PHARMACOLOGY DRUGS FOR ATI TEST, ATI LPN PHARMACO F F F F F F F
LOGY PROCTORED EXAM REVIEW QUESTIONS WITH CORRECT ANSW
F F F F F F F
ERS F
1)fAfnursefisfcaringfforfafclientfwithfhyperparathyroidismfandfnotesfthatfthefclient'sfserumfcalciumflevelfisf1
3fmg/dL.fWhichfmedicationfshouldfthefnursefprepareftofadministerfasfprescribedftofthefclient?
f 1.fCalciumfchloride
f 2.fCalciumfgluconate
f 3.fCalcitoninf(Miacalcin)
f 4.fLargefdosesfoffvitaminfDf-fCORRECTfANSWER-
2.)fOralfironfsupplementsfarefprescribedfforfaf6-year-
oldfchildfwithfironfdeficiencyfanemia.fThefnursefinstructsfthefmotherftofadministerfthefironfwithfwhichfbestf
foodfitem?
f 1.fMilk
f 2.fWater
f 3.fApplefjuice
f 4.fOrangefjuicef-fCORRECTfANSWER-4.fOrangefjuice
Rationale:
VitaminfCfincreasesfthefabsorptionfoffironfbyfthefbody.fThefmotherfshouldfbefinstructedftofadministerfthef
medicationfwithfafcitrusffruitforfafjuicefthatfisfhighfinfvitaminfC.fMilkfmayfaffectfabsorptionfoffthefiron.fWate
rfwillfnotfassistfinfabsorption.fOrangefjuicefcontainsfafgreaterfamountfoffvitaminfCfthanfapplefjuice.
3.)fSalicylicfacidfisfprescribedfforfafclientfwithfafdiagnosisfoffpsoriasis.fThefnursefmonitorsfthefclient,fknowin
gfthatfwhichfofftheffollowingfwouldfindicatefthefpresencefoffsystemicftoxicityffromfthisfmedication?
f 1.fTinnitus
f 2.fDiarrhea
f 3.fConstipation
f 4.fDecreasedfrespirationsf-fCORRECTfANSWER-1.fTinnitus
Rationale:
PHARMACOLOGY fDRUGSfforf ATIftest,f ATIfLPNf PharmacologyfProctoredfExamfReviewf questionsf withf correctf answersf
,Salicylicfacidfisfabsorbedfreadilyfthroughfthefskin,fandfsystemicftoxicityf(salicylism)fcanfresult.fSymptomsfinc
ludeftinnitus,fdizziness,fhyperpnea,fandfpsychologicalfdisturbances.fConstipationfandfdiarrheafarefnotfasso
ciatedfwithfsalicylism.
4.)fThefcampfnursefasksfthefchildrenfpreparingftofswimfinftheflakefifftheyfhavefappliedfsunscreen.fThefnursef
remindsfthefchildrenfthatfchemicalfsunscreensfarefmostfeffectivefwhenfapplied:
f 1.fImmediatelyfbeforefswimming
f 2.f15fminutesfbeforefexposureftofthefsun
f 3.fImmediatelyfbeforefexposureftofthefsun
4.fAtfleastf30fminutesfbeforefexposureftofthefsunf-fCORRECTfANSWER-
f
4.fAtfleastf30fminutesfbeforefexposureftofthefsun
Rationale:
Sunscreensfarefmostfeffectivefwhenfappliedfatfleastf30fminutesfbeforefexposureftofthefsunfsofthatftheyfcanf
penetratefthefskin.fAllfsunscreensfshouldfbefreappliedfafterfswimmingforfsweating.
5.)fMafenidefacetatef(Sulfamylon)fisfprescribedfforfthefclientfwithfafburnfinjury.fWhenfapplyingfthefmedicat
ion,fthefclientfcomplainsfofflocalfdiscomfortfandfburning.fWhichfofftheffollowingfisfthefmostfappropriatefnur
singfaction?
f 1.fNotifyingfthefregisteredfnurse
f 2.fDiscontinuingfthefmedication
f 3.fInformingfthefclientfthatfthisfisfnormal
4.fApplyingfafthinnerffilmfthanfprescribedftofthefburnfsitef-fCORRECTfANSWER-
f
3.fInformingfthefclientfthatfthisfisfnormal
Rationale:
Mafenidefacetatefisfbacteriostaticfforfgram-negativefandfgram-
positiveforganismsfandfisfusedftoftreatfburnsftofreducefbacteriafpresentfinfavascularftissues.fThefclientfshou
ldfbefinformedfthatfthefmedicationfwillfcauseflocalfdiscomfortfandfburningfandfthatfthisfisfafnormalfreaction
;fthereforefoptionsf1,f2,fandf4farefincorrect
6.)fThefburnfclientfisfreceivingftreatmentsfofftopicalfmafenidefacetatef(Sulfamylon)ftofthefsitefoffinjury.fThef
nursefmonitorsfthefclient,fknowingfthatfwhichfofftheffollowingfindicatesfthatfafsystemicfeffectfhasfoccurred
?
f 1.Hyperventilation
PHARMACOLOGY fDRUGSfforf ATIftest,f ATIfLPNf PharmacologyfProctoredfExamfReviewf questionsf withf correctf answersf
,f 2.Elevatedfbloodfpressure
f 3.Localfpainfatfthefburnfsite
f 4.Localfrashfatfthefburnfsitef-fCORRECTfANSWER-1.Hyperventilation
Rationale:
Mafenidefacetatefisfafcarbonicfanhydrasefinhibitorfandfcanfsuppressfrenalfexcretionfoffacid,ftherebyfcausin
gfacidosis.fClientsfreceivingfthisftreatmentfshouldfbefmonitoredfforfsignsfoffanfacid-
basefimbalancef(hyperventilation).fIffthisfoccurs,fthefmedicationfshouldfbefdiscontinuedfforf1ftof2fdays.fOpt
ionsf3fandf4fdescribeflocalfratherfthanfsystemicfeffects.fAnfelevatedfbloodfpressurefmayfbefexpectedffromft
hefpainfthatfoccursfwithfafburnfinjury.
7.)fIsotretinoinfisfprescribedfforfafclientfwithfseverefacne.fBeforefthefadministrationfoffthisfmedication,fthef
nursefanticipatesfthatfwhichflaboratoryftestfwillfbefprescribed?
f 1.fPlateletfcount
f 2.fTriglycerideflevel
f 3.fCompletefbloodfcount
f 4.fWhitefbloodfcellfcountf-fCORRECTfANSWER-2.fTriglycerideflevel
Rationale:
Isotretinoinfcanfelevateftriglycerideflevels.fBloodftriglycerideflevelsfshouldfbefmeasuredfbeforeftreatmentfa
ndfperiodicallyfthereafterfuntilfthefeffectfonftheftriglyceridesfhasfbeenfevaluated.fOptionsf1,f3,fandf4fdofnotf
needftofbefmonitoredfspecificallyfduringfthisftreatment.
8.)fAfclientfwithfseverefacnefisfseenfinfthefclinicfandfthefhealthfcarefproviderf(HCP)fprescribesfisotretinoin.fT
hefnursefreviewsfthefclient'sfmedicationfrecordfandfwouldfcontactfthef(HCP)fiffthefclientfisftakingfwhichfme
dication?
f 1.fVitaminfA
f 2.fDigoxinf(Lanoxin)
f 3.fFurosemidef(Lasix)
f 4.fPhenytoinf(Dilantin)f-fCORRECTfANSWER-1.fVitaminfA
Rationale:
IsotretinoinfisfafmetabolitefoffvitaminfAfandfcanfproducefgeneralizedfintensificationfoffisotretinoinftoxicity.f
Becausefoffthefpotentialfforfincreasedftoxicity,fvitaminfAfsupplementsfshouldfbefdiscontinuedfbeforefisotre
tinoinftherapy.fOptionsf2,f3,fandf4farefnotfcontraindicatedfwithfthefusefoffisotretinoin.
PHARMACOLOGY fDRUGSfforf ATIftest,f ATIfLPNf PharmacologyfProctoredfExamfReviewf questionsf withf correctf answersf
, 9.)fThefnursefisfapplyingfaftopicalfcorticosteroidftofafclientfwithfeczema.fThefnursefwouldfmonitorfforfthefpo
tentialfforfincreasedfsystemicfabsorptionfoffthefmedicationfiffthefmedicationfwerefbeingfappliedftofwhichfof
ftheffollowingfbodyfareas?
f 1.fBack
f 2.fAxilla
f 3.fSolesfofftheffeet
f 4.fPalmsfoffthefhandsf-fCORRECTfANSWER-2.fAxilla
Rationale:
Topicalfcorticosteroidsfcanfbefabsorbedfintofthefsystemicfcirculation.fAbsorptionfisfhigherffromfregionsfwh
erefthefskinfisfespeciallyfpermeablef(scalp,faxilla,fface,feyelids,fneck,fperineum,fgenitalia),fandflowerffromfre
gionsfinfwhichfpermeabilityfisfpoorf(back,fpalms,fsoles).
10.)fThefclinicfnursefisfperformingfanfadmissionfassessmentfonfafclient.fThefnursefnotesfthatfthefclientfisftak
ingfazelaicfacidf(Azelex).fBecausefoffthefmedicationfprescription,fthefnursefwouldfsuspectfthatfthefclientfisfb
eingftreatedffor:
f 1.fAcne
f 2.fEczema
f 3.fHairfloss
f 4.fHerpesfsimplexf-fCORRECTfANSWER-1.fAcne
Rationale:
Azelaicfacidfisfaftopicalfmedicationfusedftoftreatfmildftofmoderatefacne.fThefacidfappearsftofworkfbyfsuppre
ssingfthefgrowthfoffPropionibacteriumfacnesfandfdecreasingfthefproliferationfoffkeratinocytes.fOptionsf2,f3
,fandf4farefincorrect.
11.)fThefhealthfcarefproviderfhasfprescribedfsilverfsulfadiazinef(Silvadene)fforfthefclientfwithfafpartial-
thicknessfburn,fwhichfhasfculturedfpositivefforfgram-
negativefbacteria.fThefnursefisfreinforcingfinformationftofthefclientfaboutfthefmedication.fWhichfstatement
fmadefbyfthefclientfindicatesfaflackfoffunderstandingfaboutftheftreatments?
f 1.f"Thefmedicationfisfanfantibacterial."
f 2.f"Thefmedicationfwillfhelpfhealfthefburn."
f 3.f"Thefmedicationfwillfpermanentlyfstainfmyfskin."
4.f"Thefmedicationfshouldfbefappliedfdirectlyftofthefwound."f-fCORRECTfANSWER-
f
3.f"Thefmedicationfwillfpermanentlyfstainfmyfskin."
PHARMACOLOGY fDRUGSfforf ATIftest,f ATIfLPNf PharmacologyfProctoredfExamfReviewf questionsf withf correctf answersf
LOGY PROCTORED EXAM REVIEW QUESTIONS WITH CORRECT ANSW
F F F F F F F
ERS F
1)fAfnursefisfcaringfforfafclientfwithfhyperparathyroidismfandfnotesfthatfthefclient'sfserumfcalciumflevelfisf1
3fmg/dL.fWhichfmedicationfshouldfthefnursefprepareftofadministerfasfprescribedftofthefclient?
f 1.fCalciumfchloride
f 2.fCalciumfgluconate
f 3.fCalcitoninf(Miacalcin)
f 4.fLargefdosesfoffvitaminfDf-fCORRECTfANSWER-
2.)fOralfironfsupplementsfarefprescribedfforfaf6-year-
oldfchildfwithfironfdeficiencyfanemia.fThefnursefinstructsfthefmotherftofadministerfthefironfwithfwhichfbestf
foodfitem?
f 1.fMilk
f 2.fWater
f 3.fApplefjuice
f 4.fOrangefjuicef-fCORRECTfANSWER-4.fOrangefjuice
Rationale:
VitaminfCfincreasesfthefabsorptionfoffironfbyfthefbody.fThefmotherfshouldfbefinstructedftofadministerfthef
medicationfwithfafcitrusffruitforfafjuicefthatfisfhighfinfvitaminfC.fMilkfmayfaffectfabsorptionfoffthefiron.fWate
rfwillfnotfassistfinfabsorption.fOrangefjuicefcontainsfafgreaterfamountfoffvitaminfCfthanfapplefjuice.
3.)fSalicylicfacidfisfprescribedfforfafclientfwithfafdiagnosisfoffpsoriasis.fThefnursefmonitorsfthefclient,fknowin
gfthatfwhichfofftheffollowingfwouldfindicatefthefpresencefoffsystemicftoxicityffromfthisfmedication?
f 1.fTinnitus
f 2.fDiarrhea
f 3.fConstipation
f 4.fDecreasedfrespirationsf-fCORRECTfANSWER-1.fTinnitus
Rationale:
PHARMACOLOGY fDRUGSfforf ATIftest,f ATIfLPNf PharmacologyfProctoredfExamfReviewf questionsf withf correctf answersf
,Salicylicfacidfisfabsorbedfreadilyfthroughfthefskin,fandfsystemicftoxicityf(salicylism)fcanfresult.fSymptomsfinc
ludeftinnitus,fdizziness,fhyperpnea,fandfpsychologicalfdisturbances.fConstipationfandfdiarrheafarefnotfasso
ciatedfwithfsalicylism.
4.)fThefcampfnursefasksfthefchildrenfpreparingftofswimfinftheflakefifftheyfhavefappliedfsunscreen.fThefnursef
remindsfthefchildrenfthatfchemicalfsunscreensfarefmostfeffectivefwhenfapplied:
f 1.fImmediatelyfbeforefswimming
f 2.f15fminutesfbeforefexposureftofthefsun
f 3.fImmediatelyfbeforefexposureftofthefsun
4.fAtfleastf30fminutesfbeforefexposureftofthefsunf-fCORRECTfANSWER-
f
4.fAtfleastf30fminutesfbeforefexposureftofthefsun
Rationale:
Sunscreensfarefmostfeffectivefwhenfappliedfatfleastf30fminutesfbeforefexposureftofthefsunfsofthatftheyfcanf
penetratefthefskin.fAllfsunscreensfshouldfbefreappliedfafterfswimmingforfsweating.
5.)fMafenidefacetatef(Sulfamylon)fisfprescribedfforfthefclientfwithfafburnfinjury.fWhenfapplyingfthefmedicat
ion,fthefclientfcomplainsfofflocalfdiscomfortfandfburning.fWhichfofftheffollowingfisfthefmostfappropriatefnur
singfaction?
f 1.fNotifyingfthefregisteredfnurse
f 2.fDiscontinuingfthefmedication
f 3.fInformingfthefclientfthatfthisfisfnormal
4.fApplyingfafthinnerffilmfthanfprescribedftofthefburnfsitef-fCORRECTfANSWER-
f
3.fInformingfthefclientfthatfthisfisfnormal
Rationale:
Mafenidefacetatefisfbacteriostaticfforfgram-negativefandfgram-
positiveforganismsfandfisfusedftoftreatfburnsftofreducefbacteriafpresentfinfavascularftissues.fThefclientfshou
ldfbefinformedfthatfthefmedicationfwillfcauseflocalfdiscomfortfandfburningfandfthatfthisfisfafnormalfreaction
;fthereforefoptionsf1,f2,fandf4farefincorrect
6.)fThefburnfclientfisfreceivingftreatmentsfofftopicalfmafenidefacetatef(Sulfamylon)ftofthefsitefoffinjury.fThef
nursefmonitorsfthefclient,fknowingfthatfwhichfofftheffollowingfindicatesfthatfafsystemicfeffectfhasfoccurred
?
f 1.Hyperventilation
PHARMACOLOGY fDRUGSfforf ATIftest,f ATIfLPNf PharmacologyfProctoredfExamfReviewf questionsf withf correctf answersf
,f 2.Elevatedfbloodfpressure
f 3.Localfpainfatfthefburnfsite
f 4.Localfrashfatfthefburnfsitef-fCORRECTfANSWER-1.Hyperventilation
Rationale:
Mafenidefacetatefisfafcarbonicfanhydrasefinhibitorfandfcanfsuppressfrenalfexcretionfoffacid,ftherebyfcausin
gfacidosis.fClientsfreceivingfthisftreatmentfshouldfbefmonitoredfforfsignsfoffanfacid-
basefimbalancef(hyperventilation).fIffthisfoccurs,fthefmedicationfshouldfbefdiscontinuedfforf1ftof2fdays.fOpt
ionsf3fandf4fdescribeflocalfratherfthanfsystemicfeffects.fAnfelevatedfbloodfpressurefmayfbefexpectedffromft
hefpainfthatfoccursfwithfafburnfinjury.
7.)fIsotretinoinfisfprescribedfforfafclientfwithfseverefacne.fBeforefthefadministrationfoffthisfmedication,fthef
nursefanticipatesfthatfwhichflaboratoryftestfwillfbefprescribed?
f 1.fPlateletfcount
f 2.fTriglycerideflevel
f 3.fCompletefbloodfcount
f 4.fWhitefbloodfcellfcountf-fCORRECTfANSWER-2.fTriglycerideflevel
Rationale:
Isotretinoinfcanfelevateftriglycerideflevels.fBloodftriglycerideflevelsfshouldfbefmeasuredfbeforeftreatmentfa
ndfperiodicallyfthereafterfuntilfthefeffectfonftheftriglyceridesfhasfbeenfevaluated.fOptionsf1,f3,fandf4fdofnotf
needftofbefmonitoredfspecificallyfduringfthisftreatment.
8.)fAfclientfwithfseverefacnefisfseenfinfthefclinicfandfthefhealthfcarefproviderf(HCP)fprescribesfisotretinoin.fT
hefnursefreviewsfthefclient'sfmedicationfrecordfandfwouldfcontactfthef(HCP)fiffthefclientfisftakingfwhichfme
dication?
f 1.fVitaminfA
f 2.fDigoxinf(Lanoxin)
f 3.fFurosemidef(Lasix)
f 4.fPhenytoinf(Dilantin)f-fCORRECTfANSWER-1.fVitaminfA
Rationale:
IsotretinoinfisfafmetabolitefoffvitaminfAfandfcanfproducefgeneralizedfintensificationfoffisotretinoinftoxicity.f
Becausefoffthefpotentialfforfincreasedftoxicity,fvitaminfAfsupplementsfshouldfbefdiscontinuedfbeforefisotre
tinoinftherapy.fOptionsf2,f3,fandf4farefnotfcontraindicatedfwithfthefusefoffisotretinoin.
PHARMACOLOGY fDRUGSfforf ATIftest,f ATIfLPNf PharmacologyfProctoredfExamfReviewf questionsf withf correctf answersf
, 9.)fThefnursefisfapplyingfaftopicalfcorticosteroidftofafclientfwithfeczema.fThefnursefwouldfmonitorfforfthefpo
tentialfforfincreasedfsystemicfabsorptionfoffthefmedicationfiffthefmedicationfwerefbeingfappliedftofwhichfof
ftheffollowingfbodyfareas?
f 1.fBack
f 2.fAxilla
f 3.fSolesfofftheffeet
f 4.fPalmsfoffthefhandsf-fCORRECTfANSWER-2.fAxilla
Rationale:
Topicalfcorticosteroidsfcanfbefabsorbedfintofthefsystemicfcirculation.fAbsorptionfisfhigherffromfregionsfwh
erefthefskinfisfespeciallyfpermeablef(scalp,faxilla,fface,feyelids,fneck,fperineum,fgenitalia),fandflowerffromfre
gionsfinfwhichfpermeabilityfisfpoorf(back,fpalms,fsoles).
10.)fThefclinicfnursefisfperformingfanfadmissionfassessmentfonfafclient.fThefnursefnotesfthatfthefclientfisftak
ingfazelaicfacidf(Azelex).fBecausefoffthefmedicationfprescription,fthefnursefwouldfsuspectfthatfthefclientfisfb
eingftreatedffor:
f 1.fAcne
f 2.fEczema
f 3.fHairfloss
f 4.fHerpesfsimplexf-fCORRECTfANSWER-1.fAcne
Rationale:
Azelaicfacidfisfaftopicalfmedicationfusedftoftreatfmildftofmoderatefacne.fThefacidfappearsftofworkfbyfsuppre
ssingfthefgrowthfoffPropionibacteriumfacnesfandfdecreasingfthefproliferationfoffkeratinocytes.fOptionsf2,f3
,fandf4farefincorrect.
11.)fThefhealthfcarefproviderfhasfprescribedfsilverfsulfadiazinef(Silvadene)fforfthefclientfwithfafpartial-
thicknessfburn,fwhichfhasfculturedfpositivefforfgram-
negativefbacteria.fThefnursefisfreinforcingfinformationftofthefclientfaboutfthefmedication.fWhichfstatement
fmadefbyfthefclientfindicatesfaflackfoffunderstandingfaboutftheftreatments?
f 1.f"Thefmedicationfisfanfantibacterial."
f 2.f"Thefmedicationfwillfhelpfhealfthefburn."
f 3.f"Thefmedicationfwillfpermanentlyfstainfmyfskin."
4.f"Thefmedicationfshouldfbefappliedfdirectlyftofthefwound."f-fCORRECTfANSWER-
f
3.f"Thefmedicationfwillfpermanentlyfstainfmyfskin."
PHARMACOLOGY fDRUGSfforf ATIftest,f ATIfLPNf PharmacologyfProctoredfExamfReviewf questionsf withf correctf answersf
