ATI PHARMACOLOGY FINAL PROCTORED 2024-2026 NEWEST
VERSION EXAM TEST BANK 200 QUESTIONS WITH DETAILED
ANSWERS AND RATIONALES GRADED A+
The nurse is providing patient teaching before discharging a patient home.
The patient is taking ciprofloxacin (Cipro). What would the nurse teach this
patient is the best way to prevent crystalluria caused by ciprofloxacin
(Cipro)?
A. Eliminate red meat and seafood from the diet.
B. Encourage at least 2 liters of fluid per day.
C. Avoid caffeine and alcohol.
D. Spend time in the sun each day to optimize vitamin D levels. -
CORRECT ANSWER✔✔B. Encourage at least 2L of fluid per day
Provide the following patient teaching: Avoid driving or operating
dangerous machinery because dizziness, lethargy, and ataxia may occur;
try to drink a lot of fluids and maintain nutrition (very important), even
though nausea, vomiting, and diarrhea may occur. There is no need to
eliminate red meat, seafood, caffeine, or alcohol from the diet, although
alcohol may increase the risk of GI irritation. Patients should be taught to
avoid the sun due to possible photosensitivity.
What is the priority reason for the nurse to consider questioning an order
for tetracycline in a child younger than 8 years of age?
A. Children younger than 8 years of age cannot take tetracyclines.
B. Weight-bearing joints have been impaired in young animals given the
drugs.
C. Tetracyclines can damage developing teeth and bone in children
younger than 8 years of age.
D. Liver and kidney function may be damaged when it is given to children
under 8 years of age. - CORRECT ANSWER✔✔ANS: C
Use tetracyclines with caution in children younger than 8 years of age
because they can potentially damage developing bones and teeth.
Although the drug does not cause damage to liver and kidneys, it may be
contraindicated in patients with hepatic or renal dysfunction because it is
concentrated in the bile and excreted in the urine. Fluoroquinolones, not
tetracyclines, are generally contraindicated for use in children (i.e., those
,younger than 18 years of age) because weight-bearing joints have been
impaired in young animals given the drugs. Clindamycin (Dalacin C)
warrants monitoring hepatic and renal function when it is given to neonates
and infants. Trimethoprimsulfamethoxazole (Nu-Cotrimox) is used in
children, although children younger than 2 months of age have not been
evaluated. Children under 8 years of age can take tetracycline, but it should
be used with caution.
The nurse is providing discharge teaching to a patient who is being sent
home on oral tetracycline (Sumycin). What instructions should the nurse
include?
A. Take the medication only once a day.
B. Check pulse rate and hold the drug if lower than 60 beats per minute
(bpm).
C. Take the drug on an empty stomach.
D. Take the medication with 2 ounces of water. - CORRECT ANSWER✔✔
ANS: C
Tetracycline should be taken on an empty stomach 1 hour before or 2
hours after meals with a full 8 ounces of water to ensure full absorption.
Tetracycline is usually taken at least once every 12 hours. Checking the
pulse and holding the dose if below 60 bpm is an action specific to the use
of cardiac glycosides.
The nurse is admitting a 12-year-old girl to the acute care facility and
notices discolored secondary teeth. The mother says she doesn't know
why the teeth are discolored because the child is very good about brushing
and flossing and sees the dentist regularly. What question would the nurse
ask?
A. Has she ever received tetracycline?
B. Has she ever received gentamicin?
C. Has she ever received ampicillin?
D. Has she ever received cephalexin? - CORRECT ANSWER✔✔ANS: A
The nurse would question whether the child was ever given tetracycline
because this drug is commonly associated with discoloration of secondary
teeth when it is administered to children who still have their primary teeth.
Gentamicin, ampicillin, and cephalexin are not associated with discoloration
of the teeth.
,The clinic nurse is providing health teaching to a patient who has been
prescribed doxycycline (Doxycin). What is a priority teaching point for this
patient?
A) Stay out of the sun.
B) Avoid sexual activity.
C) Take an antacid with the drug if nausea occurs.
D) Chew the tablets completely before swallowing. - CORRECT ANSWER
✔✔ANS: A
Encourage the patient to apply sunscreen and wear protective clothing if
sun exposure cannot be avoided to protect exposed skin from rashes and
sunburn associated with photosensitivity reactions. If the patient is a
woman the nurse may advise the patient to use barrier methods of
contraceptives (if she is taking oral contraceptives) due to the drugdrug
interaction but the patient would not be told to avoid sexual activity. Antacid
therapy and chewing the tablets would be inaccurate information.
A 78-year-old woman, who lives alone and is forgetful, is being seen by her
home health nurse. In reviewing the patient's medication, the nurse
discovers that the patient is taking Azithromycin (Zithromax) for urethritis.
Why would this be a good choice of antibiotics for this patient?
A) The half-life of the drug is 3 to 7 hours.
B) It is taken only once a day.
C) It has very few adverse effects.
D) It can be given without consideration to drugdrug interactions. -
CORRECT ANSWER✔✔ANS: B
A mother brings her 3-year-old child to the emergency department telling
the nurse the child has eaten a bottle of baby aspirin. The mother cannot
tell the nurse how many tablets were in the bottle. What dose of salicylate
would be toxic in a child?
A) 2g
B) 3g
C) 4g
D) 5g - CORRECT ANSWER✔✔ANS: C
A patient arrives at the emergency department brought by his or her
friends. The friends tell the nurse that the patient has taken a whole bottle
, of aspirin. Blood work for salicylate toxicity is run. What does the nurse
expect the results to be?
A) >5 g
B) >10 g
C) >15 g
D) >20 g - CORRECT ANSWER✔✔ANS: D
Antipyretic drugs (e.g., aspirin, ibuprofen, acetaminophen) often are used
to alleviate the discomforts of fever and to protect vulnerable organs, such
as the brain, from extreme elevations in body temperature. However, the
use of aspirin in children is limited due to the possibility of what disease?
A) Munchausen's syndrome
B) Guillain-Barré syndrome
C) Angelman's syndrome
D) Reye's syndrome - CORRECT ANSWER✔✔AND: D
A patient presents at the emergency department complaining of dizziness,
mental confusion, and difficulty hearing. What should the nurse suspect is
wrong with the patient?
A) Anakinra toxicity
B) Ibuprofen toxicity
C) Salicylism
D) Acetaminophen toxicity - CORRECT ANSWER✔✔ANS: C
The nurse is caring for a patient who reports taking 800 mg of ibuprofen
three times a day for relief of menstrual cramps. What lab results will the
nurse find most significant in assessing this patient?
A) Complete blood count
B) White blood cell differential
C) Arterial blood gas
D) Cholesterol and triglyceride profile - CORRECT ANSWER✔✔ANS: A
When nonsteroidal anti-inflammatory drugs (NSAIDs) are combined with
loop diuretics, there is a potential for what?
A) Decreased antihypertensive effect
B) Decreased diuretic effect
C) Lithium toxicity
D) Anaphylactoid reactions - CORRECT ANSWER✔✔ANS: B
VERSION EXAM TEST BANK 200 QUESTIONS WITH DETAILED
ANSWERS AND RATIONALES GRADED A+
The nurse is providing patient teaching before discharging a patient home.
The patient is taking ciprofloxacin (Cipro). What would the nurse teach this
patient is the best way to prevent crystalluria caused by ciprofloxacin
(Cipro)?
A. Eliminate red meat and seafood from the diet.
B. Encourage at least 2 liters of fluid per day.
C. Avoid caffeine and alcohol.
D. Spend time in the sun each day to optimize vitamin D levels. -
CORRECT ANSWER✔✔B. Encourage at least 2L of fluid per day
Provide the following patient teaching: Avoid driving or operating
dangerous machinery because dizziness, lethargy, and ataxia may occur;
try to drink a lot of fluids and maintain nutrition (very important), even
though nausea, vomiting, and diarrhea may occur. There is no need to
eliminate red meat, seafood, caffeine, or alcohol from the diet, although
alcohol may increase the risk of GI irritation. Patients should be taught to
avoid the sun due to possible photosensitivity.
What is the priority reason for the nurse to consider questioning an order
for tetracycline in a child younger than 8 years of age?
A. Children younger than 8 years of age cannot take tetracyclines.
B. Weight-bearing joints have been impaired in young animals given the
drugs.
C. Tetracyclines can damage developing teeth and bone in children
younger than 8 years of age.
D. Liver and kidney function may be damaged when it is given to children
under 8 years of age. - CORRECT ANSWER✔✔ANS: C
Use tetracyclines with caution in children younger than 8 years of age
because they can potentially damage developing bones and teeth.
Although the drug does not cause damage to liver and kidneys, it may be
contraindicated in patients with hepatic or renal dysfunction because it is
concentrated in the bile and excreted in the urine. Fluoroquinolones, not
tetracyclines, are generally contraindicated for use in children (i.e., those
,younger than 18 years of age) because weight-bearing joints have been
impaired in young animals given the drugs. Clindamycin (Dalacin C)
warrants monitoring hepatic and renal function when it is given to neonates
and infants. Trimethoprimsulfamethoxazole (Nu-Cotrimox) is used in
children, although children younger than 2 months of age have not been
evaluated. Children under 8 years of age can take tetracycline, but it should
be used with caution.
The nurse is providing discharge teaching to a patient who is being sent
home on oral tetracycline (Sumycin). What instructions should the nurse
include?
A. Take the medication only once a day.
B. Check pulse rate and hold the drug if lower than 60 beats per minute
(bpm).
C. Take the drug on an empty stomach.
D. Take the medication with 2 ounces of water. - CORRECT ANSWER✔✔
ANS: C
Tetracycline should be taken on an empty stomach 1 hour before or 2
hours after meals with a full 8 ounces of water to ensure full absorption.
Tetracycline is usually taken at least once every 12 hours. Checking the
pulse and holding the dose if below 60 bpm is an action specific to the use
of cardiac glycosides.
The nurse is admitting a 12-year-old girl to the acute care facility and
notices discolored secondary teeth. The mother says she doesn't know
why the teeth are discolored because the child is very good about brushing
and flossing and sees the dentist regularly. What question would the nurse
ask?
A. Has she ever received tetracycline?
B. Has she ever received gentamicin?
C. Has she ever received ampicillin?
D. Has she ever received cephalexin? - CORRECT ANSWER✔✔ANS: A
The nurse would question whether the child was ever given tetracycline
because this drug is commonly associated with discoloration of secondary
teeth when it is administered to children who still have their primary teeth.
Gentamicin, ampicillin, and cephalexin are not associated with discoloration
of the teeth.
,The clinic nurse is providing health teaching to a patient who has been
prescribed doxycycline (Doxycin). What is a priority teaching point for this
patient?
A) Stay out of the sun.
B) Avoid sexual activity.
C) Take an antacid with the drug if nausea occurs.
D) Chew the tablets completely before swallowing. - CORRECT ANSWER
✔✔ANS: A
Encourage the patient to apply sunscreen and wear protective clothing if
sun exposure cannot be avoided to protect exposed skin from rashes and
sunburn associated with photosensitivity reactions. If the patient is a
woman the nurse may advise the patient to use barrier methods of
contraceptives (if she is taking oral contraceptives) due to the drugdrug
interaction but the patient would not be told to avoid sexual activity. Antacid
therapy and chewing the tablets would be inaccurate information.
A 78-year-old woman, who lives alone and is forgetful, is being seen by her
home health nurse. In reviewing the patient's medication, the nurse
discovers that the patient is taking Azithromycin (Zithromax) for urethritis.
Why would this be a good choice of antibiotics for this patient?
A) The half-life of the drug is 3 to 7 hours.
B) It is taken only once a day.
C) It has very few adverse effects.
D) It can be given without consideration to drugdrug interactions. -
CORRECT ANSWER✔✔ANS: B
A mother brings her 3-year-old child to the emergency department telling
the nurse the child has eaten a bottle of baby aspirin. The mother cannot
tell the nurse how many tablets were in the bottle. What dose of salicylate
would be toxic in a child?
A) 2g
B) 3g
C) 4g
D) 5g - CORRECT ANSWER✔✔ANS: C
A patient arrives at the emergency department brought by his or her
friends. The friends tell the nurse that the patient has taken a whole bottle
, of aspirin. Blood work for salicylate toxicity is run. What does the nurse
expect the results to be?
A) >5 g
B) >10 g
C) >15 g
D) >20 g - CORRECT ANSWER✔✔ANS: D
Antipyretic drugs (e.g., aspirin, ibuprofen, acetaminophen) often are used
to alleviate the discomforts of fever and to protect vulnerable organs, such
as the brain, from extreme elevations in body temperature. However, the
use of aspirin in children is limited due to the possibility of what disease?
A) Munchausen's syndrome
B) Guillain-Barré syndrome
C) Angelman's syndrome
D) Reye's syndrome - CORRECT ANSWER✔✔AND: D
A patient presents at the emergency department complaining of dizziness,
mental confusion, and difficulty hearing. What should the nurse suspect is
wrong with the patient?
A) Anakinra toxicity
B) Ibuprofen toxicity
C) Salicylism
D) Acetaminophen toxicity - CORRECT ANSWER✔✔ANS: C
The nurse is caring for a patient who reports taking 800 mg of ibuprofen
three times a day for relief of menstrual cramps. What lab results will the
nurse find most significant in assessing this patient?
A) Complete blood count
B) White blood cell differential
C) Arterial blood gas
D) Cholesterol and triglyceride profile - CORRECT ANSWER✔✔ANS: A
When nonsteroidal anti-inflammatory drugs (NSAIDs) are combined with
loop diuretics, there is a potential for what?
A) Decreased antihypertensive effect
B) Decreased diuretic effect
C) Lithium toxicity
D) Anaphylactoid reactions - CORRECT ANSWER✔✔ANS: B
