2024 ATI PN Pharmacology Exam New Updated Latest
Version with All Questions from Actual Past Exam and
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A nurse is reinforcing
... [Show More] teaching with the parent of an infant about administration of oral
medications. Which of the following information should the nurse include in the
teaching? ---------- Correct Answer ---------- a. Ask the pharmacy to add flavoring to the
medication-multiple flavorings are available to add to medications and can assist in
masking the taste,
b. Use the nipple of a bottle to administer the medication-administering medications
through an empty nipple can assist with successful administration of the medication,
c. Hold the infant in a semi reclining position-similar to when feeding
What are adjunctive drugs used for? --------- Correct Answer ---------- --Anesthesia
induction
--Anxiety reduction
--Drying up of excessive secretions
--Pain prevention and relief
--Amnesia and sedation
--Prevent aspiration/pneumonia
What are the names of adjuvant drugs used for anesthesia induction? --------- Correct
Answer ---------- fentanyl, alfentanil, and sufentanil (all have fentanyl in them)
What are the names of the adjuvant drugs used for anxiety reduction? --------- Correct
Answer ---------- Diazepam and midazolam (Benzos)
A nurse is reinforcing teaching with a client who is starting to take amitriptyline. Which of
the following client statements indicates an understanding of the teaching?
"I should take this medication at bedtime."
"I might need to decrease my fluid intake while taking this medication."
"I might experience a decrease in appetite when taking this medication."
"I will experience a slower heart rate with this medication." ---------- Correct Answer ------
--- - "I should take this medication at bedtime."
Rationale: The nurse should instruct the client to take this medication at bedtime
because it can cause drowsiness. The client should also avoid activities that require
alertness until the effects of the medication are known.
A nurse is reinforcing teaching about transdermal nicotine patches with a client who is
attempting to quit smoking. Which of the following client statements indicates an
understanding of the teaching?
"I will need to obtain a prescription from my provider."
"I should avoid using other nicotine products to reduce cravings while the patch is on."
"I might develop a local skin reaction when I begin wearing the patch."
"I can apply the patch to my thigh." ---------- Correct Answer --------- - "I might develop a
local skin reaction when I begin wearing the patch."
Rationale: A localized skin reaction that typically disappears within 24 hrs is common
when first using a transdermal nicotine patch. Transdermal nicotine patches are
available without a prescription. The nicotine patch can be more effective when
combined with the use of other nicotine short-actin products, such as nasal spray or
gum. Transdermal nicotine patches should be applied to clean, dry, hairless skin on the
upper body.
What are the names of the adjuvant drugs used for drying up of excessive secretions? -
-------- Correct Answer ---------- atropine and scopolamine
What are the names of the adjuvant drugs used for pain prevention and relief? ---------
Correct Answer ---------- meperidine and morphine
What are the names of the adjuvant drugs used for amnesia and sedation? ---------
Correct Answer ---------- hydroxizine, pentobarbitol, promethazine, secobarbital, and
midazolam
What are the names of the adjuvant drugs used to prevent aspiration and pneumonia? -
-------- Correct Answer ---------- ranitidine and famotidine
What are some contraindications in certain anesthesia drugs? --------- Correct Answer --
-------- --pregnancy
--narrow-angle glaucoma
--known susceptibility to malignant hyperthermia
--A known drug allergy to propofol
What are some potential adverse effects of general anesthesia? --------- Correct Answer
---------- --Hepatotoxicity (dose dependent)
--Respiratory depression (dose dependent)
--Malignant hyperthermia
What are some Sx and Sx of malignant hyperthermia? --------- Correct Answer ----------
Rapid rise in body temp, tachycardia, tachypnea, and muscle rigidity
What is malignant hyperthermia treated with? --------- Correct Answer ---------- The
medication Dantrolene and cardiorespiratory support
Who is the highest risk for malignant hyperthermia? --------- Correct Answer ---------- --
Pediatric pts
--Pts with preexisting musculoskeletal abnormalities
--Pt with a genetic predisposition
What are some adverse effects of local anesthetics? --------- Correct Answer ---------- --
Spinal headache
--If IV, moderate or conscious sedation
What happens when a pt is in moderate or conscious sedation? --------- Correct Answer
---------- --There is no complete loss of consciousness
--Pt maintains their own airway
--One or more benzos and/or opioids are necessary
--Pt experiences reduced anxiety, pain, and mild amnesia
For what purposes are neuromuscular blocking drugs (NMBDs) used? --------- Correct
Answer ---------- --As adjuncts with general anesthetics for surgical procedures
(facilitates controlled ventilation)
--Used prior to intubation, laryngoscopy, bronchoscopy, and esophagoscopy
--To reduce spasms from tetanus
--To prevent bone fractures during electroconvulsive therapy
What drug is a precursor to modern NMBDs? --------- Correct Answer ---------- Curare
A nurse is assisting with a staff education session to discuss medications used during
the care of a client experiencing alcohol withdrawal. Which of the following medications
should the nurse include in the discussion? ---------- Correct Answer ---------- a.
Lorazepam,
b. Diazepam,
c. Chlordiazepoxide,
d. clorazepate,
e. oxazepam
is a Benzodiazepine used during alcohol withdrawal to decrease anxiety and reduce the
risk for seizures
A nurse is reinforcing teaching for a client who has a new prescription for clonidine to
assist with maintenance of abstinence from opiods. The nurse should instruct the client
to monitor for which of the following adverse effects? ---------- Correct Answer ----------
Dry mouth;
is a common adverse effect associated with clonidine use
a. Not recommended for longer than 6 months,
b. Chew gum slowly and intermittently over 30 min,
c. Avoid eating or drinking 15 min prior to and while chewing the gum,
d. Monitor for adverse effects-soreness of the throat and mouth, jaw discomfort [Show Less]