a side effect of opioid use)
Special Considerations for Older Adults who are taking anticoagulants or who have
fragile veins - CORRECT ANSWER ✅✅✅Avoid tourniquets. Use a blood
pressure cuff
Do NOT slap the extremity to visualize veins
Instruct to hold hand BELOW level of the heart
Avoid using the back of the hand
Selecting a vein - CORRECT ANSWER ✅✅✅Distal veins on the nondominant
hand
Resilient with a soft, bouncy feeling
Tetracycline teaching - CORRECT ANSWER ✅✅✅Instruct client not to take
within 2 hours of consuming dairy products, especially milk
Morphine should be used cautiously in... - CORRECT ANSWER ✅✅✅People
who have asthma or impaired respiratory function
, Administering medications to an infant considerations - CORRECT ANSWER
✅✅✅Immature immune function
Blood brain barrier is poorly developed
Ability to absorb topical medications is increased
Immunization that can be given to a pregnant women - CORRECT ANSWER
✅✅✅Inactivated flu vaccine
Hepatic Function in older adults - CORRECT ANSWER ✅✅✅Have decreased
hepatic function, which may prolong the effects of medications metabolized in the
liver. Side effects may last longer
Diazepam Contraindications - CORRECT ANSWER ✅✅✅Clients who have
sleep apnea, respiratory depression, and/or glaucoma
Use cautiously in clients who have liver disease and/or history of mental illness or a
substance use disorder
Buspirone (Buspar) SNRI antidepressant - CORRECT ANSWER
✅✅✅Antianxiety med
Does not result in sedation or potentiate the effects of other CNS depressants
Dependency is much less likely
Advise client to take with food to decrease nausea
Avoid use of antimicrobial agents
Avoid herbal preparations containing St Johns
Avoid grapefruit juice
Contraindicated for concurrent use with an MAOI or for 14 days after MAOIs are
discontinued
May take up to 3 weeks to notice effectiveness
SSRI Antidepressant - CORRECT ANSWER ✅✅✅Paroxetine (Paxil), Sertraline
(Zoloft), Fluoxetine (Prozac)
A time frame of up to 4 weeks is necessary to produce therapeutic medication levels
Sexual dysfunction is common
CNS stimulant so inability to sleep, agitation, and anxiety are common findings
Contraindications: use of MAOIs or TCAs
Can cause SEROTONIN SYNDROME- agitation, difficulty concentrating, anxiety,
hallucinations, hyperreflexia, incoordination, tremors, fever, diaphoresis
Usually occurs 2-72 hours after initiation
Do NOT discontinue abruptly!
Pharmacology Proctored Review
Acetazolamide - CORRECT ANSWER ✅✅✅Non-antimicrobial sulphonamide
which can be used as an emergency medication prior to surgery for acute angle-
closure glaucoma
Can also treat acute mountain sickness, seizures, and heart failure
*Ask about sulfonamide allergy*
Lithium levels should be monitored regularly if taking this medication
Question clients about use of sodium bicarbonate and OTC antacids
Teach clients who are taking phenytoin to watch for bone pain or weakness
Diagnostic test to undergo when on long term use of prednisone - CORRECT
ANSWER ✅✅✅Bone density scans
What to drink when on Furosemide - CORRECT ANSWER ✅✅✅Milk to reduce
gastric irritation
Acetazolamide for chronic open angle glaucoma adverse effect - CORRECT
ANSWER ✅✅✅Tingling of fingers
Atropine eye drops adverse effect - CORRECT ANSWER ✅✅✅Blurred vision
Trimethrompin/Sulfamethoxazole teaching - CORRECT ANSWER ✅✅✅Drink 8-
10 glasses of water daily
Test to get before administering Clozapine for schizo - CORRECT ANSWER
✅✅✅Total cholesterol because it can cause hyperlipidemia
Medication that is contraindicated in pregnancy - CORRECT ANSWER
✅✅✅Doxycycline
Medication that can interfere with effectiveness of birth control - CORRECT
ANSWER ✅✅✅Carbamazepine
Ketorolac can cause... - CORRECT ANSWER ✅✅✅Bruising
Meds that treat TB - CORRECT ANSWER ✅✅✅Rifampin
Isoniazid
Zolpidem - CORRECT ANSWER ✅✅✅Used for short term insomnia
,Diltiazem - CORRECT ANSWER ✅✅✅A calcium channel blocker
Adverse effect: shortness of breath
Helps promote absorption of ferrous sulfate - CORRECT ANSWER ✅✅✅Orange
juice
Sumatriptan Adverse Effect - CORRECT ANSWER ✅✅✅Chest pressure
Warfarin Adverse Effect - CORRECT ANSWER ✅✅✅Bleeding gums
Ciprofloxacin Contraindication - CORRECT ANSWER ✅✅✅Tendonitis due to
tendon rupture
Guaifenesin for upper respiratory infection teaching - CORRECT ANSWER
✅✅✅Increase fluid intake to at least 2L each day while taking this medication
Simvastatin Teaching - CORRECT ANSWER ✅✅✅Report muscle pain to
provider
Avoid grapefruit juice
Expect therapy to be lifelong
Dopamine - CORRECT ANSWER ✅✅✅Increases cardiac output and improves
perfusion
Lisinopril A/E - CORRECT ANSWER ✅✅✅Dry cough from a build up of
bradykinin
Fetanyl patches for end of life care - CORRECT ANSWER ✅✅✅Take a stool
softener on a daily basis
(Constipation is a side effect of opioid use)
Special Considerations for Older Adults who are taking anticoagulants or who have
fragile veins - CORRECT ANSWER ✅✅✅Avoid tourniquets. Use a blood
pressure cuff
Do NOT slap the extremity to visualize veins
Instruct to hold hand BELOW level of the heart
Avoid using the back of the hand
Selecting a vein - CORRECT ANSWER ✅✅✅Distal veins on the nondominant
hand
Resilient with a soft, bouncy feeling
Tetracycline teaching - CORRECT ANSWER ✅✅✅Instruct client not to take
within 2 hours of consuming dairy products, especially milk
Morphine should be used cautiously in... - CORRECT ANSWER ✅✅✅People
who have asthma or impaired respiratory function
, Administering medications to an infant considerations - CORRECT ANSWER
✅✅✅Immature immune function
Blood brain barrier is poorly developed
Ability to absorb topical medications is increased
Immunization that can be given to a pregnant women - CORRECT ANSWER
✅✅✅Inactivated flu vaccine
Hepatic Function in older adults - CORRECT ANSWER ✅✅✅Have decreased
hepatic function, which may prolong the effects of medications metabolized in the
liver. Side effects may last longer
Diazepam Contraindications - CORRECT ANSWER ✅✅✅Clients who have
sleep apnea, respiratory depression, and/or glaucoma
Use cautiously in clients who have liver disease and/or history of mental illness or a
substance use disorder
Buspirone (Buspar) SNRI antidepressant - CORRECT ANSWER
✅✅✅Antianxiety med
Does not result in sedation or potentiate the effects of other CNS depressants
Dependency is much less likely
Advise client to take with food to decrease nausea
Avoid use of antimicrobial agents
Avoid herbal preparations containing St Johns
Avoid grapefruit juice
Contraindicated for concurrent use with an MAOI or for 14 days after MAOIs are
discontinued
May take up to 3 weeks to notice effectiveness
SSRI Antidepressant - CORRECT ANSWER ✅✅✅Paroxetine (Paxil), Sertraline
(Zoloft), Fluoxetine (Prozac)
A time frame of up to 4 weeks is necessary to produce therapeutic medication levels
Sexual dysfunction is common
CNS stimulant so inability to sleep, agitation, and anxiety are common findings
Contraindications: use of MAOIs or TCAs
Can cause SEROTONIN SYNDROME- agitation, difficulty concentrating, anxiety,
hallucinations, hyperreflexia, incoordination, tremors, fever, diaphoresis
Usually occurs 2-72 hours after initiation
Do NOT discontinue abruptly!
