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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