1
ATI PN Pharmacology Proctored Exam
Review
Patient identifiers - -CORRECT ANSWER--✔️-Medical record number
-home telephone number
What lab values should a nurse monitor for a patient with chronic renal
failure? - -CORRECT ANSWER--✔️■ 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)
1
, 2
- Decreased hemoglobin
What food should you increase when taking Lasix? - -CORRECT
ANSWER--✔️-increased amounts of potassium-rich foods (e.g., bananas,
prunes, raisins, and orange juice)
Patient reports IV discomfort, what is your first action? - -CORRECT
ANSWER--✔️color and temperature
Sumatriptan (treats migraine headaches) adverse effect - -CORRECT
ANSWER--✔️pain, tightness, pressure, or heaviness in the chest, throat,
neck, and/or jaw
slow or difficult speech
Know about Transdermal patch - -CORRECT ANSWER--✔️-• 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.
2
, 3
• 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 - -CORRECT ANSWER--
✔️http://www.atitesting.com/ati_next_gen/FocusedReview/data/datacont
ext/RM%20AMS%20RN%208.0%20Chp%2044.pdf (prime with normal
saline and infuse with sodium chloride).
What to understand about Parkinson's Meds? - -CORRECT ANSWER--✔️-
they don't cure disease, they slow the process.
NEUPOGEN (filgrastim)-what is the appropriate route of this med? - -
CORRECT ANSWER--✔️administered by subcutaneous injection or IV
infusion
Lisinopril therapeutic effect - -CORRECT ANSWER--✔️blood pressure
answer (e.g. 120/80)
Medication for Schizophrenia - -CORRECT ANSWER--✔️risperidone,
Risperdal
Macrodantin medication - -CORRECT ANSWER--✔️used to treat or
prevent certain urinary tract infections
3
, 4
Haldol-inform if you are taking ____________ medication. - -CORRECT
ANSWER--✔️-benzodiazepine class of anti-anxiety drugs (all ending with
"pam") and even, Xanax.
Fosomax - -CORRECT ANSWER--✔️same as-Alendronate is used for
treating osteoporosis in men and postmenopausal women.
Lipitor - -CORRECT ANSWER--✔️-lowers cholesterol in blood, "statins".
Reduce LDL and total cholesterol. Raise HDL.
Garamycin- - -CORRECT ANSWER--✔️Antibiotic that is toxic to the
kidney, injected for radiology studies.
Digoxin side effects - -CORRECT ANSWER--✔️-Fatigue
-Bradycardia
-Anorexia
-Nausea/Vomiting
Singulair - -CORRECT ANSWER--✔️used before exercise to prevent
breathing problems during exercise (bronchospasm).
What medication to administer with Tylenol overdose? - -CORRECT
ANSWER--✔️acetylcysteine (Mucomyst) must be given IV
HPV vaccine - -CORRECT ANSWER--✔️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).
4
ATI PN Pharmacology Proctored Exam
Review
Patient identifiers - -CORRECT ANSWER--✔️-Medical record number
-home telephone number
What lab values should a nurse monitor for a patient with chronic renal
failure? - -CORRECT ANSWER--✔️■ 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)
1
, 2
- Decreased hemoglobin
What food should you increase when taking Lasix? - -CORRECT
ANSWER--✔️-increased amounts of potassium-rich foods (e.g., bananas,
prunes, raisins, and orange juice)
Patient reports IV discomfort, what is your first action? - -CORRECT
ANSWER--✔️color and temperature
Sumatriptan (treats migraine headaches) adverse effect - -CORRECT
ANSWER--✔️pain, tightness, pressure, or heaviness in the chest, throat,
neck, and/or jaw
slow or difficult speech
Know about Transdermal patch - -CORRECT ANSWER--✔️-• 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.
2
, 3
• 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 - -CORRECT ANSWER--
✔️http://www.atitesting.com/ati_next_gen/FocusedReview/data/datacont
ext/RM%20AMS%20RN%208.0%20Chp%2044.pdf (prime with normal
saline and infuse with sodium chloride).
What to understand about Parkinson's Meds? - -CORRECT ANSWER--✔️-
they don't cure disease, they slow the process.
NEUPOGEN (filgrastim)-what is the appropriate route of this med? - -
CORRECT ANSWER--✔️administered by subcutaneous injection or IV
infusion
Lisinopril therapeutic effect - -CORRECT ANSWER--✔️blood pressure
answer (e.g. 120/80)
Medication for Schizophrenia - -CORRECT ANSWER--✔️risperidone,
Risperdal
Macrodantin medication - -CORRECT ANSWER--✔️used to treat or
prevent certain urinary tract infections
3
, 4
Haldol-inform if you are taking ____________ medication. - -CORRECT
ANSWER--✔️-benzodiazepine class of anti-anxiety drugs (all ending with
"pam") and even, Xanax.
Fosomax - -CORRECT ANSWER--✔️same as-Alendronate is used for
treating osteoporosis in men and postmenopausal women.
Lipitor - -CORRECT ANSWER--✔️-lowers cholesterol in blood, "statins".
Reduce LDL and total cholesterol. Raise HDL.
Garamycin- - -CORRECT ANSWER--✔️Antibiotic that is toxic to the
kidney, injected for radiology studies.
Digoxin side effects - -CORRECT ANSWER--✔️-Fatigue
-Bradycardia
-Anorexia
-Nausea/Vomiting
Singulair - -CORRECT ANSWER--✔️used before exercise to prevent
breathing problems during exercise (bronchospasm).
What medication to administer with Tylenol overdose? - -CORRECT
ANSWER--✔️acetylcysteine (Mucomyst) must be given IV
HPV vaccine - -CORRECT ANSWER--✔️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).
4
