ati pharm proctored exam study test
revision questions with complete guide
An immunizing agent that confers active immunity protects by: - ANSproviding
antibodies obtained from immune humans or animals.
Antacids should be given one hour apart from most other drugs. Which is the rationale?
- ANSAntacids may interfere with absorption of drugs taken at the same time.
Vancomycin should not be used to treat minor infections because it: - ANScan cause
"red man syndrome", a hypertensive crisis that is almost always fatal.
The antagonist for a client who has overdosed on morphine is: - ANSnarcan.
The most serious adverse reaction to oral contraceptives is: - ANSthromboembolism.
When a client develops tolerance to a drug, the nurse would expect: - ANShigher dose
needed to achieve same effect.
Antihyperglycemic agents are prescribed for clients with: - ANSType 2 diabetes
mellitus.
The nurse assesses a client shortly after an intravenous infusion of the osmotic diuretic
mannitol is started. Which finding represents an early adverse effect of mannitol? -
ANSBounding pulse
Compared to other beta adrenergic blockers, cardioselective beta adrenergic blockers: -
ANSare less likely to cause bronchoconstriction.
A client who experiences motion sickness during airplane flights obtains a prescription
for meclizine (Antivert). When is the best time to take the drug? - ANSOne hour before
the flight
,Before prescribing a cephalosporin, the nurse practitioner asks if the client is allergic to
penicillin. Why is this important to assess? - ANSA client who is allergic to penicillin
can have a cross sensitivity to cephalosporins.
The use of which class of antibiotics should be avoided in children? -
ANSTetracyclines because it can permantely stain teeth
In a walk-in clinic, clients are often given intramuscular injections. Which drug should be
readily available in case a client has an anaphylactic reaction? - ANSEpinephrine
Thiazide and loop (high ceiling) diuretics are similar in that both: - ANSdecrease
tubular reabsorption of sodium and water.
Which of the statements by the nurse most accurately describes the effects of declined
plasma albumin levels in older adults? - ANS"There is an increased risk for adverse
effects."
To prevent oral fungal infections, the nurse should instruct the client who uses a
beclomethasone inhaler to take which action? - ANSRinse the mouth after each use.
A client takes ethinyl estradiol/norgestimate (Ortho Tri-Cyclen) birth control pills. She
calls the clinic and relates that she missed her medication yesterday. Which instructions
will the nurse give? - ANS"Take two pills today then continue on a daily basis."
The nurse may administer acetylcysteine (Mucomyst) inhalation to: - ANSbreak up
thick mucus and facilitate mucus expectoration.
Development of a chronic cough is an adverse effect associated with which class of
anti-hypertensive drugs? - ANSAngiotensin converting enzyme (ACE) inhibitors
The nurse may administer baclofen (Lioresal) for the treatment of which condition? -
ANSProtracted muscle spasticity
Oral diazepam (Valium), a benzodiazepine, has been prescribed for a client who has
anxiety and muscle spasms. Which nursing intervention is appropriate for the care of
this client? - ANSAssess for incoordination and daytime drowsiness.
The nurse practitioner prescribed anhydrous theophylline (Theo-Dur) for the client with
chronic bronchitis. With which disorder would the nurse practitioner reconsider the use
, of this medication? - ANSHypertension bc this drug can in turn worsening the
hypertension
When a client is receiving intravenous fluid with supplementary potassium chloride, it is
especially important for the nurse to monitor for which potential adverse effect? -
ANSCardiac dsyrhythmias
Which adverse effect is common for a client being treated with the antidepressant
fluoxetine (Prozac)? - ANSSexual dysfunction
After giving a dose of dextromethorphan, an antitussive, which data reflects evaluation
of the drug's effectiveness? - ANSClient states that cough has been relieved.
Prior to giving a client a dose of digoxin, the nurse counts the apical pulse. If the rate is
62 bpm and regular, which is the appropriate nursing action? - ANSGive the drug and
document the heart rate.
Digoxin is started for a client with an atrial arrhythmia. Within three days, the client's
heart rate has decreased from 94 to 74. What action of digitalis explains this change? -
ANSSlowed impulse conduction
One mechanism by which antihypertensive drugs lower blood pressure is to: -
ANSdilate peripheral blood vessels.
There are many agents that are useful in the treatment of gastric ulcers. Which agent
reacts with hydrochloric acid to form a viscous protective barrier over the ulcer? -
ANSSucralfate (Carafate), drug class: protectants
A client whose asthma has been poorly controlled is prescribed cromolyn sodium (Intal)
for inhalation. Client teaching should include which statement by the nurse? -
ANS"Using this drug regularly will reduce the frequency of acute attacks."
The combination of aluminum and magnesium in many antacids decreases the risk of: -
ANSdiarrhea or constipation.
A client who is taking one daily dose of a thiazide diuretic should be instructed to: -
ANStake the medication in morning to avoid nighttime voiding.
Which phase of pharmacokinetics is affected most by abnormal liver function? -
ANSMetabolism
revision questions with complete guide
An immunizing agent that confers active immunity protects by: - ANSproviding
antibodies obtained from immune humans or animals.
Antacids should be given one hour apart from most other drugs. Which is the rationale?
- ANSAntacids may interfere with absorption of drugs taken at the same time.
Vancomycin should not be used to treat minor infections because it: - ANScan cause
"red man syndrome", a hypertensive crisis that is almost always fatal.
The antagonist for a client who has overdosed on morphine is: - ANSnarcan.
The most serious adverse reaction to oral contraceptives is: - ANSthromboembolism.
When a client develops tolerance to a drug, the nurse would expect: - ANShigher dose
needed to achieve same effect.
Antihyperglycemic agents are prescribed for clients with: - ANSType 2 diabetes
mellitus.
The nurse assesses a client shortly after an intravenous infusion of the osmotic diuretic
mannitol is started. Which finding represents an early adverse effect of mannitol? -
ANSBounding pulse
Compared to other beta adrenergic blockers, cardioselective beta adrenergic blockers: -
ANSare less likely to cause bronchoconstriction.
A client who experiences motion sickness during airplane flights obtains a prescription
for meclizine (Antivert). When is the best time to take the drug? - ANSOne hour before
the flight
,Before prescribing a cephalosporin, the nurse practitioner asks if the client is allergic to
penicillin. Why is this important to assess? - ANSA client who is allergic to penicillin
can have a cross sensitivity to cephalosporins.
The use of which class of antibiotics should be avoided in children? -
ANSTetracyclines because it can permantely stain teeth
In a walk-in clinic, clients are often given intramuscular injections. Which drug should be
readily available in case a client has an anaphylactic reaction? - ANSEpinephrine
Thiazide and loop (high ceiling) diuretics are similar in that both: - ANSdecrease
tubular reabsorption of sodium and water.
Which of the statements by the nurse most accurately describes the effects of declined
plasma albumin levels in older adults? - ANS"There is an increased risk for adverse
effects."
To prevent oral fungal infections, the nurse should instruct the client who uses a
beclomethasone inhaler to take which action? - ANSRinse the mouth after each use.
A client takes ethinyl estradiol/norgestimate (Ortho Tri-Cyclen) birth control pills. She
calls the clinic and relates that she missed her medication yesterday. Which instructions
will the nurse give? - ANS"Take two pills today then continue on a daily basis."
The nurse may administer acetylcysteine (Mucomyst) inhalation to: - ANSbreak up
thick mucus and facilitate mucus expectoration.
Development of a chronic cough is an adverse effect associated with which class of
anti-hypertensive drugs? - ANSAngiotensin converting enzyme (ACE) inhibitors
The nurse may administer baclofen (Lioresal) for the treatment of which condition? -
ANSProtracted muscle spasticity
Oral diazepam (Valium), a benzodiazepine, has been prescribed for a client who has
anxiety and muscle spasms. Which nursing intervention is appropriate for the care of
this client? - ANSAssess for incoordination and daytime drowsiness.
The nurse practitioner prescribed anhydrous theophylline (Theo-Dur) for the client with
chronic bronchitis. With which disorder would the nurse practitioner reconsider the use
, of this medication? - ANSHypertension bc this drug can in turn worsening the
hypertension
When a client is receiving intravenous fluid with supplementary potassium chloride, it is
especially important for the nurse to monitor for which potential adverse effect? -
ANSCardiac dsyrhythmias
Which adverse effect is common for a client being treated with the antidepressant
fluoxetine (Prozac)? - ANSSexual dysfunction
After giving a dose of dextromethorphan, an antitussive, which data reflects evaluation
of the drug's effectiveness? - ANSClient states that cough has been relieved.
Prior to giving a client a dose of digoxin, the nurse counts the apical pulse. If the rate is
62 bpm and regular, which is the appropriate nursing action? - ANSGive the drug and
document the heart rate.
Digoxin is started for a client with an atrial arrhythmia. Within three days, the client's
heart rate has decreased from 94 to 74. What action of digitalis explains this change? -
ANSSlowed impulse conduction
One mechanism by which antihypertensive drugs lower blood pressure is to: -
ANSdilate peripheral blood vessels.
There are many agents that are useful in the treatment of gastric ulcers. Which agent
reacts with hydrochloric acid to form a viscous protective barrier over the ulcer? -
ANSSucralfate (Carafate), drug class: protectants
A client whose asthma has been poorly controlled is prescribed cromolyn sodium (Intal)
for inhalation. Client teaching should include which statement by the nurse? -
ANS"Using this drug regularly will reduce the frequency of acute attacks."
The combination of aluminum and magnesium in many antacids decreases the risk of: -
ANSdiarrhea or constipation.
A client who is taking one daily dose of a thiazide diuretic should be instructed to: -
ANStake the medication in morning to avoid nighttime voiding.
Which phase of pharmacokinetics is affected most by abnormal liver function? -
ANSMetabolism
