ATI PN PHARMACOLOGY
PROCTORED EXAM QUESTIONS
WITH CORRECT ANSWERS RATED A+
SURE PASS
Patientuidentifiersu-uCORRECTuANSWERSu-Medicalurecordunumber
-homeutelephoneunumber
Whatulabuvaluesushoulduaunurseumonitoruforuaupatientuwithuchronicurenalufailure?u-
uCORRECTuANSWERSu■uUrinalysisu
☐uHematuria,uproteinuria,uandualterationsuinuspecificugravity
☐uSerumucreatinineu
-uGradualuincreaseuofu1utou2umg/dLuperueveryu24utou48uhruforuacuteurenalu
failureu(ARF)
-uGradualuincreaseuoverumonthsutouyearsuforuchronicurenalufailureu(CRF)u
exceedingu4umg/dL
■uBlooduureaunitrogenu(BUN)
-u80utou100umg/dLuwithinu1uweekuwithuARF
-uGradualuincreaseuwithuelevateduserumucreatinineuoverumonthsutouyearsuforu
CRF
-u180-200umg/dLuwithu(CRF)
■uSerumuelectrolytesu
-uDecreasedusodiumu(dilutional)uanducalcium,uincreasedupotassium,u
phosphorus,uandumagnesium
■uCompleteublooducountu(CBC)
-uDecreaseduhemoglobin
,WhatufoodushoulduyouuincreaseuwhenutakinguLasix?u-uCORRECTuANSWERSu-
increaseduamountsuofupotassium-richufoodsu(e.g.,ubananas,uprunes,uraisins,uanduorangeujuice)
PatientureportsuIVudiscomfort,uwhatuisuyourufirstuaction?u-
uCORRECTuANSWERSucoloruandutemperature
Sumatriptanu(treatsumigraineuheadaches)uadverseueffectu-
uCORRECTuANSWERSupain,utightness,upressure,uoruheavinessuinutheuchest,uthroat,uneck,uand/oruja
w
slowuorudifficultuspeech
KnowuaboutuTransdermalupatchu-uCORRECTuANSWERSu-•uApplyuatutheusameutimeuonceueachuday,u
preferablyuinutheumorning.uKeepupatchuonu
foru12utou14uhrueachuday.
•uRemoveutheupatchuatunightutoureduceu
theuriskuofudevelopingutoleranceutou
nitroglycerin.uBeumedication-freeuau
minimumuofu10utou12uhrueachudayu(usuallyu
atunight).
•uDounotucutupatchesutouensureuappropriateu
dosage.u
•uPlaceutheupatchuonuauhairlessuareauofuskinu
(chest,uback,uoruabdomen)uandurotateusitesu
toupreventuskinuirritation.u
•uWashuskinuwithusoapuanduwateruandudryu
thoroughlyubeforeuapplyingunewupatch.
,RBCuBloodutransfusionu-
uCORRECTuANSWERSuhttp://www.atitesting.com/ati_next_gen/FocusedReview/data/datacontext
/RM%20AMS%20RN%208.0%20Chp%2044.pdfu(primeuwithunormalusalineuanduinfuseuwithusodiu
muchloride).
WhatutouunderstanduaboutuParkinson'suMeds?u-uCORRECTuANSWERSu-
theyudon'tucureudisease,utheyuslowutheuprocess.
NEUPOGENu(filgrastim)-whatuisutheuappropriateurouteuofuthisumed?u-
uCORRECTuANSWERSuadministeredubyusubcutaneousuinjectionuoruIVuinfusion
Lisinoprilutherapeuticueffectu-uCORRECTuANSWERSubloodupressureuansweru(e.g.u120/80)
MedicationuforuSchizophreniau-uCORRECTuANSWERSurisperidone,uRisperdal
Macrodantinumedicationu-
uCORRECTuANSWERSuusedutoutreatuorupreventucertainuurinaryutractuinfections
Haldol-informuifuyouuareutakingu____________umedication.u-uCORRECTuANSWERSu-
benzodiazepineuclassuofuanti-anxietyudrugsu(alluendinguwithu"pam")uandueven,uXanax.
Fosomaxu-uCORRECTuANSWERSusameuas-
Alendronateuisuuseduforutreatinguosteoporosisuinumenuandupostmenopausaluwomen.
Lipitoru-uCORRECTuANSWERSu-
lowersucholesteroluinublood,u"statins".uReduceuLDLuandutotalucholesterol.uRaiseuHDL.
, Garamycin-u-
uCORRECTuANSWERSuAntibioticuthatuisutoxicutoutheukidney,uinjecteduforuradiologyustudies.
Digoxinusideueffectsu-uCORRECTuANSWERSu-Fatigue
-Bradycardia
-Anorexia
-Nausea/Vomiting
Singulairu-
uCORRECTuANSWERSuusedubeforeuexerciseutoupreventubreathinguproblemsuduringuexerciseu(bronc
hospasm).
WhatumedicationutouadministeruwithuTylenoluoverdose?u-
uCORRECTuANSWERSuacetylcysteineu(Mucomyst)umustubeugivenuIV
HPVuvaccineu-uCORRECTuANSWERSuHumanuPapillomauVirusu(HPV2,uHPV4)u-u-
Threeudosesushouldubeugivenuoveruau6umonthu
-intervaluforufemalesuatu11utou12uyearsuofuageu(minimumuageuisu9uyears).u
-
u
Theusecondudoseushouldubeuadministeredu2umonthsuafterutheufirstudose,uandutheuthirdudoseushoul
dubeuadministeredu6umonthsuafterutheufirstudose.u
-HPV4umayubeugivenutoumalesustartinguatuageu9uyearsuofuage.
Opioidutoxicity-whatutoucheckufirstu-uCORRECTuANSWERSuoxygenusaturation
ValporicuAcidulabu-uCORRECTuANSWERSuliver
Lithiumureportuimmediatelyu-uCORRECTuANSWERSuslurreduspeech
PROCTORED EXAM QUESTIONS
WITH CORRECT ANSWERS RATED A+
SURE PASS
Patientuidentifiersu-uCORRECTuANSWERSu-Medicalurecordunumber
-homeutelephoneunumber
Whatulabuvaluesushoulduaunurseumonitoruforuaupatientuwithuchronicurenalufailure?u-
uCORRECTuANSWERSu■uUrinalysisu
☐uHematuria,uproteinuria,uandualterationsuinuspecificugravity
☐uSerumucreatinineu
-uGradualuincreaseuofu1utou2umg/dLuperueveryu24utou48uhruforuacuteurenalu
failureu(ARF)
-uGradualuincreaseuoverumonthsutouyearsuforuchronicurenalufailureu(CRF)u
exceedingu4umg/dL
■uBlooduureaunitrogenu(BUN)
-u80utou100umg/dLuwithinu1uweekuwithuARF
-uGradualuincreaseuwithuelevateduserumucreatinineuoverumonthsutouyearsuforu
CRF
-u180-200umg/dLuwithu(CRF)
■uSerumuelectrolytesu
-uDecreasedusodiumu(dilutional)uanducalcium,uincreasedupotassium,u
phosphorus,uandumagnesium
■uCompleteublooducountu(CBC)
-uDecreaseduhemoglobin
,WhatufoodushoulduyouuincreaseuwhenutakinguLasix?u-uCORRECTuANSWERSu-
increaseduamountsuofupotassium-richufoodsu(e.g.,ubananas,uprunes,uraisins,uanduorangeujuice)
PatientureportsuIVudiscomfort,uwhatuisuyourufirstuaction?u-
uCORRECTuANSWERSucoloruandutemperature
Sumatriptanu(treatsumigraineuheadaches)uadverseueffectu-
uCORRECTuANSWERSupain,utightness,upressure,uoruheavinessuinutheuchest,uthroat,uneck,uand/oruja
w
slowuorudifficultuspeech
KnowuaboutuTransdermalupatchu-uCORRECTuANSWERSu-•uApplyuatutheusameutimeuonceueachuday,u
preferablyuinutheumorning.uKeepupatchuonu
foru12utou14uhrueachuday.
•uRemoveutheupatchuatunightutoureduceu
theuriskuofudevelopingutoleranceutou
nitroglycerin.uBeumedication-freeuau
minimumuofu10utou12uhrueachudayu(usuallyu
atunight).
•uDounotucutupatchesutouensureuappropriateu
dosage.u
•uPlaceutheupatchuonuauhairlessuareauofuskinu
(chest,uback,uoruabdomen)uandurotateusitesu
toupreventuskinuirritation.u
•uWashuskinuwithusoapuanduwateruandudryu
thoroughlyubeforeuapplyingunewupatch.
,RBCuBloodutransfusionu-
uCORRECTuANSWERSuhttp://www.atitesting.com/ati_next_gen/FocusedReview/data/datacontext
/RM%20AMS%20RN%208.0%20Chp%2044.pdfu(primeuwithunormalusalineuanduinfuseuwithusodiu
muchloride).
WhatutouunderstanduaboutuParkinson'suMeds?u-uCORRECTuANSWERSu-
theyudon'tucureudisease,utheyuslowutheuprocess.
NEUPOGENu(filgrastim)-whatuisutheuappropriateurouteuofuthisumed?u-
uCORRECTuANSWERSuadministeredubyusubcutaneousuinjectionuoruIVuinfusion
Lisinoprilutherapeuticueffectu-uCORRECTuANSWERSubloodupressureuansweru(e.g.u120/80)
MedicationuforuSchizophreniau-uCORRECTuANSWERSurisperidone,uRisperdal
Macrodantinumedicationu-
uCORRECTuANSWERSuusedutoutreatuorupreventucertainuurinaryutractuinfections
Haldol-informuifuyouuareutakingu____________umedication.u-uCORRECTuANSWERSu-
benzodiazepineuclassuofuanti-anxietyudrugsu(alluendinguwithu"pam")uandueven,uXanax.
Fosomaxu-uCORRECTuANSWERSusameuas-
Alendronateuisuuseduforutreatinguosteoporosisuinumenuandupostmenopausaluwomen.
Lipitoru-uCORRECTuANSWERSu-
lowersucholesteroluinublood,u"statins".uReduceuLDLuandutotalucholesterol.uRaiseuHDL.
, Garamycin-u-
uCORRECTuANSWERSuAntibioticuthatuisutoxicutoutheukidney,uinjecteduforuradiologyustudies.
Digoxinusideueffectsu-uCORRECTuANSWERSu-Fatigue
-Bradycardia
-Anorexia
-Nausea/Vomiting
Singulairu-
uCORRECTuANSWERSuusedubeforeuexerciseutoupreventubreathinguproblemsuduringuexerciseu(bronc
hospasm).
WhatumedicationutouadministeruwithuTylenoluoverdose?u-
uCORRECTuANSWERSuacetylcysteineu(Mucomyst)umustubeugivenuIV
HPVuvaccineu-uCORRECTuANSWERSuHumanuPapillomauVirusu(HPV2,uHPV4)u-u-
Threeudosesushouldubeugivenuoveruau6umonthu
-intervaluforufemalesuatu11utou12uyearsuofuageu(minimumuageuisu9uyears).u
-
u
Theusecondudoseushouldubeuadministeredu2umonthsuafterutheufirstudose,uandutheuthirdudoseushoul
dubeuadministeredu6umonthsuafterutheufirstudose.u
-HPV4umayubeugivenutoumalesustartinguatuageu9uyearsuofuage.
Opioidutoxicity-whatutoucheckufirstu-uCORRECTuANSWERSuoxygenusaturation
ValporicuAcidulabu-uCORRECTuANSWERSuliver
Lithiumureportuimmediatelyu-uCORRECTuANSWERSuslurreduspeech
