Exam (elaborations)
_ati_pharmacology_proctored_test_bank__1
- Course
- ATI NR 293
- Institution
- Chamberlain College Nursing
_ati_pharmacology_proctored_test_bank__1
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ATI Pharmacology Proctored TestBank
ATI Pharmacology Proctored Test Bank
ATI Pharmacology Proctored Exam, Test Bank(100 % Of 313 Verified Questions an
ALL CORRECT Answers), GRADED A+
4. 4.) The camp nurse asks the children preparing to swim in the lake if they have
1. 1) A nurse is caring for a client with applied sunscreen. The nurse reminds the children that chemical sunscreens are
hyperparathyroidism and notes that the most effective when applied: 1. Immediately before swimming
client's serum calcium level is 13 mg/dL. 2. 15 minutes before exposure to the sun
Which medication should the nurse 3. Immediately before exposure to the sun 4. At least 30 minutes before
prepare to administer as prescribed to the exposure to the sun
client?
5. 5.) Mafenide acetate (Sulfamylon) is prescribed for the client with a burn injury.
1. Calcium chloride When applying the medication, the client complains of local discomfort and
2. Calcium gluconate burning. Which of the following is the most appropriate nursing action? 1.
3. Calcitonin (Miacalcin) Notifying the registered nurse
4. Large doses of vitamin D 2. Discontinuing the medication
2. 2.) Oral iron supplements are prescribed for 3. Informing the client that this is normal 4. Applying a thinner film than
a 6-year-old child with iron deficiency prescribed to the burn site
anemia. The nurse instructs the mother to
administer the iron with which best food 3. Calcitonin
item? 1. Milk (Miacalcin) Rationale:
2. Water The normal serum calcium level is 8.6 to 10.0 mg/dL. This client is experiencing
3. Apple juice hypercalcemia. Calcium gluconate and calcium chloride are medications used
for the treatment of tetany, which occurs as a result of acute hypocalcemia. In
4. Orange juice
hypercalcemia, large doses of vitamin D need to be avoided. Calcitonin, a
3. 3.) Salicylic acid is prescribed for a client thyroid hormone, decreases the plasma calcium level by inhibiting bone
with a diagnosis of psoriasis. The nurse resorption and lowering the serum calcium concentration.
monitors the client, knowing that which of
the following would indicate the
presence of systemic toxicity from this 4. Orange juice
medication? Rationale:
1. Tinnitus Vitamin C increases the absorption of iron by the body. The mother should be
2. Diarrhea instructed to administer the medication with a citrus fruit or a juice that is
high in vitamin C. Milk may affect absorption of the iron. Water will not assist
3. Constipation
4. Decreased respirations
, in absorption. Orange juice contains a exposure to the sun Rationale:
greater amount of vitamin C than apple Sunscreens are most effective when applied at least 30 minutes before
juice. exposure to the sun so that they can penetrate the skin. All sunscreens should
be reapplied after swimming or sweating.
1. Tinnitus
Rationale:
Salicylic acid is absorbed readily through
the skin, and systemic toxicity (salicylism)
can result. Symptoms include tinnitus,
dizziness, hyperpnea, and psychological 3. Informing the client that this is normal
disturbances. Constipation and diarrhea Rationale:
are not associated with salicylism. Mafenide acetate is bacteriostatic for gram-negative and gram-positive
organisms and is used to treat burns to reduce bacteria present in avascular
tissues. The client should be informed that the medication will cause local
4. At least 30 discomfort and burning and that this is a normal reaction; therefore options 1,
minutes before 2, and 4 are incorrect
1. Hyperventilation
6. 6.) The burn client is receiving treatments of
Rationale:
topical mafenide acetate (Sulfamylon) to the
Mafenide acetate is a carbonic anhydrase inhibitor and can suppressrenal
excretion site of injury. The nurse monitors the client, of acid, thereby causing acidosis. Clients receiving this treatment should
be knowing that which of the following indicates monitored for signs of an acid-base imbalance (hyperventilation). If this occurs,
the that a systemic effect has occurred? medication should be discontinued for 1 to 2 days. Options 3 and 4 describe local
1.Hyperventilation rather than systemic effects. An elevated blood pressure may be expected from the
2.Elevated blood pressure pain that occurs with a burn injury.
3.Local pain at the burn site
4.Local rash at the burn site
7. 7.) Isotretinoin is prescribed for a client with 2. Triglyceride level
severe acne. Before the administration of this Rationale:
medication, the nurse anticipates that which Isotretinoin can elevate triglyceride levels. Blood triglyceride levels should
laboratory test will be prescribed? be measured before treatment and periodically thereafter until the effect on
1. Platelet count the triglycerides has been evaluated. Options 1, 3, and 4 do not need to be
monitored specifically during this treatment.
2. Triglyceride level
3. Complete blood count
4. White blood cell count
8. 8.) A client with severe acne is seen in the clinic 1. Vitamin A
and the health care provider (HCP) prescribes Rationale:
isotretinoin. The nurse reviews the client's Isotretinoin is a metabolite of vitamin A and can produce generalized
medication record and would contact the intensification of isotretinoin toxicity. Because of the potential for increased
(HCP) if the client is taking which medication? toxicity, vitamin A supplements should be discontinued before isotretinoin
therapy. Options 2, 3, and 4 are not contraindicated with the use of
1. Vitamin A
isotretinoin.
2. Digoxin (Lanoxin)
3. Furosemide (Lasix)
4. Phenytoin (Dilantin)
,9. 9.) The nurse is applying a topical 2. Axilla
corticosteroid to a client with eczema. The Rationale:
nurse would monitor for the potential for Topical corticosteroids can be absorbed into the systemic circulation.
increased systemic absorption of the Absorption is higher from regions where the skin is especially permeable
medication if the medication were being (scalp, axilla, face, eyelids, neck, perineum, genitalia), and lower from regions
applied to which of the following body areas? in which permeability is poor (back, palms, soles).
1. Back
2. Axilla
3. Soles of
the feet
4. Palms of
the
hands
10. 10.) The clinic nurse is performing an admission 1. Acne
assessment on a client. The nurse notes that the Rationale:
client is taking azelaic acid (Azelex). Because Azelaic acid is a topical medication used to treat mild to moderate acne. The
of the medication prescription, the nurse would acid appears to work by suppressing the growth of Propionibacterium acnes
suspect that the client is being treated for: and decreasing the proliferation of keratinocytes. Options 2, 3, and 4 are
1. Acne incorrect.
2. Eczema
3. Hair loss
4. Herpes simplex
, 3. "Themedication will permanently stain my skin."
11. 11.) The health care provider has prescribed silver
Rationale:
sulfadiazine (Silvadene) for the client with a partial-
Silver sulfadiazine (Silvadene) is an antibacterial that has a broad
spectrum thickness burn, which has cultured positive for gram- of activity against gram-negative bacteria, gram-positive
bacteria, and negative bacteria. The nurse is reinforcing yeast. It is applied directly to the wound to assist in healing. It does
not information to the client about the medication. Which
stain the
skin. statement 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.
12. 12.) A nurse is caring for a client who is receiving an
Rationale:
intravenous (IV) infusion of an antineoplastic
When antineoplastic medications (Chemotheraputic Agents) are
medication. During the infusion, the client complains administered via IV, great care must be taken to prevent the medication
from of pain at the insertion site. During an inspection of escaping into the tissues surrounding the injection site, because pain,
tissue the site, the nurse notes redness and swelling and damage, and necrosis can result. The nurse monitors for signs of that
the rate of infusion of the medication has extravasation, such as redness or swelling at the insertion site and a slowed. The nurse
should take which appropriate decreased infusion rate. If extravasation occurs, the registered nurse needs action?
1. Notify the registered nurse. to be notified; he or she will then
contact the health care provider.
2. Administer pain medication to reduce the discomfort.
3. Apply ice and maintain the infusion rate, as prescribed.
4. Elevate the extremity of the IV site, and slow the infusion.
4. Pulmonary function studies
13. 13.) The client with squamous cell carcinoma of the
Rationale:
larynx is receiving bleomycin intravenously. The
Bleomycin is an antineoplastic medication (Chemotheraputic Agents)
that nurse caring for the client anticipates that which can cause interstitial pneumonitis, which can progress to pulmonary
fibrosis. diagnostic study will be prescribed?
1. Echocardiography Pulmonary function studies along with hematological, hepatic, and renal
2. Electrocardiography function tests need to be monitored. The nurse needs to monitor lung
3. Cervical radiography sounds for dyspnea and crackles, which indicate pulmonary toxicity. The
4. Pulmonary function studies medication needs to be discontinued immediately if pulmonary toxicity
occurs. Options 1, 2, and 3 are unrelated to the specific use of this medication.
14.14.) The client with acute myelocytic leukemia is 2. Uric acid level
being treated with busulfan (Myleran). Which Rationale:
laboratory value would the nurse specifically Busulfan (Myleran) can cause an increase in the uric acid level.
monitor during treatment with this medication? Hyperuricemia can produce uric acid nephropathy, renal stones, and
1. Clotting time acute renal failure. Options 1, 3, and 4 are not specifically related to
this medication.
2. Uric acid level
3. Potassium level
4. Blood glucose level
15.15.) The client with small cell lung cancer is which side effect is specifically associated with this medication? 1. Alopecia
being treated with etoposide (VePesid). The 2. Chest pain
nurse who is assisting in caring for the client 3. Pulmonary fibrosis
during its administration understands that
4. Orthostatic hypotension
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