ATI PN PHARMACOLOGY PROCTORED REAL FINAL EXAM WITH
DETAILED UESTIONS AND VERIFIED ANSWERS WITH RATIONALE
ALREADY A+ GRADED
Patient identifiers
-Medical record number
-home telephone number
What lab values should a nurse monitor for a patient with chronic renal failure?
■ 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?
-increased amounts of potassium-rich foods (e.g., bananas, prunes, raisins, and orange juice)
Patient reports IV discomfort, what is your first action?
color and temperature
Sumatriptan (treats migraine headaches) adverse effect
pain, tightness, pressure, or heaviness in the chest, throat, neck, and/or jaw
slow or difficult speech
Know about Transdermal patch
-• 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
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?
-they don't cure disease, they slow the process.
NEUPOGEN (filgrastim)-what is the appropriate route of this med?
administered by subcutaneous injection or IV infusion
, Lisinopril therapeutic effect
blood pressure answer (e.g. 120/80)
Medication for Schizophrenia
risperidone, Risperdal
Macrodantin medication
used to treat or prevent certain urinary tract infections
Haldol-inform if you are taking ____________ medication.
-benzodiazepine class of anti-anxiety drugs (all ending with "pam") and even, Xanax.
Fosomax
same as-Alendronate is used for treating osteoporosis in men and postmenopausal women.
Lipitor
- HDL lowers cholesterol in blood, "statins". Reduce LDL and total cholesterol. Raise.
Garamycin-
DETAILED UESTIONS AND VERIFIED ANSWERS WITH RATIONALE
ALREADY A+ GRADED
Patient identifiers
-Medical record number
-home telephone number
What lab values should a nurse monitor for a patient with chronic renal failure?
■ 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?
-increased amounts of potassium-rich foods (e.g., bananas, prunes, raisins, and orange juice)
Patient reports IV discomfort, what is your first action?
color and temperature
Sumatriptan (treats migraine headaches) adverse effect
pain, tightness, pressure, or heaviness in the chest, throat, neck, and/or jaw
slow or difficult speech
Know about Transdermal patch
-• 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
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?
-they don't cure disease, they slow the process.
NEUPOGEN (filgrastim)-what is the appropriate route of this med?
administered by subcutaneous injection or IV infusion
, Lisinopril therapeutic effect
blood pressure answer (e.g. 120/80)
Medication for Schizophrenia
risperidone, Risperdal
Macrodantin medication
used to treat or prevent certain urinary tract infections
Haldol-inform if you are taking ____________ medication.
-benzodiazepine class of anti-anxiety drugs (all ending with "pam") and even, Xanax.
Fosomax
same as-Alendronate is used for treating osteoporosis in men and postmenopausal women.
Lipitor
- HDL lowers cholesterol in blood, "statins". Reduce LDL and total cholesterol. Raise.
Garamycin-
