ATI PN PHARMACOLOGY
PROCTORED EXAM
Patient identifiers - >THE:CORRECT ANSWER --Medical record number
-home telephone number
What lab values should a nurse monitor for a patient with chronic renal failure? -
>THE:CORRECT 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 Lasix? - >THE:CORRECT ANSWER --increased
amounts of potassium-rich foods (e.g., bananas, prunes, raisins, and orange juice)
Patient reports IV discomfort, what is your first action? - >THE:CORRECT ANSWER -color
and temperature
Sumatriptan (treats migraine headaches) adverse effect - >THE:CORRECT ANSWER -pain,
tightness, pressure, or heaviness in the chest, throat, neck, and/or jaw
slow or difficult speech
Know about Transdermal patch - >THE:CORRECT 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 - >THE:CORRECT ANSWER -
http://www.atitesting.com/ati_next_gen/FocusedReview/data/datacontext/RM%20AMS%2
0RN%208.0%20Chp%2044.pdf (prime with normal saline and infuse with sodium chloride).
What to understand about Parkinson's Meds? - >THE:CORRECT ANSWER --they don't cure
disease, they slow the process.
NEUPOGEN (filgrastim)-what is the appropriate route of this med? - >THE:CORRECT
ANSWER -administered by subcutaneous injection or IV infusion
Lisinopril therapeutic effect - >THE:CORRECT ANSWER -blood pressure answer (e.g.
120/80)
Medication for Schizophrenia - >THE:CORRECT ANSWER -risperidone, Risperdal
Macrodantin medication - >THE:CORRECT ANSWER -used to treat or prevent certain
urinary tract infections
Haldol-inform if you are taking ____________ medication. - >THE:CORRECT ANSWER --
benzodiazepine class of anti-anxiety drugs (all ending with "pam") and even, Xanax.
Fosomax - >THE:CORRECT ANSWER -same as-Alendronate is used for treating
osteoporosis in men and postmenopausal women.
, Lipitor - >THE:CORRECT ANSWER --lowers cholesterol in blood, "statins". Reduce LDL and
total cholesterol. Raise HDL.
Garamycin- - >THE:CORRECT ANSWER -Antibiotic that is toxic to the kidney, injected for
radiology studies.
Digoxin side effects - >THE:CORRECT ANSWER --Fatigue
-Bradycardia
-Anorexia
-Nausea/Vomiting
Singulair - >THE:CORRECT ANSWER -used before exercise to prevent breathing problems
during exercise (bronchospasm).
What medication to administer with Tylenol overdose? - >THE:CORRECT ANSWER -
acetylcysteine (Mucomyst) must be given IV
HPV vaccine - >THE:CORRECT 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 - >THE:CORRECT ANSWER -oxygen saturation
Valporic Acid lab - >THE:CORRECT ANSWER -liver
PROCTORED EXAM
Patient identifiers - >THE:CORRECT ANSWER --Medical record number
-home telephone number
What lab values should a nurse monitor for a patient with chronic renal failure? -
>THE:CORRECT 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 Lasix? - >THE:CORRECT ANSWER --increased
amounts of potassium-rich foods (e.g., bananas, prunes, raisins, and orange juice)
Patient reports IV discomfort, what is your first action? - >THE:CORRECT ANSWER -color
and temperature
Sumatriptan (treats migraine headaches) adverse effect - >THE:CORRECT ANSWER -pain,
tightness, pressure, or heaviness in the chest, throat, neck, and/or jaw
slow or difficult speech
Know about Transdermal patch - >THE:CORRECT 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 - >THE:CORRECT ANSWER -
http://www.atitesting.com/ati_next_gen/FocusedReview/data/datacontext/RM%20AMS%2
0RN%208.0%20Chp%2044.pdf (prime with normal saline and infuse with sodium chloride).
What to understand about Parkinson's Meds? - >THE:CORRECT ANSWER --they don't cure
disease, they slow the process.
NEUPOGEN (filgrastim)-what is the appropriate route of this med? - >THE:CORRECT
ANSWER -administered by subcutaneous injection or IV infusion
Lisinopril therapeutic effect - >THE:CORRECT ANSWER -blood pressure answer (e.g.
120/80)
Medication for Schizophrenia - >THE:CORRECT ANSWER -risperidone, Risperdal
Macrodantin medication - >THE:CORRECT ANSWER -used to treat or prevent certain
urinary tract infections
Haldol-inform if you are taking ____________ medication. - >THE:CORRECT ANSWER --
benzodiazepine class of anti-anxiety drugs (all ending with "pam") and even, Xanax.
Fosomax - >THE:CORRECT ANSWER -same as-Alendronate is used for treating
osteoporosis in men and postmenopausal women.
, Lipitor - >THE:CORRECT ANSWER --lowers cholesterol in blood, "statins". Reduce LDL and
total cholesterol. Raise HDL.
Garamycin- - >THE:CORRECT ANSWER -Antibiotic that is toxic to the kidney, injected for
radiology studies.
Digoxin side effects - >THE:CORRECT ANSWER --Fatigue
-Bradycardia
-Anorexia
-Nausea/Vomiting
Singulair - >THE:CORRECT ANSWER -used before exercise to prevent breathing problems
during exercise (bronchospasm).
What medication to administer with Tylenol overdose? - >THE:CORRECT ANSWER -
acetylcysteine (Mucomyst) must be given IV
HPV vaccine - >THE:CORRECT 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 - >THE:CORRECT ANSWER -oxygen saturation
Valporic Acid lab - >THE:CORRECT ANSWER -liver
