ATI Pharmacology Proctored Exam 2019

1. What is/are the action(s) of the drug metformin? a. Decreases Hepatic glucose production and intestinal glucose absorption b. Increases sensitivity to insulin c. Short term sedation d. Both A and B - d. Both A and B 2. When administering the drug senna to a patient, a health care provider must inform the patient of which of the following a. This drug is intended to lower blood pressure and is best used in combination with other antihypertensives b. This drug is not intended for long term use c. The patient must limit his/her fiber intake d. Advise patient to change positions slowly to limit the risk of orthostatic hypotension - b. This drug is not intended for long term use 3. When giving digoxin (Lanoxin) to a patient, the health care provider notices various signs and symptoms of an overdose. The health care provider knows to give which of the following to reverse digoxin toxicity a. Naloxone b. Vitamin K c. Digibind d. Fluemanzil - c. Digibind 4. While providing an Angiotensin-converting enzyme (ACE) inhibitor, the patient asks what the action of the drug is. As a health care provider, you explain that the action of an ACE inhibitor is a. To lower blood pressure by blocking the conversion of angiotensin I to vasoconstrictor angiotensin II b. To inhibit reabsorption of sodium back into the body, ultimately increasing urine output and lowering blood pressure c. To decrease heart rate and blood pressure by competing with Beta1 and Beta2 receptors in the heart and lungs d. To lower blood glucose by stimulating the release of insulin - a. To lower blood pressure by blocking the conversion of angiotensin I to vasoconstrictor angiotensin II 5. Which of the following types of insulin is "long-acting"? a. Lispro (Humalog) b. NPH (Humulin N) c. Regular insulin (Humulin R) d. Glargine (Lantus) - d. Glargine (Lantus) 6. What is the therapeutic use of metformin? A. Lower blood pressure. B. To diminish seizure activity. C. The maintenance of a person's blood glucose. D. Increase heart rate and decrease gastrointestinal secretions. - C. The maintenance of a person's blood glucose. 7. What is the correct definition for absorption of a drug? a. Movement of drug from site of administration to various tissues of the body. b. Describes the absorption, distribution, metabolism & excretion of drugs. c. These types of drugs can be taken over the counter. d. This addresses how various drugs affect different forms of the body - A. Movement of drug from site of administration to various tissues of the body 8. What do you assess for in a patient who is on Valproate? Select all that apply. a. Suicidal thoughts b. Monitor for seizures. c. Bipolar disorder. d. Migraines. e. Anorexia - A. Suicidal thoughts B. Monitor for seizures. C. Bipolar disorder. d. Migraines. 9. What is true about food and drug precautions? Select all that apply. a. You must limit certain types of food or concurrent administration of certain types of drugs. b. Certain combinations of food and drugs can cause adverse reactions. c. Precautions may require limiting certain types of food or concurring drugs rather than restricting the drug itself. d. When one drug changes the way, another drug affects that drug. - A. You must limit certain types of food or concurrent administration of certain types of drugs. B. Certain combinations of food and drugs can cause adverse reactions. C. Precautions may require limiting certain types of food or concurring drugs rather than restricting the drug itself. 10. ACE Inhibitors are used in the treatment of all EXCEPT: a. Hypertension b. Heart Failure c. Hypotension d. Diabetic nephropathy - c. Hypotension 11. Which of the following is used to treat migraine headaches? a. Beta-blockers b. Cholinesterase Inhibitors c. ACE inhibitors d. Anti-epileptic drugs (AEDs) - a. Beta-blockers 12. When administering a Serotonin Antagonist, it is important to monitor for a. Intake and output b. Mental status changes c. Respiratory rate d. Anorexia - b. Mental status changes 13. Which of the following is the antidote for Heparin? a. Protamine sulfate b. Vitamin K c. Naloxone d. Toradol - a. Protamine sulfate 14. A patient has been taking hydrocodone, and opioid analgesic for their moderate pain, and they have taken over their prescribed dose. What should you give as the antidote if they experience toxicity? a. Naloxone b. N-acetylcysteine c. Atropine d. Digoxin immune Fab - A. Naloxone 15. A patient is being educated on taking levothyroxine, a drug used to balance thyroid activity. What should you include in their education? a. Don't bother your health care professionals if you experience side effects b. Take this at the same time every day c. Thyroid tests are unnecessary while taking this drug d. It is okay to take this drug if you have recently had a myocardial infarction - B. Take this at the same time every day 16. A patient states he experiences anxiety and has panic attacks at least once a week. What might be helpful for this patient? a. Phenytoin (Dilantin) b. Lithium c. Alprazolam (Xanax) d. Spironolactone - C. Alprazolam (Xanax) 17. Which of the following is NOT an opioid or NSAID? a. Morphine b. Ibuprofen c. Hydromorphone d. Acetaminophen - D. Acetaminophen 18. Why is it important to monitor ins and outs with patients using ACE inhibitors? a. To assess for renal impairment b. You must make sure the patient is receiving adequate fluid intake c. To assess the patient for potential heart failure d. You must assess for NSAID use e. To assess for decreased blood pressure - C. To assess the patient for potential heart failure 19. ) Which drug goes through extensive first-pass hepatic metabolism? a. Heparin b. Insulin c. Propranolol d. Nitroglycerine e. Warfarin - C. Propranolol 20. What nursing interventions should you do when a patient is on Albuterol (select all that apply) a. Assess lung sounds, Pulse, and Blood pressure before administering b. Monitor for changes in behavior c. Observe for paradoxical bronchospasms d. Assess for abdominal distention e. Note sputum color and texture - A. Assess lung sounds, Pulse, and Blood pressure before administering C. Observe for paradoxical bronchospasms E. Note sputum color and texture 21. What patient could potentially take the drug Senna? a. A patient with an eating disorder b. A patient who has not passed stool in 5 days c. A patient with anal fissures d. A patient with a history of hemorrhoids e. A patient who has hypersensitivity - B. A patient who has not passed stool in 5 days 22. What is the category class of Lithium? a. Antidiabetics, biguanides b. Mood stabilizers c. Antiarrhythmics, anticonvulsants d. Vascular headache suppressants - B. Mood stabilizers 23. What do you need to teach your patient if they are taking sennosides? Select All That Apply. A. Laxatives should be used for short-term therapy B. The medication does not cure hypothyroidism C. The color of the urine may change to a pink, red, violet, yellow, or brown D. Make sure other forms of bowel regulation are being used - A. Laxatives should be used for short-term therapy C. The color of the urine may change to a pink, red, violet, yellow, or brown D. Make sure other forms of bowel regulation are being used 24. What is the therapeutic use of Phenytoin? a. Replacement in hypothyroidism to restore normal hormonal balance b. Diminished accumulation of acid in the gastric lumen with lessened gastroesophageal reflux c. Diminished seizure activity, termination of ventricular arrhythmias d. Prevention of thrombus formation, prevention of extension of existing thrombi - C. Diminished seizure activity, termination of ventricular arrhythmias 25. At what amount does Acetaminophen stop controlling pain? a. Over 1,000 mg b. 750 mg c. Over 1,500 mg d. 150 mg - A. Over 1,000 mg 26. When should the drug Montelukast be taken a. Use at least two hours before exercise b. Daily in evening c. Use two hours before exercise or daily in evening d. None of the above - C. Use two hours before exercise or daily in evening 27. How should the oral form of albuterol be taken a. Administer with meals to minimize gastric irritation b. Administer before meals with water c. Administer after meals with water D. Administer in the morning with milk - A. Administer with meals to minimize gastric irritation 28. What should a Client taking Omeprazole report to the Heath Care Provider a. Black, tarry stools b. Diarrhea c. Abdominal pain d. All of the above - D. All of the above 29. When administering an Antiulcer Agents, you should be more cautious when administering it to a. A healthy 27 year old patient b. Patient with renal failure c. Elderly patients d. All of the above e. Choices B & C - E. Choices B & C 30. What is the common side effect that is normal with the initial therapy of Nitroglycerine due to increased vasodilation? a. Abdominal cramps b. Calf pain c. Headache d. Blurred vision - c. Headache 31. Two tests should be monitored for a patient currently on Warfarin. What are those two tests? Select ALL that apply. a. PT b. aPTT c. INR d. BMP - a. PT c. INR 32. Which of the following diuretics inhibits sodium reabsorption in the kidneys while saving K+ and Hydrogen ions? a. Spironolactone b. Furosemide c. Hydrochlorothiazide d. Bumetanide - a. Spironolactone 33. A nurse is about to administer Propanolol to a patient. The nurse takes the patient's apical pulse and documents it as 58 bmp. How should the nurse continue? a. Administer the medication as normal b. Cut the tablet in half and administer half of the normal dose c. Give the XR form of the medication c. Withhold administration of the medication and notify physician - d. Withhold administration of the medication and notify physician 34. Which of the following should be monitored for patients taking diuretics? (select all that apply) a. Daily weight b. Intake and output c. Amount and location of edema d. Appetite e. Lung sounds - a. Daily weight b. Intake and output c. Amount and location of edema e. Lung sounds 35. Which of the following drugs has a therapeutic effect that increases cardiac output and slows heart rate? . a. Heparin b. Alprazolam c. Digoxin d. Levothyroxine - c. Digoxin 36. Which of the following is a potassium-sparing diuretic? a. Furosemide b. Spironolactone c. Hydrochlorothiazide d. Bumetanide - b. Spironolactone 37. What is the antidote for Warfarin? a. Vitamin D b. Vitamin C c. Vitamin K d. Vitamin B6 - c. Vitamin K 38. A nurse is completing discharge teaching for a client who has a new prescription for transdermal patches. Which of the following statements should the nurse identify as an indication that the client understands the instructions? a. "I will clean the site with an alcohol swab before I apply the patch." b. "I will rotate the application sites weekly." c. "I will apply the patch to an area of skin with no hair." d. "I will place the new patch on the site of the old patch. - C. "I will apply the patch to an area of skin with no hair." 39. .A nurse is teaching a client who has a prescription for a long-term use of oral prednisone for chronic asthma. The nurse should instruct the client to monitor for which of the following adverse effects? a. Weight Gain b. Nervousness c. Bradycardia d. Constipation - A. Weight Gain 2. A nurse is caring for a patient who is taking Digoxin. The nurse should instruct the patient to monitor and report which of the following adverse effects? ( select all the apply)