ATI pharmacology proctored exam
Actual Exam Latest 2023 Version
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)
A client whose asthma has been poorly controlled is prescribed cromolyn sodium (Intal)
for inhalation. Client teaching should include which statement by the nurse? ——–
CORRECT ANSWER ——- “Using this drug regularly will reduce the frequency of acute
attacks.”
The combination of aluminum and magnesium in many antacids decreases the risk of: –
——- CORRECT ANSWER ——- diarrhea or constipation.
A client who is taking one daily dose of a thiazide diuretic should be instructed to: ——–
CORRECT ANSWER ——- take the medication in morning to avoid nighttime voiding.
Which phase of pharmacokinetics is affected most by abnormal liver function? ——–
CORRECT ANSWER ——- Metabolism
A medication order is written for ciprofloxacin (Cipro). For which client should the nurse
question use of this medication? ——– CORRECT ANSWER ——- Child age 10
A home health client tells the nurse that she is taking triamterene (Dyrenium) for fluid
retention. She tells the nurse she is using a salt substitute so she will not retain so much
water. What is the most appropriate nursing response? ——– CORRECT ANSWER —-
— “Using a salt substitute with this medication could cause you to have too much
potassium.”
Orders are written for anticholinergic drugs for each of the following clients. Which order
should the nurse question? ——– CORRECT ANSWER ——- Atropine combined with
opioid analgesics to relieve pain in a 30-year-old client with urinary calculi.