ATI Pharmacology Proctored Exam 2023 Questions and Answers
An immunizing agent that confers active immunity protects by: - correct answer providing antibodies obtained from immune humans or animals.
Antacids should be given one hour apart from most other drugs. Which is the rationale? - correct answer Antacids may interfere with absorption of drugs taken at the same time.
Vancomycin should not be used to treat minor infections because it: - correct answer can cause "red man syndrome", a hypertensive crisis that is almost always fatal.
The antagonist for a client who has overdosed on morphine is: - correct answer narcan.
The most serious adverse reaction to oral contraceptives is: - correct answer thromboembolism.
When a client develops tolerance to a drug, the nurse would expect: - correct answer higher dose needed to achieve same effect.
Antihyperglycemic agents are prescribed for clients with: - correct answer Type 2 diabetes mellitus.
The nurse assesses a client shortly after an intravenous infusion of the osmotic diuretic mannitol is started. Which finding represents an early adverse effect of mannitol? - correct answer Bounding pulse
Compared to other beta adrenergic blockers, cardioselective beta adrenergic blockers: - correct answer are less likely to cause bronchoconstriction.
A client who experiences motion sickness during airplane flights obtains a prescription for meclizine (Antivert). When is the best time to take the drug? - correct answer One hour before the flight Before prescribing a cephalosporin, the nurse practitioner asks if the client is allergic to penicillin. Why
is this important to assess? - correct answer A client who is allergic to penicillin can have a cross
sensitivity to cephalosporins.
The use of which class of antibiotics should be avoided in children? - correct answer Tetracyclines
In a walk-in clinic, clients are often given intramuscular injections. Which drug should be readily
available in case a client has an anaphylactic reaction? - correct answer Epinephrine
Thiazide and loop (high ceiling) diuretics are similar in that both: - correct answer decrease tubular reabsorption of sodium and water.
Which of the statements by the nurse most accurately describes the effects of declined plasma albumin levels in older adults? - correct answer "There is an increased risk for adverse effects."
To prevent oral fungal infections, the nurse should instruct the client who uses a beclomethasone inhaler to take which action? - correct answer Rinse the mouth after each use.
A client takes ethinyl estradiol/norgestimate (Ortho Tri-Cyclen) birth control pills. She calls the clinic and relates that she missed her medication yesterday. Which instructions will the nurse give? - correct answer "Take two pills today then continue on a daily basis."
The nurse may administer acetylcysteine (Mucomyst) inhalation to: - correct answer facilitate mucus expectoration.
Development of a chronic cough is an adverse effect associated with which class of anti-hypertensive drugs? - correct answer Angiotensin converting enzyme (ACE) inhibitors
The nurse may administer baclofen (Lioresal) for the treatment of which condition? - correct answer Protracted muscle spasticity Oral diazepam (Valium), a benzodiazepine, has been prescribed for a client who has anxiety and
muscle spasms. Which nursing intervention is appropriate for the care of this client? - correct answer
Assess for incoordination and daytime drowsiness.
The nurse practitioner prescribed anhydrous theophylline (Theo-Dur) for the client with chronic bronchitis. With which disorder would the nurse practitioner reconsider the use of this medication? - correct answer Hypertension
When a client is receiving intravenous fluid with supplementary potassium chloride, it is especially important for the nurse to monitor for which potential adverse effect? - correct answer Cardiac dsyrhythmias
Which adverse effect is common for a client being treated with the antidepressant fluoxetine (Prozac)? - correct answer Sexual dysfunction
After giving a dose of dextromethorphan, an antitussive, which data reflects evaluation of the drug's effectiveness? - correct answer Client states that cough has been relieved.
Prior to giving a client a dose of digoxin, the nurse counts the apical pulse. If the rate is 62 bpm and regular, which is the appropriate nursing action? - correct answer Give the drug and document the heart rate.
Digoxin is started for a client with an atrial arrhythmia. Within three days, the client's heart rate has decreased from 94 to 74. What action of digitalis explains this change? - correct answer Slowed impulse conduction
One mechanism by which antihypertensive drugs lower blood pressure is to: - correct answer dilate peripheral blood vessels.
There are many agents that are useful in the treatment of gastric ulcers. Which agent reacts with hydrochloric acid to form a viscous protective barrier over the ulcer? - correct answer Sucralfate (Carafate)
An immunizing agent that confers active immunity protects by: - correct answer providing antibodies obtained from immune humans or animals.
Antacids should be given one hour apart from most other drugs. Which is the rationale? - correct answer Antacids may interfere with absorption of drugs taken at the same time.
Vancomycin should not be used to treat minor infections because it: - correct answer can cause "red man syndrome", a hypertensive crisis that is almost always fatal.
The antagonist for a client who has overdosed on morphine is: - correct answer narcan.
The most serious adverse reaction to oral contraceptives is: - correct answer thromboembolism.
When a client develops tolerance to a drug, the nurse would expect: - correct answer higher dose needed to achieve same effect.
Antihyperglycemic agents are prescribed for clients with: - correct answer Type 2 diabetes mellitus.
The nurse assesses a client shortly after an intravenous infusion of the osmotic diuretic mannitol is started. Which finding represents an early adverse effect of mannitol? - correct answer Bounding pulse
Compared to other beta adrenergic blockers, cardioselective beta adrenergic blockers: - correct answer are less likely to cause bronchoconstriction.
A client who experiences motion sickness during airplane flights obtains a prescription for meclizine (Antivert). When is the best time to take the drug? - correct answer One hour before the flight Before prescribing a cephalosporin, the nurse practitioner asks if the client is allergic to penicillin. Why
is this important to assess? - correct answer A client who is allergic to penicillin can have a cross
sensitivity to cephalosporins.
The use of which class of antibiotics should be avoided in children? - correct answer Tetracyclines
In a walk-in clinic, clients are often given intramuscular injections. Which drug should be readily
available in case a client has an anaphylactic reaction? - correct answer Epinephrine
Thiazide and loop (high ceiling) diuretics are similar in that both: - correct answer decrease tubular reabsorption of sodium and water.
Which of the statements by the nurse most accurately describes the effects of declined plasma albumin levels in older adults? - correct answer "There is an increased risk for adverse effects."
To prevent oral fungal infections, the nurse should instruct the client who uses a beclomethasone inhaler to take which action? - correct answer Rinse the mouth after each use.
A client takes ethinyl estradiol/norgestimate (Ortho Tri-Cyclen) birth control pills. She calls the clinic and relates that she missed her medication yesterday. Which instructions will the nurse give? - correct answer "Take two pills today then continue on a daily basis."
The nurse may administer acetylcysteine (Mucomyst) inhalation to: - correct answer facilitate mucus expectoration.
Development of a chronic cough is an adverse effect associated with which class of anti-hypertensive drugs? - correct answer Angiotensin converting enzyme (ACE) inhibitors
The nurse may administer baclofen (Lioresal) for the treatment of which condition? - correct answer Protracted muscle spasticity Oral diazepam (Valium), a benzodiazepine, has been prescribed for a client who has anxiety and
muscle spasms. Which nursing intervention is appropriate for the care of this client? - correct answer
Assess for incoordination and daytime drowsiness.
The nurse practitioner prescribed anhydrous theophylline (Theo-Dur) for the client with chronic bronchitis. With which disorder would the nurse practitioner reconsider the use of this medication? - correct answer Hypertension
When a client is receiving intravenous fluid with supplementary potassium chloride, it is especially important for the nurse to monitor for which potential adverse effect? - correct answer Cardiac dsyrhythmias
Which adverse effect is common for a client being treated with the antidepressant fluoxetine (Prozac)? - correct answer Sexual dysfunction
After giving a dose of dextromethorphan, an antitussive, which data reflects evaluation of the drug's effectiveness? - correct answer Client states that cough has been relieved.
Prior to giving a client a dose of digoxin, the nurse counts the apical pulse. If the rate is 62 bpm and regular, which is the appropriate nursing action? - correct answer Give the drug and document the heart rate.
Digoxin is started for a client with an atrial arrhythmia. Within three days, the client's heart rate has decreased from 94 to 74. What action of digitalis explains this change? - correct answer Slowed impulse conduction
One mechanism by which antihypertensive drugs lower blood pressure is to: - correct answer dilate peripheral blood vessels.
There are many agents that are useful in the treatment of gastric ulcers. Which agent reacts with hydrochloric acid to form a viscous protective barrier over the ulcer? - correct answer Sucralfate (Carafate)
