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2023 ATI RN PHARMACOLOGY FORM C ACTUAL EXAM 70
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+
1) A nurse is assessing a client who is taking levothyroxine. The nurse should recognizewhich
of the following findings is a manifestation of levothyroxine overdose.
a) Insomnia
i) Rationale: Levothyroxine overdose will result in manifestations of
hyperthyroidism, which include Insomnia, tachycardia, and hyperthermia.
b) Constipation
i) Rationale: Constipation is a manifestation of hypothyroidism and indicates an
inadequate dose of levothyroxine.
c) Drowsiness
i) Rationale: Drowsiness is a manifestation of hypothyroidism and indicates an
inadequate dose of levothyroxine.
d) Hypoactive deep-tendon reflexes
i) Rationale: Hypoactive deep-tendon reflexes are manifestations of hypothyroidismand
indicate an inadequate dose of levothyroxine.
2) A nurse is reviewing the medical record of a client who has been on levothyroxine for several
months. Which of the following findings indicates a therapeutic response to themedication?
a) Decrease in level of thyroxine (T4)
i) Rationale: If the dose of this medication has been adequate, the nurse should seean
increase in the T4.
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b) Increase in weight
i) Rationale: If the dose of this medication has been adequate, the nurse should see adecrease
in weight, as hypothyroidism causes a decrease in metabolism with weight gain.
c) Increase in hr of sleep per night
i) Rationale: If the dose of this medication has been adequate, the nurse should see adecrease
in the hr of sleep per night, as hypothyroidism causes sluggishness with increased hr of
sleep.
d) Decrease in level of thyroid stimulating hormone (TSH).
i) Rationale: In hypothyroidism, the nonfunctioning thyroid gland is unable to respond
to the TSH, and no endogenous thyroid hormones arereleased. This results in an
elevation of the TSH level as the anterior pituitary continues to release the TSH to
stimulate the thyroid gland. Administration of exogenous thyroid hormones, such as
levothyroxine, turns off this feedback loop, which results in a decreased level of TSH.
3) A nurse is reviewing the medication list for a client who has a new diagnosis of type 2 diabetes
mellitus. The nurse should recognize which of the following medications can causeglucose
intolerance.
a) Ranitidine
i) Serum creatinine levels
b) Guaifenesin
i) Drowsiness and dizziness
c) Prednisone
i) With glucose intolerance and hyperglycemia, the patient might requirean
increaseddosage of hypoglycemic med.
d) Atorvastatin
i) Thyroid function tests.
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4) A nurse is caring for a client receiving mydriatic eye drops. Which of the following clinical
manifestations indicates to the nurse that the client has developed a systemic anticholinergic
effect?
a) Seizures
b) Tachypnea
c) Constipation
i) Mydriatic eye drops can cause systemic anticholinergic effects such asconstipation,
dry mouth, photophobia, and tachycardia.
d) Hypothermia
5) A nurse is caring for a client who has heart failure and is receiving IV furosemide. Thenurse
should monitor the client for which of the following electrolyte imbalances?
a) Hypernatremia
i) Rationale: The nurse should monitor the client who is receiving IV furosemide for
hyponatremia.
b) Hyperuricemia
i) Rationale: The nurse should monitor the client who is receiving IV furosemide for
hyperuricemia. The nurse should instruct the client to notify the provider of any tenderness
or swelling of the joints.
c) Hypercalcemia
i) Rationale: The nurse should monitor the client who is receiving IV furosemide for
hypocalcemia.
d) Hyperchloremia
i) Rationale: The nurse should monitor the client who is receiving IV furosemide for
hypochloremia.
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6) A nurse is talking to a client who is taking a calcium supplement for osteoporosis. The client tells
the nurse she is experiencing flank pain. Which of the following adverse effectsshould the nurse
suspect?
a) Renal stones
7) A nurse is caring for a client who is prescribed warfarin therapy for an artificial heart valve.Which
of the following laboratory values should the nurse monitor for a therapeutic effect of warfarin?
a) Hemoglobin
b) Prothrombin time (PT)
i) Rationale: This test is used to monitor warfarin therapy. For a client receiving full
anticoagulant therapy, should typically be approximatelytwo to three times the
normal value, depending on the indication for therapeutic anticoagulation.
c) Bleeding time
d) Activated partial thromboplastin time (aPTT)
8) A nurse is preparing to administer a dose of lactulose to a client who has cirrhosis. The client states,
“I don’t need this medication. I am not constipated.” The nurse should explainthat in clients who
have cirrhosis, lactulose is used to decrease levels of which of the following components in the
bloodstream?
a) Glucose
b) Ammonia
i) Rationale: Lactulose, a disaccharide, is a sugar that works as an osmoticdiuretic. It
prevents the absorption of ammonia in the colon. Accumulation of ammonia in the
bloodstream, which occurs in pathologic conditions ofthe liver, such as cirrhosis, may
affect the central nervous system, causing hepatic encephalopathy or coma.