HEALTH 006 ATI PROCTORED PHARMACOLOGY QUESTION BANK (SOLVED)

1. 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?
1. Calcium chloride
2.Calcium gluconate
3.Calcitonin (Miacalcin)
4.Large doses of vitamin D
2. 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?
1. Milk
2.Water
3.Apple juice
4.Orange juice
3. 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?
1. Tinnitus
2.Diarrhea
3.Constipation
4.Decreased respirations
4. 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:
1. Immediately before swimming
2.15 minutes before exposure to the
sun
3.Immediately before exposure to
the sun
4.At least 30 minutes before
exposure to the sun
5. 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?
1. Notifying the registered nurse
2.Discontinuing the medication
3.Informing the client that this is
normal
4.Applying a thinner film than
prescribed to the burn site
3. Calcitonin (Miacalcin)
Rationale:
The normal serum calcium level is 8.6 to 10.0 mg/dL. This client is experiencing
hypercalcemia. Calcium gluconate and calcium chloride are medications used
for the 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 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
in absorption. Orange juice contains a greater amount of vitamin C than apple
juice.
1. Tinnitus
Rationale:
Salicylic acid is absorbed readily through the skin, and systemic toxicity (salicylism)
can result. Symptoms include tinnitus, dizziness, hyperpnea, and psychological
disturbances. Constipation and diarrhea are not associated with salicylism.
4. At least 30 minutes before exposure to the
sun Rationale:
Sunscreens are most effective when applied at least 30 minutes before
exposure to the sun so that they can penetrate the skin. All sunscreens should
be reapplied after swimming or sweating.
3. Informing the client that this is
normal Rationale:
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
discomfort and burning and that this is a normal reaction; therefore options 1, 2,
and 4 are incorrect
HEALTH 006 ATI PROCTORED PHARMACOLOGY
QUESTION BANK (SOLVED)
6. 6.) The burn client is receiving
treatments of topical mafenide
acetate (Sulfamylon) to the 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. 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?
1. Platelet count
2.Triglyceride level
3.Complete blood count
4.White blood cell count
8. 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?
1. Vitamin A
2.Digoxin (Lanoxin)
3.Furosemide (Lasix)
4.Phenytoin (Dilantin)
9. 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?
1. Back
2.Axilla
3.Soles of the feet
4.Palms of the hands
10. 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:
1. Acne
2.Eczema
3.Hair loss
4.Herpes simplex
1. Hypervent
ilation Rationale:
Mafenide acetate is a carbonic anhydrase inhibitor and can suppress renal
excretion 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 rather than systemic effects. An elevated blood pressure may be
expected from the pain that occurs with a burn injury.
2. 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.
1. Vita
min A
Rationale:
Isotretinoin is a metabolite of vitamin A and can produce generalized
intensification of isotretinoin toxicity. Because of the potential for increased
toxicity, vitamin A supplements should be discontinued before isotretinoin
therapy. Options 2, 3, and 4 are not contraindicated with the use of isotretinoin.
2.Axilla
Rationale
:
Topical corticosteroids can be absorbed into 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).
1. 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 are
incorrect.
11. 11.) The health care provider has
prescribed silver sulfadiazine (Silvadene)
for the client with a partial- thickness burn,
which has cultured positive for gramnegative
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?
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."
12. 12.) A nurse is caring for a client who is receiving an
intravenous (IV) infusion of an antineoplastic medication. During
the infusion, 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?
1. Notify the registered nurse.
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.
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?
1. Echocardiography
2.Electrocardiography
3.Cervical radiography
4.Pulmonary function studies
14. 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?
1. Clotting time
2.Uric acid level
3.Potassium level
4.Blood glucose level
3. "The medication will permanently stain my
skin." Rationale:
Silver sulfadiazine (Silvadene) is an antibacterial that has a broad
spectrum of activity against gram-negative bacteria, gram-positive
bacteria, and yeast. It is applied directly to the wound to assist in
healing. It does not stain the skin.
1. Notify the registered
nurse. Rationale:
When antineoplastic medications (Chemotheraputic Agents) are
administered via IV, great care must be taken to prevent the medication
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
decreased infusion rate. If extravasation occurs, the registered nurse
needs to be notified; he or she will then contact the health care
provider.
4. Pulmonary function studies
Rationale:
Bleomycin is an antineoplastic medication (Chemotheraputic Agents)
that can cause interstitial pneumonitis, which can progress to pulmonary
fibrosis. Pulmonary function studies 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.Uric acid
level Rationale:
Busulfan (Myleran) can cause an increase in the uric acid level.
Hyperuricemia can produce uric acid nephropathy, renal stones, and
acute renal failure. Options 1, 3, and 4 are not specifically related to
this medication.
15. 15.) The client with small cell lung
cancer is being treated with etoposide
(VePesid). The nurse who is assisting in
caring for the client during its
administration understands that which
side effect is specifically associated with
this medication?
1. Alopecia
2.Chest pain
3.Pulmonary fibrosis
4.Orthostatic hypotension
16. 16.) The clinic nurse is reviewing a
teaching plan for the client receiving an
antineoplastic medication. When
implementing the plan, the nurse tells
the client:
1. To take aspirin (acetylsalicylic
acid) as needed for headache
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 local health fair
17. 17.) The client with ovarian cancer is being treated with vincristine
(Oncovin). The nurse monitors the client, knowing that which of the
following indicates a side effect specific to this medication?
1. Diarrhea
2.Hair loss
3.Chest pain
4.Numbness and tingling in the fingers and toes
18. 18.) The nurse is reviewing the history and physical examination of a
client who will be receiving asparaginase (Elspar), an antineoplastic
agent. The nurse consults with the registered nurse regarding the
administration of the medication if which of the following is documented
in the client's history?