ATI Pharmacology Proctored Exam A 2019 - Revision Guide
ATI Pharmacology Proctored Exam A 2019
Revision Guide
1. A nurse is providing teaching to a client who has a prescription for
trimethoprim/sulfamethoxazole. Which of the following instructions
should the nurse include in the teaching?
a. Drink 8 to 10 glasses of water daily
i. The patient should increase water intake to reduce risk of
kidney damage from crystallization. It is better taken on
an empty stomach with 1 hour before meals or 2 hours
after meals.
2. A nurse at an urgent care clinic is collecting a history from a female
client who has a urinary tract infection. The nurse anticipates a
prescription for ciprofloxacin. The nurse should identify that which of
the following client statements indicates a contraindication for
administering this medication?
a. "I have tendonitis, so I haven't been able to exercise."
i. Cipro is a quinolone antibiotic, which has a black box
warning of tendon rupture and tendonitis.
3. A nurse is teaching a client who has an upper respiratory infection
about guaifenesin. Which of the following statements should the
nurse include in the teaching?
a. "Increase your fluid intake to at least 2 liters each day while
taking this medication."
i. An increase in fluid intake will facilitate the removal of
secretions and help coughs become more productive.
4. A nurse is reviewing the medical record of a client who has
schizophrenia and prescription for clozapine. Which of the following
laboratory tests should the nurse review before administering the
medication?
a. Total cholesterol
i. Clozapine is an antipsychotic drug indicated for
schizophrenia and may cause hyperlipidemia
5. A nurse is developing a teaching plan for a client who has a new
prescription for simvastatin. Which of the following instructions
should the nurse include in the teaching plan (SATA)?
a. Report muscle pain to the provider
Avoid taking the medication with
grapefruit juice Expect therapy with this
medication to be lifelong
i. It is a statin or high cholesterol drug. Myopathy is an
adverse effect, which could lead to rhabdomyolysis
(breakdown of muscle tissue that releases a damaging
protein into the blood and can cause renal failure)
6. A nurse is caring for a client who has heart failure and is receiving an
IV infusion of dopamine. Which of the following findings indicates that
the medication is effective?
a. Increased cardiac output
i. Adrenergic catecholamine hormone of the SNS.
Dopamine has a inotropic (increase contractility) effect
on the heart.
7. A nurse is caring for a client who is taking acetazolamide for chronic
openangle glaucoma. For which of the following adverse effects
should the nurse instruct the client to monitor and report?
a. Tingling of fingers
i. Acetazolamide is a Carbonic Anhydrase Inhibitor, which is
indicated for some forms of glaucoma, epilepsy and edema
due to its diuretic and anticonvulsive effects.
8. A nurse is teaching a client who is starting to take amitriptyline. Which
of the following findings should the nurse include in the teaching as an
adverse effect of the medication?
a. Urinary retention
i. Amitriptyline is a tricyclic antidepressant, which
can have anticholinergic effects such as urinary
retention.
9. A nurse is monitoring a client who is receiving amphotericin B
intermittent IV bolus for the treatment of histoplasmosis. Which of
the following findings should the nurse identify as an adverse
reaction to the medication?
a. Oliguria
i. Oliguria can indicate renal compromise
10. A nurse is preparing to administer a scheduled antibiotic at 0800 to
a client and discovers the antibiotic is not present in the client's
medication drawer. The nurse
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