2023 ATI PHARMACOLOGY
PROCTORED EXAM FORM E
TEST BANK. 300 WELL
VERIFIED QUESTIONS WITH
CORRECT ANSWERS. A+
GRADE
1. 1) A nurse is caring for a client with 4. Applying a thinner film than prescribed to the burn site
hyperparathyroidism and notes that the client's serum calcium level is 13 mg/dL. Which medication
should the nurse prepare to administer as prescribed to the client?
1. Calcium chloride
2. Calcium gluconate
, 3. Calcitonin (Miacalcin)
4. Large doses of vitamin D
2. 2.) Oral iron supplements are prescribed
for a 6-year-old child with iron deficiency
anemia. The nurse instructs the mother to
administer the iron with which best food
item?
1. Milk
2. Water
3. Apple juice
4. Orange juice
3. 3.) Salicylic acid is prescribed for a client
with a diagnosis of psoriasis. The nurse
monitors the client, knowing that which
of the following would indicate the
presence of systemic toxicity from this
medication?
1. Tinnitus
2. Diarrhea
3. Constipation
4. Decreased respirations
4. 4.) The camp nurse asks the children
preparing to swim in the 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 sun
3. Immediately before exposure to the sun
4. At least 30 minutes before exposure
to the sun
5. 5.) Mafenide acetate (Sulfamylon) is 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
3. C in
a )
l
c
Ra
i
t
t
iona
o
le
n
:
i
The normal serum calcium level is 8.6 to 10.0 mg/dL. This client is experiencing
n
hypercalcemia. Calcium gluconate andcalciumchloridearemedications
usedforthe treatment of tetany, which occurs as a result of acute
( hypocalcemia. In hypercalcemia, large doses of vitamin D need to be avoided.
M Calcitonin, a thyroid hormone, decreases the plasma calcium level by inhibiting
i bone resorption and lowering the serum calcium concentration.
a
c
a 4. Orange juice
l Rationale:
c
, Vitamin C increases the absorption of
iron by the body. The mother should
be instructed to administer
themedication with a citrus fruit or a
juice that is high in vitamin C.
Milkmayaffectabsorption of theiron. 4. At least 30 minutes beforeexposure to the sun
Water will not assist in absorption. Rationale:
Orange juice contains a greater Sunscreens are most effective when applied at least 30 minutes
amount of vitamin C than apple juice. beforeexposure to the sun so that they can penetrate the skin. All sunscreens
should be reapplied after swimming or sweating.
1. Tinnitus
Rationale:
Salicylic acid is absorbed readily
through the skin, and systemic
toxicity (salicylism) can result. 3. Informing the client that this is normal
Symptoms include tinnitus, Rationale:
dizziness, hyperpnea, Mafenideacetateis bacteriostatic forgram-negativeandgram-positive
andpsychological disturbances. organisms and is used to treatburns to reducebacteria present in avascular
Constipation and diarrhea arenot tissues. Theclient should be informed that themedication will cause local
associated with salicylism. discomfort and burningand that this is a normal reaction; therefore options
1, 2, and 4 are incorrect
1. Hyperventilation
6. 6.) The burn client is receiving treatments of
Rationale:
topical mafenide acetate(Sulfamylon) tothe
site of injury. The nurse monitors the client, Mafenideacetate is a carbonic anhydraseinhibitor andcan suppress renalexcretion
of acid, thereby causing acidosis. Clients receiving this treatment should be knowing that which of the following indicates
monitored for signs of an acid-base imbalance (hyperventilation). If this occurs, the that a systemic effect has occurred?
medication should be discontinued for 1 to 2 days. Options 3 and 4 describe local
1.Hyperventilation ratherthan systemic effects. An elevated blood pressuremay be expected from the
2.Elevated blood pressure pain that occurs with a burn injury.
3.Local pain at the burn site
4.Local rash at the burn site
7. 7.) Isotretinoin is prescribed for a client 2. Triglyceride level
with severe acne. Before the Rationale: Isotretinoin can
administration of this medication, the elevate triglyceride levels. Blood triglyceride levels
nurse anticipates that which laboratory triglycerides has
should be
test will be prescribed? specifically during before treatment and periodically thereafter until the effect
measured
1. Platelet count on the been evaluated. Options 1, 3, and 4 do not
2. Triglyceride level need to be monitored this treatment.
3. Complete blood count
4. White blood cell count
8. 8.) A client with severe acne is seen in the 1. Vitamin A
clinic and the health care provider (HCP) Rationale: Isotretinoinis of
prescribes isotretinoin. The nurse reviews isotretinoin ametabolite of vitamin Aand
the client's medication record and would supplementsshould canproducegeneralizedintensification toxicity. Because of
contact the (HCP) if the client is taking are not the potential for increased toxicity, vitamin A be
which medication? discontinued beforeisotretinointherapy.Options 2, 3, and 4
1. Vitamin A contraindicated with the use of isotretinoin.
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
Topicalcorticosteroids can beabsorbedinto the systemic circulation. Absorption
is
nurse would monitor for the potential for higher from regions where the skin is especially permeable (scalp, axilla, face,
increased systemic absorption of the eyelids, neck, perineum, genitalia), and lower from regions in which permeability is
medication if the medication were being
poor (back, palms, soles).
applied to which of the following body areas?
1. Back
2. Axilla
3. Soles of the feet
4. Palms of the hands
1. Acne
10. 10.) The clinic nurse is performing an
Rationale:
admission assessment on a client. The nurse
Azelaic acid is a topical medication used to treat mild to moderate acne. The
acid
notes that the client is taking azelaic acid appears to work by suppressing the growth of Propionibacterium acnes and
(Azelex). Because of the medication decreasing the proliferation of keratinocytes. Options 2, 3, and 4 areincorrect.
prescription, the nurse would suspect that the
client is being treated for:
1. Acne
2. Eczema
3. Hair loss
4. Herpes simplex
11. 11.) The health care provider has prescribed silver 3.Apply ice and maintain the infusion rate, as prescribed.
sulfadiazine (Silvadene) for the client with a 4.Elevate the extremity of the IV site, and slow the infusion.
partial- thickness burn, which has cultured
13.13.) The client with squamous cell carcinoma of the larynx is
positive for gram- negative bacteria. The nurse is
receiving bleomycin intravenously. The nurse caring for the client
reinforcing information to the client about the
anticipates that which diagnostic study will be prescribed?
medication. Which statement made by the client
indicates a lack of understanding about the 1. Echocardiography
treatments? 1. "The medication is an 2. Electrocardiography
antibacterial." 3. Cervical radiography
2. "The medication will help heal the burn." 4. Pulmonary function studies
3. "The medication will permanently stain my
skin." 4. "The medication should be applied
directly to the wound."
14.) The client with acute myelocytic leukemia is being treated
14.
12. 12.) A nurse is caring for a client who is receiving with busulfan (Myleran). Which laboratory value would the
an intravenous (IV) infusion of an antineoplastic nurse specifically monitor during treatment with this
medication. During theinfusion, the client medication?
complains of pain at the insertion site. During an
1. Clotting time
inspection of the site, the nurse notes redness
2. Uric acid level
and swelling and that the rate of infusion of the
medication has slowed. The nurse should take 3. Potassium level
which appropriate action? 4. Blood glucose level
1.Notify the registered nurse.
2.Administer painmedicationtoreduce the 3. "The medication will permanently stain my skin."
discomfort. Rationale:
PROCTORED EXAM FORM E
TEST BANK. 300 WELL
VERIFIED QUESTIONS WITH
CORRECT ANSWERS. A+
GRADE
1. 1) A nurse is caring for a client with 4. Applying a thinner film than prescribed to the burn site
hyperparathyroidism and notes that the client's serum calcium level is 13 mg/dL. Which medication
should the nurse prepare to administer as prescribed to the client?
1. Calcium chloride
2. Calcium gluconate
, 3. Calcitonin (Miacalcin)
4. Large doses of vitamin D
2. 2.) Oral iron supplements are prescribed
for a 6-year-old child with iron deficiency
anemia. The nurse instructs the mother to
administer the iron with which best food
item?
1. Milk
2. Water
3. Apple juice
4. Orange juice
3. 3.) Salicylic acid is prescribed for a client
with a diagnosis of psoriasis. The nurse
monitors the client, knowing that which
of the following would indicate the
presence of systemic toxicity from this
medication?
1. Tinnitus
2. Diarrhea
3. Constipation
4. Decreased respirations
4. 4.) The camp nurse asks the children
preparing to swim in the 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 sun
3. Immediately before exposure to the sun
4. At least 30 minutes before exposure
to the sun
5. 5.) Mafenide acetate (Sulfamylon) is 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
3. C in
a )
l
c
Ra
i
t
t
iona
o
le
n
:
i
The normal serum calcium level is 8.6 to 10.0 mg/dL. This client is experiencing
n
hypercalcemia. Calcium gluconate andcalciumchloridearemedications
usedforthe treatment of tetany, which occurs as a result of acute
( hypocalcemia. In hypercalcemia, large doses of vitamin D need to be avoided.
M Calcitonin, a thyroid hormone, decreases the plasma calcium level by inhibiting
i bone resorption and lowering the serum calcium concentration.
a
c
a 4. Orange juice
l Rationale:
c
, Vitamin C increases the absorption of
iron by the body. The mother should
be instructed to administer
themedication with a citrus fruit or a
juice that is high in vitamin C.
Milkmayaffectabsorption of theiron. 4. At least 30 minutes beforeexposure to the sun
Water will not assist in absorption. Rationale:
Orange juice contains a greater Sunscreens are most effective when applied at least 30 minutes
amount of vitamin C than apple juice. beforeexposure to the sun so that they can penetrate the skin. All sunscreens
should be reapplied after swimming or sweating.
1. Tinnitus
Rationale:
Salicylic acid is absorbed readily
through the skin, and systemic
toxicity (salicylism) can result. 3. Informing the client that this is normal
Symptoms include tinnitus, Rationale:
dizziness, hyperpnea, Mafenideacetateis bacteriostatic forgram-negativeandgram-positive
andpsychological disturbances. organisms and is used to treatburns to reducebacteria present in avascular
Constipation and diarrhea arenot tissues. Theclient should be informed that themedication will cause local
associated with salicylism. discomfort and burningand that this is a normal reaction; therefore options
1, 2, and 4 are incorrect
1. Hyperventilation
6. 6.) The burn client is receiving treatments of
Rationale:
topical mafenide acetate(Sulfamylon) tothe
site of injury. The nurse monitors the client, Mafenideacetate is a carbonic anhydraseinhibitor andcan suppress renalexcretion
of acid, thereby causing acidosis. Clients receiving this treatment should be knowing that which of the following indicates
monitored for signs of an acid-base imbalance (hyperventilation). If this occurs, the that a systemic effect has occurred?
medication should be discontinued for 1 to 2 days. Options 3 and 4 describe local
1.Hyperventilation ratherthan systemic effects. An elevated blood pressuremay be expected from the
2.Elevated blood pressure pain that occurs with a burn injury.
3.Local pain at the burn site
4.Local rash at the burn site
7. 7.) Isotretinoin is prescribed for a client 2. Triglyceride level
with severe acne. Before the Rationale: Isotretinoin can
administration of this medication, the elevate triglyceride levels. Blood triglyceride levels
nurse anticipates that which laboratory triglycerides has
should be
test will be prescribed? specifically during before treatment and periodically thereafter until the effect
measured
1. Platelet count on the been evaluated. Options 1, 3, and 4 do not
2. Triglyceride level need to be monitored this treatment.
3. Complete blood count
4. White blood cell count
8. 8.) A client with severe acne is seen in the 1. Vitamin A
clinic and the health care provider (HCP) Rationale: Isotretinoinis of
prescribes isotretinoin. The nurse reviews isotretinoin ametabolite of vitamin Aand
the client's medication record and would supplementsshould canproducegeneralizedintensification toxicity. Because of
contact the (HCP) if the client is taking are not the potential for increased toxicity, vitamin A be
which medication? discontinued beforeisotretinointherapy.Options 2, 3, and 4
1. Vitamin A contraindicated with the use of isotretinoin.
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
Topicalcorticosteroids can beabsorbedinto the systemic circulation. Absorption
is
nurse would monitor for the potential for higher from regions where the skin is especially permeable (scalp, axilla, face,
increased systemic absorption of the eyelids, neck, perineum, genitalia), and lower from regions in which permeability is
medication if the medication were being
poor (back, palms, soles).
applied to which of the following body areas?
1. Back
2. Axilla
3. Soles of the feet
4. Palms of the hands
1. Acne
10. 10.) The clinic nurse is performing an
Rationale:
admission assessment on a client. The nurse
Azelaic acid is a topical medication used to treat mild to moderate acne. The
acid
notes that the client is taking azelaic acid appears to work by suppressing the growth of Propionibacterium acnes and
(Azelex). Because of the medication decreasing the proliferation of keratinocytes. Options 2, 3, and 4 areincorrect.
prescription, the nurse would suspect that the
client is being treated for:
1. Acne
2. Eczema
3. Hair loss
4. Herpes simplex
11. 11.) The health care provider has prescribed silver 3.Apply ice and maintain the infusion rate, as prescribed.
sulfadiazine (Silvadene) for the client with a 4.Elevate the extremity of the IV site, and slow the infusion.
partial- thickness burn, which has cultured
13.13.) The client with squamous cell carcinoma of the larynx is
positive for gram- negative bacteria. The nurse is
receiving bleomycin intravenously. The nurse caring for the client
reinforcing information to the client about the
anticipates that which diagnostic study will be prescribed?
medication. Which statement made by the client
indicates a lack of understanding about the 1. Echocardiography
treatments? 1. "The medication is an 2. Electrocardiography
antibacterial." 3. Cervical radiography
2. "The medication will help heal the burn." 4. Pulmonary function studies
3. "The medication will permanently stain my
skin." 4. "The medication should be applied
directly to the wound."
14.) The client with acute myelocytic leukemia is being treated
14.
12. 12.) A nurse is caring for a client who is receiving with busulfan (Myleran). Which laboratory value would the
an intravenous (IV) infusion of an antineoplastic nurse specifically monitor during treatment with this
medication. During theinfusion, the client medication?
complains of pain at the insertion site. During an
1. Clotting time
inspection of the site, the nurse notes redness
2. Uric acid level
and swelling and that the rate of infusion of the
medication has slowed. The nurse should take 3. Potassium level
which appropriate action? 4. Blood glucose level
1.Notify the registered nurse.
2.Administer painmedicationtoreduce the 3. "The medication will permanently stain my skin."
discomfort. Rationale:
