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ATI PHARMACOLOGY
PROCTORED TEST
BANK LATEST
VERSION 2023
QUESTIONS AND
ANSWERS 100%
VERIFIED
- 1) A nurse is caring for a client with
hyperparathyroidism and notes that
the client’s serum calcium level is 13
mg/dL. Which medication should the
nurse prepare to administer as
prescribed to the client? - Calcium chloride
- Calcium gluconate
- Calcitonin (Miacalcin)
- Large doses of vitamin D
- 2.) Oral iron supplements are
prescribed for a 6-year-old child with
iron deficiency anemia. The nurse
instructs the mother to administer the
iron with which best food item? - Milk
- Water
3.Apple juice - Orange juice
- 3.) Salicylic acid is prescribed for a
client with a diagnosis of psoriasis.
The nurse monitors the client,
knowing that which of the following
would indicate the presence of
systemic toxicity from this
medication? - Tinnitus
2.Diarrhea - Constipation
- Decreased respirations
- 4.) The camp nurse asks the children
preparing to swim in the lake if they
have applied sunscreen. The nurse
reminds the children that chemical
sunscreens are most effective when
applied: - Immediately before swimming
2.15 minutes before exposure to the
sun - Immediately before exposure to the
sun - At least 30 minutes before
exposure to the sun - 5.) Mafenide acetate (Sulfamylon) is
prescribed for the client with a burn
injury. When applying the medication,
the client complains of local
discomfort and burning. Which of the
following is the most appropriate
nursing action? - Notifying the registered nurse
2.Discontinuing the medication
3.Informing the client that this is
normal - Applying a thinner film than
prescribed to the burn site - Calcitonin (Miacalcin)
Rationale:
The normal serum calcium level is 8.6 to 10.0 mg/dL. This client is experiencing
hypercalcemia. Calcium gluconate andcalciumchloridearemedications
usedforthe treatment of tetany, which occurs as a result of acute
hypocalcemia. In hypercalcemia, large doses of vitamin D need to be avoided.
Calcitonin, a thyroid hormone, decreases the plasma calcium level by inhibiting
bone resorption and lowering the serum calcium concentration.
4.Orange juice
Rationale:
Vitamin C increases the absorption of iron by the body. The mother should be
instructed to administer themedication with a citrus fruit or a juice that is high
in vitamin C. Milkmayaffectabsorption of theiron. Water will not assist in
absorption. Orange juice contains a greater amount of vitamin C than apple
juice. - Tinnitus
Rationale:
Salicylic acid is absorbed readily through the skin, and systemic toxicity (salicylism)
can result. Symptoms include tinnitus, dizziness, hyperpnea, andpsychological
disturbances. Constipation and diarrhea arenot associated with salicylism. - At least 30 minutes beforeexposure to the
sun Rationale:
Sunscreens are most effective when applied at least 30 minutes
beforeexposure to the sun so that they can penetrate the skin. All sunscreens
should be reapplied after swimming or sweating. - Informing the client that this is normal
Rationale:
Mafenideacetateis bacteriostatic forgram-negativeandgram-positive organisms
and is used to treatburns to reducebacteria present in avascular tissues.
Theclient should be informed that themedication will cause local discomfort
and burningand that this is a normal reaction; therefore options 1, 2, and 4 are
incorrect - 6.) The burn client is receiving
treatments of topical mafenide
acetate(Sulfamylon) tothe site of
injury. The nurse monitors the client,
knowing that which of the following
indicates that a systemic effect has
occurred? 1.Hyperventilation
2.Elevated blood
pressure 3.Local pain at
the burn site 4.Local
rash at the burn site - 7.) Isotretinoin is prescribed for a client
with severe acne. Before the
administration of this medication, the
nurse anticipates that which laboratory
test will be prescribed? - Platelet count
2.Triglyceride level
3.Complete blood count
4.White blood cell count - 8.) A client with severe acne is seen in
the clinic and the health care provider
(HCP) prescribes isotretinoin. The nurse
reviews the client’s medication record
and would contact the (HCP) if the
client is taking which medication? - Vitamin A
2.Digoxin (Lanoxin)
3.Furosemide (Lasix) - Phenytoin (Dilantin)
- 9.) The nurse is applying a topical
corticosteroid to a client with eczema.
The nurse would monitor for the
potential for increased systemic
absorption of the medication if the
medication were being applied to
which of the following body areas? - Back
2.Axilla - Soles of the feet
- Palms of the hands
- 10.) The clinic nurse is performing an
admission assessment on a client. The
nurse notes that the client is taking
azelaic acid (Azelex). Because of the
medication prescription, the nurse
would suspect that the client is being
treated for: - Acne
2.Eczema
3.Hair loss
4.Herpes simplex - Hyperven
tilation Rationale:
Mafenideacetate is a carbonic anhydraseinhibitor andcan suppress
renalexcretion of acid, thereby causing acidosis. Clients receiving this
treatment should be monitored for signs of an acid-base imbalance
(hyperventilation). If this occurs, the medication should be discontinued for 1 to
2 days. Options 3 and 4 describe local ratherthan systemic effects. An
elevated blood pressuremay be expected from the pain that occurs with a
burn injury. - Triglyceride level
Rationale:
Isotretinoin can elevate triglyceride levels. Blood triglyceride levels should be
measured before treatment and periodically thereafter until the effect on the
triglycerides has been evaluated. Options 1, 3, and 4 do not need to be
monitored specifically during this treatment. - Vita
min A
Rationale:
Isotretinoinis ametabolite of vitamin Aand
canproducegeneralizedintensification of isotretinoin toxicity. Because of the
potential for increased toxicity, vitamin A supplementsshould be discontinued
beforeisotretinointherapy.Options 2, 3, and 4 are not contraindicated with the
use of isotretinoin. - Axilla
Rationale
:
Topicalcorticosteroids can beabsorbedinto the systemic circulation. Absorption
is higher from regions where the skin is especially permeable (scalp, axilla,
face, eyelids, neck, perineum, genitalia), and lower from regions in which
permeability is poor (back, palms, soles). - A
cne
Rationale
:
Azelaic acid is a topical medication used to treat mild to moderate acne. The
acid appears to work by suppressing the growth of Propionibacterium acnes
and decreasing the proliferation of keratinocytes. Options 2, 3, and 4
areincorrect. - 11.) The health care provider has prescribed
silver sulfadiazine (Silvadene) for the client
with a partial- thickness burn, which has
cultured positive for gram- negative bacteria.
The nurse is reinforcing information to the
client about the medication. Which statement
made by the client indicates a lack of
understanding about the treatments? - “The medication is an antibacterial.”
2.”The medication will help heal the burn.”
3.”The medication will permanently stain my
skin.” - “The medication should be applied directly
to the wound.” - 12.) A nurse is caring for a client who is
receiving an intravenous (IV) infusion of an
antineoplastic medication. During
theinfusion, the client complains of pain at the
insertion site. During an inspection of the
site, the nurse notes redness and swelling
and that the rate of infusion of the
medication has slowed. The nurse should
take which appropriate action? - Notify the registered nurse.
2.Administer
painmedicationtoreduce the
discomfort. - “The medication will permanently stain my skin.”
Rationale:
Silver sulfadiazine (Silvadene) is an antibacterial that has a broad
spectrum of activity against gram-negativebacteria, grampositivebacteria, and yeast. It is applied directly to the wound to assist
in healing. It does not stain the skin. - Notify the registered nurse.
Rationale:
When antineoplastic medications (Chemotheraputic Agents) are
administeredvia IV, greatcaremust betaken to preventthemedication
from escaping into the tissues surrounding the injection site, because pain,
tissue damage, and necrosis can result. The nurse monitors for signs
of extravasation, such as redness or swelling at the insertion site and
a decreasedinfusion rate. If extravasationoccurs, the
registerednurseneeds to be notified; he or she will then contact the
health care provider. - Apply ice and maintain the infusion
rate, as prescribed. - Elevate the extremity of the IV site, and
slow the infusion.
13.13.) The client with squamous cell carcinoma
of the larynx is receiving bleomycin
intravenously. The nurse caring for the client
anticipates that which diagnostic study will
be prescribed? - Echocardiography
- Pulmonary function studies
Rationale:
Bleomycin is anantineoplasticmedication (Chemotheraputic Agents) that
can cause interstitial pneumonitis, which can progress to pulmonary fibrosis.
Pulmonary functionstudies along with hematological, hepatic, and renal
function tests need to be monitored. The nurse needs to monitor lung
sounds for dyspnea and crackles, which indicate pulmonary toxicity. The
medication needs to be discontinued immediately if pulmonary toxicity
occurs. Options 1, 2, and 3 are unrelated to the specific use of this
medication.
2.Electrocardiography - Cervical radiography
- Pulmonary function studies
- 14.) The client with acute myelocytic
leukemia is being treated with busulfan
(Myleran). Which laboratory value would
the nurse specifically monitor during
treatment with this medication? - Clotting time
2.Uric acid level
3.Potassium level - Blood glucose level
- Uric
acidlevel
Rationale:
Busulfan (Myleran) can cause an increase in the uric acid level.
Hyperuricemiacanproduceuricacidnephropathy, renalstones, andacute
renal failure. Options 1, 3, and 4 are not specifically related to this
medication.
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