ATI PHARMACOLOGY PROCTORED EXAM 2024| 70
NGN QUESTIONS AND CORRECT ANSWERS| GRADED
A+| PAPER 1 PART 3
A nurse is caring for four patients who have Peptic Ulcer Disease. The nurse should
recognize Misoprostol is contraindicated for which of the following patients?
A. A patient who is pregnant
B. A patient who has osteoarthritis
C. A patient who has a kidney
stone
D. A patient who has a urinary tract infection - RIGHT ANS✔✔ A (misoprostol can
induce labor and is contraindicated in pregnancy.)
A nurse is providing a patient who has Peptic Ulcer Disease with instructions about
managing his condition. Which of the following instructions should the nurse include?
(Select all that apply.)
A. "Eat a bedtime snack."
B. "Drink decaffeinated coffee"
C. "Low-dose aspirin therapy should be avoided."
D. "Seek measures to reduce stress."
E. "Avoid smoking." - RIGHT ANS✔✔ d, e
(D. Reducing stress is beneficial for healing of the ulcer and prevention of
complications.
E. Smoking inhibits healing of the ulcer.)
A nurse is caring for a patient who received Prochlorperazine 4 hr ago. The patient
reports spasms of his face. The nurse should anticipate a prescription for which of the
followingmedications?
A.Fomepizole
B.Naloxone
C.Phytonadione
D.Diphenhydramine - RIGHT ANS✔✔ D (An adverse effect of prochlorperazine is
acute dystonia, which is evidenced by spasms of the muscles in the face, neck, and
tongue. Diphenhydramine is used to suppress extrapyramidal effects of
prochlorperazin)
A nurse is planning to administer Ondansetron IV for an older adult patient who has a
history of diabetes mellitus and cardiac myopathy and is receiving chemotherapy for
cancer. For which of the following adverse effects of ondansetron should the nurse
monitor? (Select all that apply.)
A. Headache
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,B. Diarrhea
C. Shortened PR interval
D. Hyperglycemia
E. Prolonged QT interval - RIGHT ANS✔✔ a, b, e(A.headache is
a common adverse effect of ondansetron.
B. Diarrhea or constipation are both adverse effects of ondansetron
E. A prolonged QT interval is a possible adverse effect of ondansetron that can lead to
torsades de pointes, a serious dysrhythmia.)
A nurse is providing instructions about the use of laxatives to a patient who has heart
failure. The nurse should tell the patient he should avoid which of the following
laxatives?
A. Sodium phosphate
B. Psyllium
C. Bisacodyl
D. Polyethylene glycol - RIGHT ANS✔✔ A (Typically, patients who have heart
failure
are on a sodium-restricted diet. Absorption of sodium from sodium phosphate causes
fluid retention and is contraindicated for patients who have heart failure.)
A nurse is caring for a patient who has Diabetes and is experiencing Nausea due to
Gastroparesis. The nurse should anticipate a prescription for which of the following
medications?
A. Lubiprostone
B. Metoclopramide
C. Bisacodyl
D. Loperamide - RIGHT ANS✔✔ B (Metoclopramide is a dopamine antagonist that is
used to treat nausea and also increases gastric motility. It can relieve the bloatingand
nausea of diabetic gastroparesis.)
A nurse is providing information about Probiotic supplements to a male patient. Which of
the following information should the nurse include? (Select all that apply.)
A. "Probiotics are micro-organisms that are normally found in the GI tract."
B. "Probiotics are used to treat Clostridium difficile."
C. "Probiotics are used to treat benign prostatic hyperplasia."
D. "You can experience bloating while taking probiotic supplements."
E. "If you are prescribed an antibiotic, you should take it at the same time you take your
probiotic supplement." - RIGHT ANS✔✔ a, b, d
(A. Probiotics consist of lactobacilli, bifidobacteria, and Saccharomyces boulardii, which
normally are found in the digestive tract.
B. Probiotics are used to treat a number of GI
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, conditions, including irritable bowel syndrome, diarrhea associated with Clostridium
difficile, and ulcerative colitis
D. Flatulence and bloating are adverse
effects of probiotic supplements.)
A nurse is teaching a patient who has Anemia and a new prescription for a liquid Iron
supplement. Which of the following information should the nurse include in the
teaching? (Select all that apply.)
A. "Add foods that are high in fiber to your diet."
B. "Rinse your mouth after taking the medication."
C. "Expect stools to be green or black in color."
D. "Take the medication with a glass of milk."
E. "Add red meat to your diet." - RIGHT ANS✔✔ a, b, c, e(A.
Foods high in fiber can prevent constipation,
which can occur when taking iron supplements.
B. Iron supplements can stain teeth when taken in a liquid
form. The patient should rinse orally after taking the
medication.
C. Dark green or black stools can occur when taking
iron supplements. The patient should anticipate this effect.
E. Red meats are high in iron and recommended for a patient to improve anemia
whentaken concurrently with iron supplements.)
A nurse is caring for a patient who has increased liver enzymes and is taking herbal
supplements. Which of the following herbal supplements should the nurse report to the
provider?
A. Glucosamine
B. Saw palmetto
C. Kava
D. St. John's wort - RIGHT ANS✔✔ C (Chronic use or high doses of kava can cause
liver damage, including severe liver failure)
A nurse is evaluating a group of patients at a health fair to identify the need for folic acid
therapy. Which of the following patients require folic acid therapy? (Select all that apply.)
A.12-year-old child who has iron deficiency anemia
B.24-year-old female who has no health problems
C.44-year-old male who has hypertension
D.55-year-old female who has alcohol use disorder
E.35-year-old male who has type 2 diabetes mellitus - RIGHT ANS✔✔ b, d
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