ATI CAPSTONE PHARMACOLOGY ACTUAL FINAL EXAMS
QUESTIONS AND ANSWERS SURE A+
✔✔1 puff MDI, 2 puff albuterol, what is the correct order - ✔✔have pt take one puff of
albuterol
pt rests for one min
take 2nd puff of albuterol
have pt rest for 5 min
have pt take one puff of fluticasone
✔✔a nurse is teaching a pt who will start methimazole for hyperthyroidism, what
indicates understanding? - ✔✔i will contact the provider if my throat becomes sore
(potential for agranulocytosis, notify provider immediately if fever, sore throat, or other
indications of infection)
✔✔a nurse is taching a pt who has prostate cancer and a new prescription for
leuprolide, explain how it treats prostate cancer - ✔✔decreases the production of
testosterone
(initial increase, then desensitization and decrease in testosterone production)
✔✔a nurse is caring for apt with difficulty voiding following surgery, nurse notes a
palpable bladder distention, what med should the nurse administer - ✔✔bethanechol
(for nonobstructive urinary retention)
✔✔a nurse is preparing to admin meds to a client who has type 1 diabetes mellitus, the
client receives multiple oral meds, takes lispro insulin, he is starting to take pramlintide,
what actions should the nurse take? - ✔✔monitor for hypoglycemia for 3 hours after
pramlintide administration
(take before meals along with lispro insulin)
✔✔a nurse is caring for a pt who has HIV and a prescription for delavirdine, the nurse
should monitor the pt for what manifestations as an AE of the med - ✔✔rash
(steven-Johnson sndrome)
✔✔a nurse is reviewing the health history of a pt who has migraine headaches and asks
about a prescription for sumatriptan, the nurse should identify what as a contraindication
for the med - ✔✔coronary artery disease
(can cause coronary vasospasm, ECG changes, hypertension)
, ✔✔a nurse is providing teaching to a client who has angina and a new prescription for
sublingual nitroglycerin tablets, what info should the nurse include - ✔✔store unused
tablets at room temp
(take one tablet every 5 mins, up to 3 tablets until pain resolves, call 911 after 1st tablet)
✔✔a nurse is caring for a client who has a systemic fungal infection and is receiving IV
amphotericin B deoxycholate, during previous infusions the pt developed a fever and
chills, what should the nurse take - ✔✔administer diphenhydramine prior to
administration
(admin an antipyretic, corticosteroid, antihistamine, or antiemetic prior to to minimize the
effects)
✔✔a nurse is providing discharge instructions to a pt who has a prescription for
omeprazole for the tx of GERD, what statement by the client indicates an understanding
of the teaching? - ✔✔the med reduces stomach acid
(suppressing production of gastric acid, reduces baseline acid level and blocks
production of all stimulated acid production within 2 hours of an oral dose)
✔✔a nurse is caring for a pt who has a prescription for HCTZ for the initial tx of
hypertension, what should the nurse recognize as the action of this med? - ✔✔HCTZ
decreases the reabsorption of sodium and water in the distal renal tubule
✔✔a nurse is teaching a client who is starting to take benzonatate, which of the
following statements by the pt indicates understanding? - ✔✔i should not drive while
taking this medication
(AE is sedation and dizziness)
✔✔a nurse is caring for a pt who reports using the herbal med garlic along with his
prescribed warfarin, the nurse should identify what is a potential AE of taking both of
these products concurrently? - ✔✔increased ecchymosis
(antiplatelet effects can increase bleeding)
✔✔a nurse is reviewing lab data for a pt who is taking niacin to correct plama lipid
levels, what lab findings should inidcate the nurse an AE of this therapy? - ✔✔elevated
ALT
(AE hepatotoxicity: incr ALT, AST, LDH)
QUESTIONS AND ANSWERS SURE A+
✔✔1 puff MDI, 2 puff albuterol, what is the correct order - ✔✔have pt take one puff of
albuterol
pt rests for one min
take 2nd puff of albuterol
have pt rest for 5 min
have pt take one puff of fluticasone
✔✔a nurse is teaching a pt who will start methimazole for hyperthyroidism, what
indicates understanding? - ✔✔i will contact the provider if my throat becomes sore
(potential for agranulocytosis, notify provider immediately if fever, sore throat, or other
indications of infection)
✔✔a nurse is taching a pt who has prostate cancer and a new prescription for
leuprolide, explain how it treats prostate cancer - ✔✔decreases the production of
testosterone
(initial increase, then desensitization and decrease in testosterone production)
✔✔a nurse is caring for apt with difficulty voiding following surgery, nurse notes a
palpable bladder distention, what med should the nurse administer - ✔✔bethanechol
(for nonobstructive urinary retention)
✔✔a nurse is preparing to admin meds to a client who has type 1 diabetes mellitus, the
client receives multiple oral meds, takes lispro insulin, he is starting to take pramlintide,
what actions should the nurse take? - ✔✔monitor for hypoglycemia for 3 hours after
pramlintide administration
(take before meals along with lispro insulin)
✔✔a nurse is caring for a pt who has HIV and a prescription for delavirdine, the nurse
should monitor the pt for what manifestations as an AE of the med - ✔✔rash
(steven-Johnson sndrome)
✔✔a nurse is reviewing the health history of a pt who has migraine headaches and asks
about a prescription for sumatriptan, the nurse should identify what as a contraindication
for the med - ✔✔coronary artery disease
(can cause coronary vasospasm, ECG changes, hypertension)
, ✔✔a nurse is providing teaching to a client who has angina and a new prescription for
sublingual nitroglycerin tablets, what info should the nurse include - ✔✔store unused
tablets at room temp
(take one tablet every 5 mins, up to 3 tablets until pain resolves, call 911 after 1st tablet)
✔✔a nurse is caring for a client who has a systemic fungal infection and is receiving IV
amphotericin B deoxycholate, during previous infusions the pt developed a fever and
chills, what should the nurse take - ✔✔administer diphenhydramine prior to
administration
(admin an antipyretic, corticosteroid, antihistamine, or antiemetic prior to to minimize the
effects)
✔✔a nurse is providing discharge instructions to a pt who has a prescription for
omeprazole for the tx of GERD, what statement by the client indicates an understanding
of the teaching? - ✔✔the med reduces stomach acid
(suppressing production of gastric acid, reduces baseline acid level and blocks
production of all stimulated acid production within 2 hours of an oral dose)
✔✔a nurse is caring for a pt who has a prescription for HCTZ for the initial tx of
hypertension, what should the nurse recognize as the action of this med? - ✔✔HCTZ
decreases the reabsorption of sodium and water in the distal renal tubule
✔✔a nurse is teaching a client who is starting to take benzonatate, which of the
following statements by the pt indicates understanding? - ✔✔i should not drive while
taking this medication
(AE is sedation and dizziness)
✔✔a nurse is caring for a pt who reports using the herbal med garlic along with his
prescribed warfarin, the nurse should identify what is a potential AE of taking both of
these products concurrently? - ✔✔increased ecchymosis
(antiplatelet effects can increase bleeding)
✔✔a nurse is reviewing lab data for a pt who is taking niacin to correct plama lipid
levels, what lab findings should inidcate the nurse an AE of this therapy? - ✔✔elevated
ALT
(AE hepatotoxicity: incr ALT, AST, LDH)
