ATI PN Pharmacology Proctored Exam
Review Ati Pn Pharmacology Proctored
Exam With Ngn
What lab values should a nurse monitor for a patient with chronic renal
failure? - ✔✔ANSWER✔✔-■ Urinalysis
☐ Hematuria, proteinuria, and alterations in specific gravity
☐ Serum creatinine
- Gradual increase of 1 to 2 mg/dL per every 24 to 48 hr for acute renal
failure (ARF)
- Gradual increase over months to years for chronic renal failure (CRF)
exceeding 4 mg/dL
■ Blood urea nitrogen (BUN)
- 80 to 100 mg/dL within 1 week with ARF
- Gradual increase with elevated serum creatinine over months to years for
CRF
- 180-200 mg/dL with (CRF)
■ Serum electrolytes
- Decreased sodium (dilutional) and calcium, increased potassium,
phosphorus, and magnesium
■ Complete blood count (CBC)
- Decreased hemoglobin
What food should you increase when taking Furosemide? - ✔✔ANSWER✔✔-
-increased amounts of potassium-rich foods (e.g., bananas, prunes, raisins, and
orange juice)
Patient reports IV discomfort, what is your first action? - ✔✔ANSWER✔✔-
Assess color and temperature
,Sumatriptan (treats migraine headaches) adverse effect - ✔✔ANSWER✔✔-
pain, tightness, pressure, or heaviness in the chest, throat, neck, and/or jaw
slow or difficult speech
Know about Transdermal patch - ✔✔ANSWER✔✔--• Apply at the same time
once each day,
preferably in the morning. Keep patch on
for 12 to 14 hr each day.
• Remove the patch at night to reduce
the risk of developing tolerance to
nitroglycerin. Be medication-free a
minimum of 10 to 12 hr each day (usually
at night).
• Do not cut patches to ensure appropriate
dosage.
• Place the patch on a hairless area of skin
(chest, back, or abdomen) and rotate sites
to prevent skin irritation.
• Wash skin with soap and water and dry
thoroughly before applying new patch.
RBC Blood transfusion - ✔✔ANSWER✔✔-prime with normal saline and
infuse with sodium chloride only
What to understand about Parkinson's Meds? - ✔✔ANSWER✔✔--they don't
cure disease, they slow the process.
NEUPOGEN (filgrastim)-what is the appropriate route of this med? -
✔✔ANSWER✔✔-administered by subcutaneous injection or IV infusion
Lisinopril therapeutic effect - ✔✔ANSWER✔✔-blood pressure answer (e.g.
120/80)
Medication for Schizophrenia - ✔✔ANSWER✔✔-risperidone, Risperdal
,Macrodantin medication - ✔✔ANSWER✔✔-used to treat or prevent certain
urinary tract infections
Haldol-inform if you are taking ____________ medication. -
✔✔ANSWER✔✔--benzodiazepine class of anti-anxiety drugs (all ending with
"pam") and even, Xanax.
Fosomax - ✔✔ANSWER✔✔-same as-Alendronate is used for treating
osteoporosis in men and postmenopausal women.
Lipitor - ✔✔ANSWER✔✔--lowers cholesterol in blood, "statins". Reduce LDL
and total cholesterol. Raise HDL.
Gentamicin (Garamycin) - ✔✔ANSWER✔✔-Antibiotic that is toxic to the
kidney, injected for radiology studies.
Digoxin side effects - ✔✔ANSWER✔✔--Fatigue
-Bradycardia
-Anorexia
-Nausea/Vomiting
Singulair(Montelukast) - ✔✔ANSWER✔✔-used before exercise to prevent
breathing problems during exercise (bronchospasm).
What medication to administer with acetaminophen overdose? -
✔✔ANSWER✔✔-acetylcysteine (Mucomyst) must be given IV
HPV vaccine - ✔✔ANSWER✔✔-Human Papilloma Virus (HPV2, HPV4) - -
Three doses should be given over a 6 month
-interval for females at 11 to 12 years of age (minimum age is 9 years).
-The second dose should be administered 2 months after the first dose, and
the third dose should be administered 6 months after the first dose.
-HPV4 may be given to males starting at age 9 years of age.
Opioid toxicity-what to check first - ✔✔ANSWER✔✔-oxygen saturation
Respiratory rate
, Valporic Acid lab - ✔✔ANSWER✔✔-liver
Lithium report immediately - ✔✔ANSWER✔✔-slurred speech
Prednisone report - ✔✔ANSWER✔✔-sore throat
Food to avoid when taking Lithium - ✔✔ANSWER✔✔--salty foods
-alcoholic beverages
Labs for patients taking hydrothiazide - ✔✔ANSWER✔✔-Periodic
determination of serum electrolytes to detect possible electrolyte imbalance
should be done at appropriate intervals.
1) A nurse is caring for a client with 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 - ✔✔ANSWER✔✔-3. Calcitonin (Miacalcin)
Rationale:
The normal serum calcium level is 8.6 to 10.0 mg/dL. This client is experiencing
hypercalcemia. Calcium gluconate and calcium chloride are medications used
for the treatment of tetany, which occurs as a result of acute hypocalcemia. In
hypercalcemia, large doses of vitamin D need to be avoided. Calcitonin, a
thyroid hormone, decreases the plasma calcium level by inhibiting bone
resorption and lowering the serum calcium concentration.
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 - ✔✔ANSWER✔✔-4. Orange juice
Rationale:
Review Ati Pn Pharmacology Proctored
Exam With Ngn
What lab values should a nurse monitor for a patient with chronic renal
failure? - ✔✔ANSWER✔✔-■ Urinalysis
☐ Hematuria, proteinuria, and alterations in specific gravity
☐ Serum creatinine
- Gradual increase of 1 to 2 mg/dL per every 24 to 48 hr for acute renal
failure (ARF)
- Gradual increase over months to years for chronic renal failure (CRF)
exceeding 4 mg/dL
■ Blood urea nitrogen (BUN)
- 80 to 100 mg/dL within 1 week with ARF
- Gradual increase with elevated serum creatinine over months to years for
CRF
- 180-200 mg/dL with (CRF)
■ Serum electrolytes
- Decreased sodium (dilutional) and calcium, increased potassium,
phosphorus, and magnesium
■ Complete blood count (CBC)
- Decreased hemoglobin
What food should you increase when taking Furosemide? - ✔✔ANSWER✔✔-
-increased amounts of potassium-rich foods (e.g., bananas, prunes, raisins, and
orange juice)
Patient reports IV discomfort, what is your first action? - ✔✔ANSWER✔✔-
Assess color and temperature
,Sumatriptan (treats migraine headaches) adverse effect - ✔✔ANSWER✔✔-
pain, tightness, pressure, or heaviness in the chest, throat, neck, and/or jaw
slow or difficult speech
Know about Transdermal patch - ✔✔ANSWER✔✔--• Apply at the same time
once each day,
preferably in the morning. Keep patch on
for 12 to 14 hr each day.
• Remove the patch at night to reduce
the risk of developing tolerance to
nitroglycerin. Be medication-free a
minimum of 10 to 12 hr each day (usually
at night).
• Do not cut patches to ensure appropriate
dosage.
• Place the patch on a hairless area of skin
(chest, back, or abdomen) and rotate sites
to prevent skin irritation.
• Wash skin with soap and water and dry
thoroughly before applying new patch.
RBC Blood transfusion - ✔✔ANSWER✔✔-prime with normal saline and
infuse with sodium chloride only
What to understand about Parkinson's Meds? - ✔✔ANSWER✔✔--they don't
cure disease, they slow the process.
NEUPOGEN (filgrastim)-what is the appropriate route of this med? -
✔✔ANSWER✔✔-administered by subcutaneous injection or IV infusion
Lisinopril therapeutic effect - ✔✔ANSWER✔✔-blood pressure answer (e.g.
120/80)
Medication for Schizophrenia - ✔✔ANSWER✔✔-risperidone, Risperdal
,Macrodantin medication - ✔✔ANSWER✔✔-used to treat or prevent certain
urinary tract infections
Haldol-inform if you are taking ____________ medication. -
✔✔ANSWER✔✔--benzodiazepine class of anti-anxiety drugs (all ending with
"pam") and even, Xanax.
Fosomax - ✔✔ANSWER✔✔-same as-Alendronate is used for treating
osteoporosis in men and postmenopausal women.
Lipitor - ✔✔ANSWER✔✔--lowers cholesterol in blood, "statins". Reduce LDL
and total cholesterol. Raise HDL.
Gentamicin (Garamycin) - ✔✔ANSWER✔✔-Antibiotic that is toxic to the
kidney, injected for radiology studies.
Digoxin side effects - ✔✔ANSWER✔✔--Fatigue
-Bradycardia
-Anorexia
-Nausea/Vomiting
Singulair(Montelukast) - ✔✔ANSWER✔✔-used before exercise to prevent
breathing problems during exercise (bronchospasm).
What medication to administer with acetaminophen overdose? -
✔✔ANSWER✔✔-acetylcysteine (Mucomyst) must be given IV
HPV vaccine - ✔✔ANSWER✔✔-Human Papilloma Virus (HPV2, HPV4) - -
Three doses should be given over a 6 month
-interval for females at 11 to 12 years of age (minimum age is 9 years).
-The second dose should be administered 2 months after the first dose, and
the third dose should be administered 6 months after the first dose.
-HPV4 may be given to males starting at age 9 years of age.
Opioid toxicity-what to check first - ✔✔ANSWER✔✔-oxygen saturation
Respiratory rate
, Valporic Acid lab - ✔✔ANSWER✔✔-liver
Lithium report immediately - ✔✔ANSWER✔✔-slurred speech
Prednisone report - ✔✔ANSWER✔✔-sore throat
Food to avoid when taking Lithium - ✔✔ANSWER✔✔--salty foods
-alcoholic beverages
Labs for patients taking hydrothiazide - ✔✔ANSWER✔✔-Periodic
determination of serum electrolytes to detect possible electrolyte imbalance
should be done at appropriate intervals.
1) A nurse is caring for a client with 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 - ✔✔ANSWER✔✔-3. Calcitonin (Miacalcin)
Rationale:
The normal serum calcium level is 8.6 to 10.0 mg/dL. This client is experiencing
hypercalcemia. Calcium gluconate and calcium chloride are medications used
for the treatment of tetany, which occurs as a result of acute hypocalcemia. In
hypercalcemia, large doses of vitamin D need to be avoided. Calcitonin, a
thyroid hormone, decreases the plasma calcium level by inhibiting bone
resorption and lowering the serum calcium concentration.
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 - ✔✔ANSWER✔✔-4. Orange juice
Rationale:
