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ATI PN PHARMACOLOGY 2025 RETAKE 1 STUDY GUIDE/100% VERIFIED/TOP SCORE GUARANTEE!!!, Exams of Pharmacology

Washington Hospital School of NursingPharmacology

ATI PN PHARMACOLOGY 2025 RETAKE 1 STUDY GUIDE/100% VERIFIED/TOP SCORE GUARANTEE!!!

Typology: Exams

2024/2025

Available from 02/09/2025

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ATI PN PHARMACOLOGY 2025 RETAKE 1 STUDY
GUIDE/100% VERIFIED/TOP SCORE GUARANTEE!!!
1. A nurse is caring for a client who has breast cancer and reports pain 1 hour after
administration of prescribed morphine 10mg IV. Which of the following medications should
the nurse expect to administer?
a. Naloxone IV
b. Morphine tablet
c. Lid
d. ocaine patch
e. Fentanyl transmucosal
i. The correct answer is D Fentanyl transmucosal
2. When low potassium eat Potatoes, bananas
3. Enteral
a. through the GI tract
4. Parenteral
a. by injection
5. Routes of Administration
a. enteral, parenteral, topical, rectal, Sublingual, buccal, vaginal, inhalation, intradermal, IV.
6. How to administer eye drops
a. With tissue beneath the fingers, retract the lower lid over the bony orbit by pulling it
downward to expose the conjunctival sac.
7. IM injection angle
a. 90 degrees
8. IM Z-track
a. 90 degree, aspirate draw up an air lock, document.
9. MDI
a. metered dose inhaler
10. metered-dose inhaler (MDI)
a. instrument that delivers a controlled dose of medication to narrowed airways with each
compression of the canister
11. Give oral meds on an empty stomach, times?
a. 30-60 minutes prior or 2 hr after.
12. Giving eye meds
a. -have client look-up
-drop medication into the center of the conjunctiva sac
-ointment go inner to outer
-avoid directly on the cornea
-have client gently close their eye.
-apply gentle pressure on the nasolacrimal duct for 30-60 secs., preventing systemic
absorption
-In same eye wait 5 minutes between doses.
13. How to document an IM injection? (intramuscular)
14. Use of z-tract method.
15. How to document an absent pulse?
a. 0
16. How to give ear drops?
a. -Pull child's ear auricle down and back.
-Pull adult's auricle up and back.
-Instill medicine and gently apply pressure
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Partial preview of the text

Download ATI PN PHARMACOLOGY 2025 RETAKE 1 STUDY GUIDE/100% VERIFIED/TOP SCORE GUARANTEE!!! and more Exams Pharmacology in PDF only on Docsity!

ATI PN PHARMACOLOGY 202 5 RETAKE 1 STUDY

GUIDE/100% VERIFIED/TOP SCORE GUARANTEE!!!

  1. A nurse is caring for a client who has breast cancer and reports pain 1 hour after administrationof prescribed morphine 10mg IV. Which of the following medications should the nurse expect toadminister? a. Naloxone IV b. Morphine tablet c. Lid d. ocaine patch e. Fentanyl transmucosal i. The correct answer is D Fentanyl transmucosal
  2. When low potassium eat Potatoes, bananas
  3. Enteral a. through the GI tract
  4. Parenteral a. by injection
  5. Routes of Administration a. enteral, parenteral, topical, rectal, Sublingual, buccal, vaginal, inhalation, intradermal, IV.
  6. How to administer eye drops a. With tissue beneath the fingers, retract the lower lid over the bony orbit by pulling it downward to expose the conjunctival sac.
  7. IM injection angle a. 90 degrees
  8. IM Z-track a. 90 degree, aspirate draw up an air lock, document.
  9. MDI a. metered dose inhaler
  10. metered-dose inhaler (MDI) a. instrument that delivers a controlled dose of medication to narrowed airways with each compression of the canister
  11. Give oral meds on an empty stomach, times? a. 30 - 60 minutes prior or 2 hr after.
  12. Giving eye meds a. - have client look-up
    • drop medication into the center of the conjunctiva sac
    • ointment go inner to outer
    • avoid directly on the cornea
    • have client gently close their eye.
    • apply gentle pressure on the nasolacrimal duct for 30 - 60 secs., preventing systemic absorption
    • In same eye wait 5 minutes between doses.
  13. How to document an IM injection? (intramuscular)
  14. Use of z-tract method.
  15. How to document an absent pulse? a. 0
  16. How to give ear drops? a. - Pull child's ear auricle down and back.
    • Pull adult's auricle up and back.
    • Instill medicine and gently apply pressure
  • gently place cotton ball at outer part of ear canal.
  • Have patient lay there for 2 - 3 minutes.
  1. Liver enzymes a. Bile (stored in gallbladder)
  2. Aspirin overdose symptoms a. tinnitus and gastric distress
  3. lithium toxicity 1st indicator a. (Initial Sign) Slurred Speech
  4. Digoxin toxicity a. - Cholinergic—nausea, vomiting, diarrhea, blurry yellow vision (think van Gogh),arrhythmias, AV block.
  • Can lead to hyperkalemia, which indicates poor prognosis.
  1. Taking digoxin a. need Potassium, eat potatoes
  2. Isoniazid a. Pyridoxine
  3. TB a. tuberculosis
  4. Treatment for TB a. Treatment of these four antibiotics can completely cure the disease:
  5. ISONIAZID
  6. RIFAMPICIN
  7. PYRAZINAMIDE
  8. ETHAMBUTOL
  9. Celecoxib a. Celebre xNSAID
  10. live viruses not to be given to? a. Immune compromised patients or pregnant women
  11. Tinitus toxic a. acetaminophen, aspirin
  12. Acetaminophen (Tylenol) a. analgesic, antipyretic
  13. Isoniazid a. 1st line of therapy for TB, contraindicated in liver disease.
  14. overdose of isoniazid a. treat with pyridoxine(Vit B) is instituted.
    • pril meds a. ACE inhibitors
    • pril medication indicatorsa. B/P ......................128/
  17. gentomycin/ tobramycin a. can be toxic to kidneys
  18. What is patient has Penicillin allergies? a. Notify HCP to change medication.
  19. Penicillin allergy symptom a. rash, uriticaria, pruritus (itching), fever. ↑ allergy risk 4 drugs of same class.
  1. Hgb

a. M: 14 - 18 F: 12 - 16

  1. epoetin alfa (Epogen, Procrit) a. anemia
  2. Bupropion
    • Smoking cessation,
    • Wellbutrin antidepressant depression,
  4. Alcohol with "-pam" medication causes? a. - excessive sedation.
  5. medicines ending in "-pril" treat, what? a. hypertension
  6. Priority teaching with Digoxin? a. Check pulse before taking, if HR is 59 or below don't give.
  7. No smoking and no alcohol on NCLEX
  8. No smoking and no alcohol on NCLEX
  9. clients on anti-coagulents should wear a? a. Medication alert
  10. Sumatriptan a. Migraine treatment (Imitrex)
  11. adverse effect of sumatriptan a. pain, tightness, pressure
  12. Parkinson's meds do not...? a. cure the disease, they can slow the process.
  13. Neupogen (filgrastim) a. colony stimulating factor(CSF) (IV infusion)(sub-cu)
  14. Lisinopril therapeutic effect a. blood pressure answer (e.g. 120/80)
  15. Risperidone (Risperdal) a. Antipsychotic (Atypical) for schizophrenia
  16. Mucomist is the antidote for what a. Tylenol
  17. Valporic Acid (Depakote) a. - Anti-convulsant
  • This medication may cause hepatic toxicity. Therefore, serum liver enzyme levels are monitored.
  1. Prednisone adverse effects a. sore throat, report immediately
  2. Foods to avoid when taking Lithium? a. - salty foods
    • alcoholic beverages
  3. Client with hyperparathyroidism and serum calcium is 13 mg/dL, should receive? a. calcitonin (Miacalcin) (Ca range should be 8.6- 10 mg/dL)
  4. Oral iron supplements should be given with what? a. Orange juice Vit C increase the absorption of iron
  5. Salicidic acid for psoriasis, what indicates toxicity? a. tinnitus
  1. A nurse is reinforcing teaching with a client who has a seizure disorder and a new prescriptionfor carbamazepine. Which statements should the nurse include in the teaching? a. This medication will decrease the effectiveness of oral contraceptives
  2. A nurse is reinforcing teaching with a client who has chemotherapy-induced anemia and a prescription for epoetin alfa, The nurse should instruct the client to report whu=ich findings as anadverse effect of epoetin alfa/ a. Hypertension
  3. A nurse is reviewing the laboratory value for a client who is receiving clozapine for schizophrenia.The nurse should identify which finding as a potential adverse effect of the medication? a. Absolute neutrophil count 1200
  4. A nurse is reviewing the laboratory results for a client who is receiving allopurinol. Which findingshould indicate to the nurse that the medication is having a therapeutic effect? a. Decreased urinary phosphatase level
  5. A nurse is caring for a client who has developed MRSA in a surgical incision. Which medicationshould the nurse expect the provider to prescribe? a. Vancomycin
  6. A nurse is caring for an adolescent who has cystic fibrosis (CF) and has a prescription for high-dose ibuprofen daily. The nurse should identify that which is an expected outcome for the client receiving this medication? a. Slowed progression of pulmonary damage
  7. A nurse is caring for a client who has a prescription for zolpidem at bedtime to promote sleep.The nurse should monitor the client for which adverse effect? a. Dizziness
  8. A nurse is assisting with the administration of an epinephrine IV bolus to a client. Which shouldthe nurse verify before initiating the IV medication? a. Concentration of the formulation
  9. A nurse is caring for a client who is taking acarbose to treat type 2 diabetes mellitus. For whichadverse effect of this medication should the nurse monitor?
  10. A nurse is caring for a client who has severe asthma and allergic rhinitis. The client is taking theophylline. Which medication should the nurse identify as being incompatible with theophylline? a. Zafirlukast
  11. A nurse is assisting with a client who has unstable angina. Which medications should the nurseanticipate administering to the client? a. Nitroglycerin
  12. A nurse is caring for a client at 39 weeks of gestation who has gestational hypertension. Theclient has a new prescription for misoprostol for cervical ripening and induction of labor. Which findings in the client’s medical history should the nurse identify as incrasin the client’s risk of complications due to the use of this medication? a. Previous cesarean delivery
  13. A nurse is collecting data from a client who has AIDS and is taking zidovudine. Which finding isthe priority to report to the provider? a. Decreased hemoglobin
  14. A nurse is evaluating how a client who is pregnant is responding to a medication. Whichphysiological effects of pregnancy should the nurse take into consideration?

a. Accelerated excretion of fluids

  1. A nurse is reinforcing teaching with the parents of a child who has a new prescription of lamotrigine for a seizure disorder. The nurse should d instruct the parents that which adverse effectis the priority to report to the provider? a. Rash
  2. A nurse is caring for a client with chronic obstructive pulmonary disorder (COPD) who has beentaking tiotropium. Which of the client statement should indicate to the nurse that the client is experiencing an adverse effect of this medication? a. My mouth feels dry all the time
  3. A nurse is reinforcing teaching with a parent of a child who has asthma and a new prescription for cromolyn sodium via a metered-dose inhaler. Which statement by the parent indicates a need forfurther teaching? a. I will give my child a dose as soon as wheezing starts
  4. A nurse is reviewing the laboratory data for a client who has Alzheimer’s disease and a new prescription for memantine. The nurse should identify that which finding increases the client’s riskfor reduced clearance of t eh medication? a. Creatinine clearance 35mL/min
  5. A nurse is reinforcing teaching with a client who has severe chronic gout and a new prescriptionfor pegloticase. The client has been taking allopurinol for 1 month. Which instruction should the nurse include about pegloticase? a. If you experience a flare-up, you can take an NSAID while receiving this medication
  6. A nurse is reviewing the medical record of a client with rheumatoid arthritis who has a prescription for infliximab. Which finding should the nurse identify as a contraindication to the clientreceiving this medication? a. Hepatitis B Virus
  7. A nurse is monitoring a client who is receiving lactulose for cirrhosis. Which laboratory valuerelated to this medication should indicate to the nurse that the treatment is effective? a. Decreased serum ammonia
  8. A nurse is assisting in teaching a group of nurses about the effects of a client receiving spinalanesthesia. Which pieces of information should the nurse include in he teaching? a. Hypotension is an adverse effect of spinal anesthesia
  9. A nurse in a provider’s office is reinforcing teaching with a client who has an elevated prostate-specific antigen level and a new prescription for finasteride. Which statement by the client indicatesan understanding of the teaching? a. I will skip donating blood while I am taking this medication
  10. A nurse is preparing to administer warfarin to a client who has a new onset of atrial fibrillation.The client states “I forgot what the other nurse told me this medication does”. Which pieces of information should the nurse reinforce with the client? a. Ut can reduce your risk of having a stroke
  11. A nurse is caring for a client who is receiving chlorpromazine to treat schizophrenia. Whichstatement by the client should prompt the nurse to notify the provider immediately? a. My tongue keeps moving like a worm
  12. A nurse is caring for a client who has a dry non-productive cough. Which type of medicationshould the nurse recommend?
  1. A nurse is reinforcing teaching with a client who has asthma and a new prescription for a short-acting beta2 agonist (SABA) bronchodilator. Which pieces of information should the nurse provide in theteaching? a. Notify the provider if the SABA id needed more than twice per week
  2. A nurse is reinforcing teaching with a client who has diabetes mellitus about a new prescriptionfor pioglitazone. Which statement should the nurse include in the teaching? a. This medication can be taken when using insulin
  3. A nurse is caring for a school-aged child who has cystic fibrosis (CF) and has been using a corticosteroid inhaler for long0term treatment. Which findings should the nurse identify as an adverseeffect of long-term use of this medication? a. A small statue for age
  4. A nurse is collecting data from a client who has tuberculosis and a prescription for ethambutol.The nurse should inform the client that he is likely to develop which alteration as an adverse effect of this medication? a. Loss of red/green color discrimination
  5. A nurse is caring for a client who has rheumatoid arthritis and a new prescription for etanercept.Which values should the nurse review prior to administration of the medication>? a. Results of last purified protein derivative (PPD) Test
  6. A nurse is teaching a client who has type 1 diabetes about a new subcutaneous insulin infusionpump. Which pieces of information should the nurse reinforce in the teaching? a. Plan to use a type of short-duration insulin in the infusion pump
  7. A nurse is reinforcing teaching with a client who has cirrhosis and a new prescription forlactulose. The nurse should inform the client that lactulose has which therapeutic effects? a. Lactulose does not decrease heart rate
  8. A nurse is reinforcing teaching with assistive personnel (AP) about dietary restrictions for a clientwho is taking phenelzine to treat depression. The Ap’s selection of which foods for the client’s lunch indicate an understanding of the instructions? a. Chicken Salad
  9. A nurse working in a mental health facility is admitting a client with opioid disorder who isexperiencing withdrawal. The nurse should anticipate a prescription for which medication from theprovider? a. Methadone
  10. A nurse is administering an enteric coated tablet to a client and explaining the pharmaceuticalpreparation. Which statement should the nurse make? a. You are less likely to have an upset stomach with this pill because of the coating on the tablet
  11. A nurse is caring for a client who has hypothyroidism and has been taking levothyroxine for 3 months. Which statements by the client indicates that a decrease in the dosage of levothyroxine mightbe needed? a. I am having trouble getting to sleep at night
  12. A nurse is collecting data from a client who has a new diagnosis of fibromyalgia. Whichmedication should the nurse expect the provider to prescribe? a. Pregabalin
  1. A nurse is collecting data from a client with rheumatoid arthritis who has been takinghigh doses of prescribed hydroxychloroquine, Which client statement should indicate to the nurse that the client is experiencing an adverse effect of hydroxychloroquine? a. I have had a change in my vision recently
  2. A nurse in a provider’s office is reinforcing teaching with a client who has developed asthma. Which medication should the nurse identify as being prescribed for the short-term reliefof asthma? a. Albuterol
  3. A nurse is preparing to apply a fentanyl transdermal patch to a client who has chronicpain. Which action should the nurse take? a. Press the patch firmly for 30 seconds to ensure contact with the skin
  4. A nurse is caring for a male client who has been taking cimetidine for the treatment of aduodenal ulcer. Which manifestation related to the medication should the nurse report to the provider? a. Emesis that looks like coffee grounds
  5. A nurse administered an antibiotic 10 minutes ago to a client who is now reportingwheezing and swelling of the eyelids. Which action should the nurse take first? a. Administer epinephrine subcutaneously
  6. A charge nurse is reinforcing teaching with a newly licensed nurse about the purpose ofa client being treated with a transdermal fentanyl patch. Which client should the charge nurse include in the teaching as a client who requires this medication? a. A client who is opioid tolerant
  7. A nurse is caring for a client who is experiencing cycloplegia following the administrationof atropine eye drops during an eye examination. Which finding should the nurse expect as a result of cycloplegia> a. Blurred vision
  8. A nurse is reinforcing teaching with a client who has primary adrenal insufficiency (Addison’s Disease) and a prescription for hydrocortisone. Which statement should the nurseinclude in the teaching about t his medication? a. Carry a supply of pills and a single-use injectable preparation with you at all times
  9. A nurse is caring for a client who is receiving IV famotidine. Which adverse effects shouldthe nurse report to the provider? a. Bloody stools
  10. A nurse is caring for a client who has a prescription for subdermal etonogestrel. Thenurse should alert the provider about which findings in the client’s medical history? a. Takes St. John’s wort
  11. A nurse is preparing to administer an IM injection for a client. Which factors should thenurse identify as a potential contraindication to administering the medication via the IM route? a. The client is taking an anticoagulant
  12. A nurse is reinforcing teaching with a client who has been taking an NSAID to treatrheumatoid arthritis. During the client’s first month checkup, the provider prescribed methotrexate to be added to the medication regimen. Which statement should the nurseinclude in the teaching about the purpose of this change in the client’s medication? a. This medication was added to delay the disease progression

a. Hypotension

  1. A nurse is caring for a client who has a vitamin K deficiency. Which manifestation shouldthe nurse expect? a. Excessive bleeding
  2. A nurse is caring for a client who takes ginkgo biloba daily at home. Which effects shouldthe nurse expect from the use of this herbal supplement? a. Decreased platelet aggregation
  3. A nurse is reinforcing teaching about self-administration of NPH insulin with a client whohas type 2 diabetes mellitus. Which instruction should the nurse include? a. Rotate injection sites within the same area
  4. A nurse is caring for a client who has tuberculosis and is taking rifampin. Which client statement should indicate to the nurse that the client is experiencing an adverse effect pf themedication? a. I have noticed my urine is orange in color
  5. A nurse is caring for a client who has been receiving medication through a transdermal patch. The client is experiencing therapeutic benefits from the mediation even though the medication in the patch is no longer active. The nurse should recognize that this is an example ofwhich of the following? a. Placebo effect
  6. A nurse is caring for a client who has developed a mild clostridium difficle infection following antibiotic therapy. After discontinuing the current antibiotic, the nurse should expectthe provider to prescribe which medication? a. Metronidazole
  7. A nurse is reinforcing teaching with a client who has a prescription for a combinationoral contraception (OC)that uses a 25 - day cycle. Which instruction should the nurse include inthe teaching? a. You can miss up to 7 pills with kittle risk in getting pregnant as long as you have takenthe pills regularly for the previous 3 weeks
  8. A nurse is monitoring a client who received diphenoxylate – atropine. Which statementby the client should indicate to the nurse that the medication has been effective? a. I have not has a bowel movement today
  9. A nurse is reinforcing teaching with a female client about Vitamin A supplementation.Which client statement indicate an understanding of the teaching? a. A deficiency of vitamin A can cause night blindness
  10. A nurse is reinforcing teaching with a client who has ulcerative colitis and a new prescription for sulfasalazine. The nurse should instruct the client to monitor for which adverseeffect of this medication? a. Arthralgia
  11. A nurse is assisting with a clients laceration repair in which the provider will use both lidocaine and epinephrine. The nurse should inform the client that the epinephrine will performwhich actions? a. Delay systemic absorption of the anesthetic properties of lidocaine
  12. A nurse caring for a client who has a new prescription for tamoxifen. The nurse shouldrecognize that tamoxifen has which therapeutic effects?

a. Anti-Estrogenic

  1. A nurse is caring for a client who received spinal anesthesia 30 minutes ago. The client reports feeling dizzy, and the nurse notes that the clients blood pressure is 84/54. Which actionsshould the nurse take? a. Place the client in the head down position
  2. A nurse is completing the admission history for a client who reports drinking 1 pint of whiskey every day for 6 years. The clients last drink was 10 hours ago. Which medication shouldthe nurse plan to administer upon admission? a. Chlordiazepoxide
  3. A nurse is monitoring a client who is receiving phenytoin IV for the treatment of statusepilepticus. Which finding should the nurse identify as an adverse effect of the medication? a. Cardiac dysrhythmias
  4. A nurse is reinforcing teaching with a client about the adverse effects of omeprazole.Which client statement indicates an understanding of the teaching? a. If I experience severe diarrhea, I will call my doctor
  5. A nurse is teaching a client who is experiencing age-related vaginal atrophy and has aprescription for estradiol cream. Which statement should the nurse include in the teaching? a. This medication has fewer systemic effects than oral estrogen
  6. Benadryl side effects a. Sedation
  7. How does drugs effect organs? a. Ototoxicity )Ear) i. NSaids ii. Antibiotics iii. Cancer drugs iv. Diuretics v. Causes balance problems
  8. Nephrotoxic (kidneys) i. Diuretics ii. HTN iii. Antibiotics iv. Ciclosporins
  9. Cancer Drugs i. Vincristine – causes tingling in extremities
  10. Lisinopril – Ace Inhibitor - pril
  11. Warfarin antidote i. Vitamin K
  12. Heparin antidote i. Protamine
  13. Atorvastatin i. Muscle pain ii. Avoid grapefruit iii. Monitor liver iv. No NSAIDS