lOMoARcPSD|166 089 97
lOMoARcPSD|166 089 97
Ati pharmacology proctored exam test bank 100 verifiedanswers
and all correct answers
Pharmacology I (Chamberlain University)
, lOMoARcPSD|166 089 97
ATI Pharmacology Proctored Test Bank
1. 1) A nurse is caring for a client with
3. Calcitonin (Miacalcin)
hyperparathyroidism and notes that
Rationale:
the client's serum calcium level is 13
The normal serum calcium level is 8.6 to 10.0 mg/dL. This client is experiencing
mg/dL. Which medication should the
hypercalcemia. Calcium gluconate and calcium chloride are medications used
nurse prepare to administer as
for the treatment of tetany, which occurs as a result of acute hypocalcemia. In
prescribed to the client?
hypercalcemia, large doses of vitamin D need to be avoided. Calcitonin, a
1. Calcium chloride
thyroid hormone, decreases the plasma calcium level by inhibiting bone
2.Calcium gluconate
resorption and lowering the serum calcium concentration.
3.Calcitonin (Miacalcin)
4. Large doses of vitamin D
4. Orange juice
2. 2.) Oral iron supplements are
Rationale:
prescribed for a 6-year-old child
Vitamin C increases the absorption of iron by the body. The mother should be
with iron de昀椀ciency anemia. The instructed to administer the medication with a citrus fruit or a juice that is
nurse instructs the mother to high in vitamin C. Milk may affect absorption of the iron. Water will not assist
administer the iron with which best in absorption. Orange juice contains a greater amount of vitamin C than apple
food item? juice.
1. Milk
2.Water
3.Apple juice
4. Orange juice 1. Tinnitus
3. 3.) Salicylic acid is prescribed for Rationale:
a client with a diagnosis of Salicylic acid is absorbed readily through the skin, and systemic toxicity (salicylism)
psoriasis. The nurse monitors the can result. Symptoms include tinnitus, dizziness, hyperpnea, and psychological
client, knowing that which of the disturbances. Constipation and diarrhea are not associated with salicylism.
following would indicate the
presence of systemic toxicity from
this medication?
1. Tinnitus
2.Diarrhea
4. At least 30 minutes before exposure to the
3.Constipation
sun Rationale:
4. Decreased respirations
Sunscreens are most effective when applied at least 30 minutes before
4. 4.) The camp nurse asks the exposure to the sun so that they can penetrate the skin. All sunscreens should
children preparing to swim in the be reapplied after swimming or sweating.
lake if they have applied
sunscreen. The nurse reminds the
children that chemical sunscreens
are most effective when applied:
1. Immediately before swimming
2.15 minutes before exposure to the
3. Informing the client that this is
sun
normal Rationale:
3. Immediately before exposure to
the sun Mafenide acetate is bacteriostatic for gram-negative and gram-positive
4. At least 30 minutes before organisms and is used to treat burns to reduce bacteria present in avascular
exposure to the sun tissues. The client should be informed that the medication will cause local
discomfort and burning and that this is a normal reaction; therefore options 1, 2,
5. 5.) Mafenide acetate (Sulfamylon) is and 4 are incorrect
prescribed for the client with a burn
injury. When applying the
medication, the client complains of
local discomfort and burning. Which
of the following is the most
appropriate nursing action?
1. Notifying the registered nurse
2.Discontinuing the medication
3.Informing the client that this is
normal
4. Applying a thinner 昀椀lm than
prescribed to the burn site
, lOMoARcPSD|166 089 97
6. 6.) The burn client is receiving
1. Hypervent
treatments of topical mafenide
ilation Rationale:
acetate (Sulfamylon) to the site of
Mafenide acetate is a carbonic anhydrase inhibitor and can suppress renal
injury. The nurse monitors the client,
excretion of acid, thereby causing acidosis. Clients receiving this treatment
knowing that which of the following
should be monitored for signs of an acid-base imbalance (hyperventilation). If this
indicates that a systemic effect has
occurs, the medication should be discontinued for 1 to 2 days. Options 3 and 4
occurred? 1.Hyperventilation
describe local rather than systemic effects. An elevated blood pressure may be
2.Elevated blood
expected from the pain that occurs with a burn injury.
pressure 3.Local pain
at the burn site 4.Local
rash at the burn site 2. Triglyceride level
Rationale:
7. 7.) Isotretinoin is prescribed for a
Isotretinoin can elevate triglyceride levels. Blood triglyceride levels should be
client with severe acne. Before the
measured before treatment and periodically thereafter until the effect on the
administration of this medication, the
triglycerides has been evaluated. Options 1, 3, and 4 do not need to be
nurse anticipates that which
laboratory test will be prescribed? monitored speci昀椀cally during this treatment.
1. Platelet count
2.Triglyceride level
3.Complete blood count 1. Vita
4. White blood cell count min A
8. 8.) A client with severe acne is seen in Rationale:
the clinic and the health care provider Isotretinoin is a metabolite of vitamin A and can produce generalized
(HCP) prescribes isotretinoin. The intensi昀椀cation of isotretinoin toxicity. Because of the potential for increased
nurse reviews the client's medication toxicity, vitamin A supplements should be discontinued before isotretinoin
record and would contact the (HCP) if therapy. Options 2, 3, and 4 are not contraindicated with the use of isotretinoin.
the client is taking which medication?
1. Vitamin A
2.Digoxin (Lanoxin)
3.Furosemide (Lasix)
4. Phenytoin (Dilantin)
2. Axilla
9. 9.) The nurse is applying a topical Rationale
corticosteroid to a client with :
eczema. The nurse would monitor for Topical corticosteroids can be absorbed into the systemic circulation.
the potential for increased systemic Absorption is higher from regions where the skin is especially permeable
absorption of the medication if the (scalp, axilla, face, eyelids, neck, perineum, genitalia), and lower from regions in
medication were being applied to which permeability is poor (back, palms, soles).
which of the following body areas?
1. Back
2.Axilla
3. Soles of the feet
4. Palms of the hands
1. A
10. 10.) The clinic nurse is performing an cne
admission assessment on a client. The Rationale
nurse notes that the client is taking :
azelaic acid (Azelex). Because of the Azelaic acid is a topical medication used to treat mild to moderate acne. The
medication prescription, the nurse acid appears to work by suppressing the growth of Propionibacterium acnes
would suspect that the client is being and decreasing the proliferation of keratinocytes. Options 2, 3, and 4 are
treated for: incorrect.
1. Acne
2.Eczema
3.Hair loss
4. Herpes simplex
11. 11.) The health care provider has
3."The medication will permanently stain my skin."
prescribed silver sulfadiazine (Silvadene) 4. "The medication should be applied directly to the wound."
for the client with a partial- thickness burn,
12. 12.) A nurse is caring for a client who is receiving an
which has cultured positive for gram-
intravenous (IV) infusion of an antineoplastic medication. Durin
negative bacteria. The nurse is reinforcing
the infusion, the client complains of pain at the insertion site.
information to the client about the
During an inspection of the site, the nurse notes redness and
medication. Which statement made by the
swelling and that the rate of infusion of the medication has
client indicates a lack of understanding
slowed. The nurse should take which appropriate action?
about the treatments?
1. Notify the registered nurse.
1. "The medication is an antibacterial."
2. Administer pain medication to reduce the discomfort.
2."The medication will help heal the burn."
, lOMoARcPSD|166 089 97
3.Apply ice and maintain the
infusion rate, as prescribed.
lOMoARcPSD|166 089 97
Ati pharmacology proctored exam test bank 100 verifiedanswers
and all correct answers
Pharmacology I (Chamberlain University)
, lOMoARcPSD|166 089 97
ATI Pharmacology Proctored Test Bank
1. 1) A nurse is caring for a client with
3. Calcitonin (Miacalcin)
hyperparathyroidism and notes that
Rationale:
the client's serum calcium level is 13
The normal serum calcium level is 8.6 to 10.0 mg/dL. This client is experiencing
mg/dL. Which medication should the
hypercalcemia. Calcium gluconate and calcium chloride are medications used
nurse prepare to administer as
for the treatment of tetany, which occurs as a result of acute hypocalcemia. In
prescribed to the client?
hypercalcemia, large doses of vitamin D need to be avoided. Calcitonin, a
1. Calcium chloride
thyroid hormone, decreases the plasma calcium level by inhibiting bone
2.Calcium gluconate
resorption and lowering the serum calcium concentration.
3.Calcitonin (Miacalcin)
4. Large doses of vitamin D
4. Orange juice
2. 2.) Oral iron supplements are
Rationale:
prescribed for a 6-year-old child
Vitamin C increases the absorption of iron by the body. The mother should be
with iron de昀椀ciency anemia. The instructed to administer the medication with a citrus fruit or a juice that is
nurse instructs the mother to high in vitamin C. Milk may affect absorption of the iron. Water will not assist
administer the iron with which best in absorption. Orange juice contains a greater amount of vitamin C than apple
food item? juice.
1. Milk
2.Water
3.Apple juice
4. Orange juice 1. Tinnitus
3. 3.) Salicylic acid is prescribed for Rationale:
a client with a diagnosis of Salicylic acid is absorbed readily through the skin, and systemic toxicity (salicylism)
psoriasis. The nurse monitors the can result. Symptoms include tinnitus, dizziness, hyperpnea, and psychological
client, knowing that which of the disturbances. Constipation and diarrhea are not associated with salicylism.
following would indicate the
presence of systemic toxicity from
this medication?
1. Tinnitus
2.Diarrhea
4. At least 30 minutes before exposure to the
3.Constipation
sun Rationale:
4. Decreased respirations
Sunscreens are most effective when applied at least 30 minutes before
4. 4.) The camp nurse asks the exposure to the sun so that they can penetrate the skin. All sunscreens should
children preparing to swim in the be reapplied after swimming or sweating.
lake if they have applied
sunscreen. The nurse reminds the
children that chemical sunscreens
are most effective when applied:
1. Immediately before swimming
2.15 minutes before exposure to the
3. Informing the client that this is
sun
normal Rationale:
3. Immediately before exposure to
the sun Mafenide acetate is bacteriostatic for gram-negative and gram-positive
4. At least 30 minutes before organisms and is used to treat burns to reduce bacteria present in avascular
exposure to the sun tissues. The client should be informed that the medication will cause local
discomfort and burning and that this is a normal reaction; therefore options 1, 2,
5. 5.) Mafenide acetate (Sulfamylon) is and 4 are incorrect
prescribed for the client with a burn
injury. When applying the
medication, the client complains of
local discomfort and burning. Which
of the following is the most
appropriate nursing action?
1. Notifying the registered nurse
2.Discontinuing the medication
3.Informing the client that this is
normal
4. Applying a thinner 昀椀lm than
prescribed to the burn site
, lOMoARcPSD|166 089 97
6. 6.) The burn client is receiving
1. Hypervent
treatments of topical mafenide
ilation Rationale:
acetate (Sulfamylon) to the site of
Mafenide acetate is a carbonic anhydrase inhibitor and can suppress renal
injury. The nurse monitors the client,
excretion of acid, thereby causing acidosis. Clients receiving this treatment
knowing that which of the following
should be monitored for signs of an acid-base imbalance (hyperventilation). If this
indicates that a systemic effect has
occurs, the medication should be discontinued for 1 to 2 days. Options 3 and 4
occurred? 1.Hyperventilation
describe local rather than systemic effects. An elevated blood pressure may be
2.Elevated blood
expected from the pain that occurs with a burn injury.
pressure 3.Local pain
at the burn site 4.Local
rash at the burn site 2. Triglyceride level
Rationale:
7. 7.) Isotretinoin is prescribed for a
Isotretinoin can elevate triglyceride levels. Blood triglyceride levels should be
client with severe acne. Before the
measured before treatment and periodically thereafter until the effect on the
administration of this medication, the
triglycerides has been evaluated. Options 1, 3, and 4 do not need to be
nurse anticipates that which
laboratory test will be prescribed? monitored speci昀椀cally during this treatment.
1. Platelet count
2.Triglyceride level
3.Complete blood count 1. Vita
4. White blood cell count min A
8. 8.) A client with severe acne is seen in Rationale:
the clinic and the health care provider Isotretinoin is a metabolite of vitamin A and can produce generalized
(HCP) prescribes isotretinoin. The intensi昀椀cation of isotretinoin toxicity. Because of the potential for increased
nurse reviews the client's medication toxicity, vitamin A supplements should be discontinued before isotretinoin
record and would contact the (HCP) if therapy. Options 2, 3, and 4 are not contraindicated with the use of isotretinoin.
the client is taking which medication?
1. Vitamin A
2.Digoxin (Lanoxin)
3.Furosemide (Lasix)
4. Phenytoin (Dilantin)
2. Axilla
9. 9.) The nurse is applying a topical Rationale
corticosteroid to a client with :
eczema. The nurse would monitor for Topical corticosteroids can be absorbed into the systemic circulation.
the potential for increased systemic Absorption is higher from regions where the skin is especially permeable
absorption of the medication if the (scalp, axilla, face, eyelids, neck, perineum, genitalia), and lower from regions in
medication were being applied to which permeability is poor (back, palms, soles).
which of the following body areas?
1. Back
2.Axilla
3. Soles of the feet
4. Palms of the hands
1. A
10. 10.) The clinic nurse is performing an cne
admission assessment on a client. The Rationale
nurse notes that the client is taking :
azelaic acid (Azelex). Because of the Azelaic acid is a topical medication used to treat mild to moderate acne. The
medication prescription, the nurse acid appears to work by suppressing the growth of Propionibacterium acnes
would suspect that the client is being and decreasing the proliferation of keratinocytes. Options 2, 3, and 4 are
treated for: incorrect.
1. Acne
2.Eczema
3.Hair loss
4. Herpes simplex
11. 11.) The health care provider has
3."The medication will permanently stain my skin."
prescribed silver sulfadiazine (Silvadene) 4. "The medication should be applied directly to the wound."
for the client with a partial- thickness burn,
12. 12.) A nurse is caring for a client who is receiving an
which has cultured positive for gram-
intravenous (IV) infusion of an antineoplastic medication. Durin
negative bacteria. The nurse is reinforcing
the infusion, the client complains of pain at the insertion site.
information to the client about the
During an inspection of the site, the nurse notes redness and
medication. Which statement made by the
swelling and that the rate of infusion of the medication has
client indicates a lack of understanding
slowed. The nurse should take which appropriate action?
about the treatments?
1. Notify the registered nurse.
1. "The medication is an antibacterial."
2. Administer pain medication to reduce the discomfort.
2."The medication will help heal the burn."
, lOMoARcPSD|166 089 97
3.Apply ice and maintain the
infusion rate, as prescribed.
