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ATI PHARMACOLOGY PROCTORED EXAM 2023 TEST BANK WITH VERIFIED SOLUTIONS/A+ GRADE updated A+ 2023
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Test Bank for ATI pharmacology Proctored updated A+ 2023How many times per day should the nurse expect to administer this medication? A. One B. Two C. Three D. Four 2. A nurse educator is reviewing medication metabolism at an in-service presentation. Which of the following factors should the educat...

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  • October 21, 2023
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  • 2023/2024
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ATI Pharmacology Proctored Test Bank

ATI Pharmacology Proctored Test Bank

ATI Pharmacology Proctored Exam, Test Bank(100 % Of 313 Verified Questions anALL
CORRECT Answers), GRADED A+


1. 1) A nurse is caring for a client with 3. Calcitonin (Miacalcin)
hyperparathyroidism and notes that the client's Rationale:
serum calcium level is 13 mg/dL. Which medication The normal serum calcium level is 8.6 to 10.0 mg/dL. This client is experiencinghypercalcemia.
should the nurse prepareto administer as prescribed Calcium gluconate andcalciumchloridearemedications usedforthetreatment of tetany, which occurs as
to the client? a result of acute hypocalcemia. In hypercalcemia, large doses of vitamin D need to be avoided.
1. Calcium chloride Calcitonin, a thyroid hormone, decreases the plasma calcium level by inhibiting bone resorption and
2. Calcium gluconate lowering the serum calciumconcentration.
3. Calcitonin (Miacalcin)
4. Large doses of vitamin D 4. Orange juice
Rationale:
2. 2.) Oral iron supplements are prescribed fora 6- Vitamin C increases the absorption of iron by the body. The mother should be instructed toadminister
year-old child with iron deficiency anemia. The themedication with a citrus fruit or a juice that is high in vitaminC. Milkmayaffectabsorptionoftheiron.
nurse instructs the mother to administer the iron Waterwill notassist inabsorption.Orange juice contains a greater amount of vitamin C than apple juice.
with which best food item?
1. Milk
2. Water
3. Apple juice
1. Tinnitus
4. Orange juice
Rationale:
3. 3.) Salicylic acid is prescribed for a clientwith a Salicylic acid is absorbed readily through the skin, and systemic toxicity (salicylism)canresult.Symptoms
diagnosis of psoriasis. The nurse monitors the includetinnitus, dizziness, hyperpnea, andpsychological disturbances. Constipation and diarrhea are not
client, knowing that which of the following would associated with salicylism.
indicate the presenceof systemic toxicity from this
medication?
1. Tinnitus
2. Diarrhea
3. Constipation
4. Atleast 30 minutes beforeexposureto thesunRationale:
4. Decreased respirations Sunscreens are most effective when applied at least 30 minutes beforeexposure to the sun so that they can
penetratetheskin. All sunscreens should bereappliedafterswimming or sweating.
4. 4.) The camp nurse asks the children preparing to
swim in the lake if they haveapplied sunscreen.
The nurse reminds thechildren that chemical
sunscreens are mosteffective when applied:
1. Immediately before swimming
2. 15 minutes before exposure to the sun
3. Immediately before exposure to the sun 3. Informing the client that this is normalRationale:
4. At least 30 minutes before exposure tothe sun Mafenideacetateis bacteriostatic forgram-negativeandgram-positive organismsand is used to
5. 5.) Mafenide acetate (Sulfamylon) is prescribed for treatburns toreducebacteria presentinavascular tissues. Theclient shouldbeinformedthat themedication
the client with a burn injury.When applying the will causelocal discomfort andburning andthat this is a normal reaction; therefore options 1, 2, and 4 are
medication, the client complains of local discomfort incorrect
and burning.Which of the following is the most
appropriate nursing action?
1. Notifying the registered nurse
2. Discontinuing the medication
3. Informing the client that this is normal
4. Applying a thinner film than prescribedto the
burn site




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, ATI Pharmacology Proctored Test Bank

1. Hyperventilation
6. 6.)The burn client is receiving treatments of topical
mafenide acetate(Sulfamylon) tothesite of injury. The Rationale:
nurse monitors the client, knowing that which of the Mafenideacetateis a carbonic anhydraseinhibitor andcansuppress renalexcretionof acid, thereby causing
following indicatesthat a systemic effect has acidosis. Clients receiving this treatment should be monitored for signs of an acid-base imbalance
occurred? 1.Hyperventilation (hyperventilation). If this occurs, the medication should be discontinued for 1 to 2 days. Options 3 and 4
2.Elevated blood pressure describe local ratherthansystemic effects. An elevatedblood pressuremay beexpectedfromthepain that
3.Local pain at the burn site occurs with a burn injury.
4.Local rash at the burn site
7. 7.) Isotretinoin is prescribed for a client with severe acne. 2. Triglyceride level
Before the administration of thismedication, the nurse Rationale:
anticipates that which laboratory test will be Isotretinoin can elevate triglyceride levels. Blood triglyceride levels should be measured before
prescribed? treatment and periodically thereafter until the effect on the triglycerides has beenevaluated. Options 1, 3,
1. Platelet count and 4 do not needto bemonitoredspecifically during this treatment.
2. Triglyceride level
3. Complete blood count
4. White blood cell count 1. Vitamin A
Rationale:
8. 8.) A client with severe acne is seen in the clinic and Isotretinoinis ametabolite of vitamin Aand canproducegeneralizedintensification of isotretinoin
the health care provider (HCP) prescribes toxicity. Because of the potential for increased toxicity, vitamin Asupplementsshould be discontinued
isotretinoin. The nurse reviews the client's medication beforeisotretinointherapy.Options2,3,and4are not contraindicated with the use of isotretinoin.
record and would contactthe (HCP) if the client is
taking which medication?
1. Vitamin A
2. Digoxin (Lanoxin)
3. Furosemide (Lasix)
2. Axilla
4. Phenytoin (Dilantin)
Rationale:
9. 9.) The nurse is applying a topical corticosteroid to a Topicalcorticosteroids canbeabsorbedintothesystemiccirculation. Absorptionishigher from regions
client with eczema. The nurse would monitor for the where the skin is especially permeable (scalp, axilla, face,eyelids, neck, perineum, genitalia), and lower
potential for increased systemic absorption of the from regions in which permeability is poor (back, palms, soles).
medication if the medication were being applied to
which of the following body areas?
1. Back
2. Axilla
3. Soles of the feet
1. Acne
4. Palms of the hands Rationale:
10. 10.) The clinic nurse is performing an admission Azelaic acid is a topical medication used to treat mild to moderateacne. The acidappears to work by
assessment on a client. The nurse notes that the client suppressing the growth of Propionibacterium acnes and decreasing the proliferation of keratinocytes.
is taking azelaic acid (Azelex). Because of the Options 2, 3, and 4 areincorrect.
medication prescription, the nurse would suspect that
theclient is being treated for:
1. Acne
2. Eczema
3. Hair loss
4. Herpes simplex




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, ATI Pharmacology Proctored Test Bank


11. 11.) The health care provider has prescribed silver sulfadiazine 3. "The medication will permanently stain my skin."Rationale:
(Silvadene) for the client with a partial- thickness burn, which Silver sulfadiazine (Silvadene) is an antibacterial that has a broad spectrumofactivityagainst
has cultured positive for gram- negative bacteria. The nurse is gram-negativebacteria, gram-positivebacteria, and yeast. It is applied directly to the wound to
reinforcing information to the client about the medication. assist in healing. It does not stain the skin.
Whichstatement made by the client indicates a lack of
understanding about the treatments?
1. "The medication is an antibacterial."
2. "The medication will help heal the burn."
3. "The medication will permanently stain my skin."
4. "The medication should be applied directly to the
wound." 1. Notify the registered nurse.Rationale:
12. 12.) A nurse is caring for a client who is receiving an When antineoplastic medications (Chemotheraputic Agents) are administeredviaIV,
intravenous (IV) infusion of an antineoplastic medication. greatcaremustbetakentopreventthemedicationfromescaping into the tissues surrounding the
During theinfusion, the client complains of pain at the injection site, because pain, tissue damage, and necrosis can result. The nurse monitors for
insertion site. During an inspection of the site, the nurse signs of extravasation, such as redness or swelling at the insertion site and a
notes redness and swelling and that the rate of infusion of decreasedinfusionrate.If extravasationoccurs, theregisterednurseneeds to be notified; he or she
the medication has slowed. The nurse should take which will then contact the health care provider.
appropriate action?
1. Notify the registered nurse.
2. Administer painmedicationtoreduce the
discomfort.
3. Apply ice and maintain the infusion rate, as
prescribed.
4. Elevate the extremity of the IV site, and slow theinfusion.
4. Pulmonary function studies
13. 13.) The client with squamous cell carcinoma of thelarynx is Rationale:
receiving bleomycin intravenously. The nurse caring for the Bleomycinisanantineoplasticmedication(ChemotheraputicAgents)that can cause interstitial
client anticipates that which diagnostic study will be pneumonitis, which can progress to pulmonary fibrosis. Pulmonary functionstudies along with
prescribed? hematological, hepatic, and renal function tests need to be monitored. The nurse needs to
1. Echocardiography monitor lung sounds for dyspnea and crackles, which indicatepulmonarytoxicity. The
2. Electrocardiography medication needs to be discontinued immediately if pulmonary toxicityoccurs. Options 1,
3. Cervical radiography 2, and 3 are unrelated to the specific use of this medication.
4. Pulmonary function studies 2. Uric acidlevel
Rationale:
Busulfan (Myleran) can cause an increase in the uric acid level.
Hyperuricemiacanproduceuricacidnephropathy, renalstones, andacuterenal failure.
14. 14.) The client with acute myelocytic leukemia isbeing treated Options 1, 3, and 4 are not specifically related to this medication.
with busulfan (Myleran). Which laboratory value would the
nurse specifically monitor during treatment with this
medication?
1. Clotting time
2. Uric acid level
3. Potassium level
4. Blood glucose level




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, ATI Pharmacology Proctored Test Bank


15. 15.)The client with small cell lung cancer is being treated 4. Orthostatic hypotension
with etoposide (VePesid). The nurse who is assisting in Rationale:
caring for the client during its administration understands A side effectspecific toetoposideis orthostatic hypotension. The client's bloodpressureis monitored
that whichside effect is specifically associated with this during the infusion. Hair loss occurs with nearly all the antineoplastic medications. Chest pain and
medication? pulmonary fibrosis are unrelated tothis medication.
1. Alopecia
2. Chest pain
3. Pulmonary fibrosis
4. Orthostatic hypotension
3. Consult with health care providers (HCPs) before receiving immunizationsRationale:
16. 16.) The clinic nurse is reviewing a teaching planfor the Because antineoplastic medications lower the resistance of the body, clients must beinformed not to
client receiving an antineoplastic medication. When receiveimmunizations without a HCP's approval. Clients also need to avoid contact with individuals
implementing the plan, the nurse tells the client: who have recently received a live virusvaccine. Clients need to avoid aspirin and aspirin-containing
1. To take aspirin (acetylsalicylic acid) as products to minimize the risk of bleeding, and they need to avoid alcohol to minimize the risk of
needed for headache toxicity and side effects.
2. Drink beverages containing alcohol in
moderate amounts each evening
3. Consult with health care providers (HCPs)before
receiving immunizations
4. That it is not necessary to consult HCPs before
receiving a flu vaccine at the localhealth fair
17. 17.)The client with ovarian cancer is being treated with 4. NumbnessandtinglinginthefingersandtoesRationale:
vincristine (Oncovin). The nurse monitors the client, A side effect specific to vincristine is peripheral neuropathy, which occurs in almost everyclient.
knowing that which of the following indicates a side effect Peripheral neuropathycan bemanifestedas numbness and tingling in the fingers and toes. Depression of
specific to thismedication? the Achilles tendon reflex may be thefirstclinical sign indicatingperipheralneuropathy. Constipation
1. Diarrhea rather than diarrhea is most likely to occur with this medication, although diarrhea may occur
2. Hair loss occasionally. Hair loss occurs with nearly all the antineoplastic medications.
Chest pain is unrelated to this medication.
3. Chest pain
4. Numbness and tingling in the fingers and toes
18. 18.) The nurse is reviewing the history and physical 1. Pancreatitis
examination of a client who will be receiving Rationale:
asparaginase (Elspar), an antineoplastic agent. The nurse Asparaginase (Elspar) is contraindicated if hypersensitivity exists, in pancreatitis, orif the client has a
consults with the registered nurse regarding the history of pancreatitis. The medication impairs pancreaticfunctionand pancreatic function tests
administration of the medication if which of the should beperformed beforetherapybeginsand whena week or morehas elapsed betweenadministration
following is documented in the client's history? of thedoses. The client needs to be monitored for signs of pancreatitis, which include nausea,
vomiting, andabdominal pain. Theconditions notedin options 2, 3, and 4 arenotcontraindicated with
1. Pancreatitis
this medication.
2. Diabetes mellitus
3. Myocardial infarction
4. Chronic obstructive pulmonary disease




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