ATI Pharmacology Proctor 2023 Final Exam Part 1

What is/are the action(s) of the drug metformin?
a. Decreases Hepatic glucose production and intestinal glucose absorption
b. Increases sensitivity to insulin
c. Short term sedation
d. Both A and

When administering the drug senna to a patient, a health care provider must
inform the patient of which of the following
A. This drug is intended to lower blood pressure and is best used in
combination
with other antihypertensives
b. This drug is not intended for long term use
c. The patient must limit his/her fiber intake
d. Advise patient to change positions slowly to limit the risk of
orthostatic hypotension

When giving digoxin (Lanoxin) to a patient, the health care provider notices
various signs and symptoms of an overdose. The health care provider knows to
give which of the following to reverse digoxin toxicity
a. Naloxone
b. Vitamin K
c. Digibind
d. Fluemanzil -

While providing an Angiotensin-converting enzyme (ACE) inhibitor, the patient
asks
4. what the action of the drug is. As a health care provider, you explain that the
action of an ACE inhibitor is
a. To lower blood pressure by blocking the conversion of angiotensin I
to vasoconstrictor angiotensin II
b. To inhibit reabsorption of sodium back into the body, ultimately increasing
urine output and lowering blood pressure
c. To decrease heart rate and blood pressure by competing with Beta1 and
Beta2 receptors in the heart and lungs
d. To lower blood glucose by stimulating the release of insulin -

Which of the following types of insulin is "long-acting"?
a. Lispro (Humalog)
b. NPH (Humulin N)
c. Regular insulin (Humulin R)
d. Glargine (Lantus) -

What is the therapeutic use of metformin?
A. Lower blood pressure.
B. To diminish seizure activity.
C. The maintenance of a person's blood glucose.
D. Increase heart rate and decrease gastrointestinal secretions. -

What is the correct definition for absorption of a drug?
A. Movement of drug from site of administration to various tissues of the
body.
B. Describes the absorption, distribution, metabolism & excretion of drugs.
C. These types of drugs can be taken over the counter.
D. This addresses how various drugs affect different forms of the body

What do you assess for in a patient who is on Valproate? Select all that apply.
A. Suicidal thoughts
B. Monitor for seizures.
C. Bipolar disorder.
D. Migraines.
E. Anorexia -

What is true about food and drug precautions? Select all that apply.
A. You must limit certain types of food or concurrent administration
of certain types of drugs.
B. Certain combinations of food and drugs can cause adverse
reactions. C. Precautions may require limiting certain types of
food or concurring drugs rather than restricting the drug itself.
C. When one drug changes the way, another drug affects that drug. -
A. You must limit certain types of food or concurrent
administration of certain types of drugs.

ACE Inhibitors are used in the treatment of all EXCEPT:
a. Hypertension
b. Heart Failure
c. Hypotension
d. Diabetic nephropathy

Which of the following is used to treat migraine headaches?
a. Beta-blockers
b. Cholinesterase Inhibitors
c. ACE inhibitors
d. Anti-epileptic drugs (AEDs) -

When administering a Serotonin Antagonist it is important to monitor for
a. Intake and output
b. Mental status changes
c. Respiratory rate
d. Anorexia -

Which of the following is the antidote for Heparin?
a. Protamine sulfate
b. Vitamin K
c. Naloxone
d. Toradol -

A patient has been taking hydrocodone, and opioid analgesic for their moderate
pain, and they have taken over their prescribed dose. What should you give as
the antidote if they experience toxicity?
A. Naloxone
B. N-acetylcysteine
C. Atropine
D. Digoxin immune Fab -

A patient is being educated on taking levothyroxine, a drug used to balance
thyroid activity. What should you include in their education?
A. Don't bother your health care professionals if you experience side
effects
B. Take this at the same time every day
C. Thyroid tests are unnecessary while taking this drug
D. It is okay to take this drug if you have recently had a myocardial
infarction -

A patient states he experiences anxiety and has panic attacks at least once a
week. What might be helpful for this patient?
A. Phenytoin (Dilantin)
B. Lithium
C. Alprazolam (Xanax)
D. Spironolactone -

Which of the following is NOT an opioid or NSAID?
A. Morphine
B. Ibuprofen
C. Hydromorphone
D. Acetaminophen -

Why is it important to monitor ins and outs with patients using ACE inhibitors?
A. To assess for renal impairment
B. You must make sure the patient is receiving adequate fluid intake
C. To assess the patient for potential heart failure
D. You must assess for NSAID use
To assess for decreased blood pressure -

Which drug goes through extensive first-pass hepatic metabolism?
A. Heparin
B. Insulin
C. Propranolol
D. Nitroglycerine
Warfarin

What nursing interventions should you do when a patient is on Albuterol (select
all that apply)
A. Assess lung sounds, Pulse, and Blood pressure before
administering
B. Monitor for changes in behavior C. Observe for paradoxical
bronchospasms
C. Assess for abdominal distention E. Note sputum color and texture
- A. Assess lung sounds, Pulse, and Blood pressure before
administering
D. Observe for paradoxical bronchospasms
Note sputum color and texture

What patient could potentially take the drug Senna?
A. A patient with an eating disorder B. A patient who has not passed
stool in 5 days
B. A patient with anal fissures
C. A patient with a history of hemorrhoids
D. A patient who has hypersensitivity -

What is the category class of Lithium?
A. Antidiabetics, biguanides
B. Mood stabilizers
C. Antiarrhythmics, anticonvulsants
D. Vascular headache suppressants -

What do you need to teach your patient if they are taking sennosides? Select All
That Apply.
A. Laxatives should be used for short-term therapy
B. The medication does not cure hypothyroidism
C. The color of the urine may change to a pink, red, violet, yellow, or brown
D. Make sure other forms of bowel regulation are being used

What is the therapeutic use of Phenytoin?
A. Replacement in hypothyroidism to restore normal hormonal
balance
B. Diminished accumulation of acid in the gastric lumen with
lessened gastroesophageal reflux
C. Diminished seizure activity, termination of ventricular arrhythmias
D. Prevention of thrombus formation, prevention of extension of
existing thrombi

At what amount does Acetaminophen stop controlling pain?
A. Over 1,000 mg
B. 750 mg
C. Over 1,500 mg
D. 150 mg - A. Over 1,000 m

When should the drug Montelukast be taken
A. Use at least two hours before exercise
B. Daily in evening
C. Use two hours before exercise or daily in evening
D. None of the above - C. Use two hours before exercise or daily in
evening

How should the oral form of albuterol be taken
A. Administer with meals to minimize gastric irritation
B. Administer before meals with water
C. Administer after meals with water
D. Administer in the morning
with milk - A. Administer with meals to minimize gastric irritation

What should a Client taking Omeprazole report to the Heath Care Provider
A. Black, tarry stools
B. Diarrhea
C. Abdominal pain
D. All of the above -

When administering an Antiulcer Agents, you should be more cautious when
administering it to
A. A healthy 27 year old patient
B. Patient with renal failure
C. Elderly patients
D. All of the above
E. Choices B & C - E. Choices B & C

What is the common side effect that is normal with the initial therapy of
Nitroglycerine due to increased vasodilation?
a. Abdominal cramps
b. Calf pain
c. Headache
d. Blurred vision -

Two tests should be monitored for a patient currently on Warfarin. What are
those two tests? Select ALL that apply.
a. PT
b. aPTT
c. INR
d. BMP - a. PT

Which of the following diuretics inhibits sodium reabsorption in the kidneys while
saving K+ and Hydrogen ions?
a. Spironolactone
b. Furosemide
c. Hydrochlorothiazide
d. Bumetanide

A nurse is about to administer Propanolol to a patient. The nurse takes the
patient's apical pulse and documents it as 58 bmp. How should the nurse
continue?
a. Administer the medication as normal
b. Cut the tablet in half and administer half of the normal dose c. Give the XR
form of the medication
c. Withhold administration of the medication and notify physician -
d. d. Withhold administration of the medication and notify physician

Which of the following should be monitored for patients taking diuretics? (select
all that apply)
a. Daily weight
b. Intake and output
c. Amount and location of edema
d. Appetite Lung sounds - a. Daily weight

Which of the following drugs has a therapeutic effect that increases cardiac
output and slows heart rate? .
a. Heparin
b. Alprazolam
c. Digoxin
d. Levothyroxine