ATI RN
Pharmacology Assessment 1 ATI Capstone Questions
Question 1 of 5
A student nurse was asked by the nurse instructor to explain the procedure for the administration of erythromycin ointment to the eyes of the newborn. Which of the following statements made by the student indicates a need for further research?
Correct Answer: D
Rationale: Flushing the newborn's eyes after instilling erythromycin ointment is incorrect because it would remove the medication, rendering it ineffective. The ointment is applied to the conjunctival sacs to prevent ophthalmia neonatorum, a bacterial infection that can occur during delivery. Cleaning the eyes before administration and applying the ointment within an hour after delivery are correct steps.
Therefore, the statement about flushing the eyes indicates a need for further education.
Question 2 of 5
A patient on diuretic therapy calls the clinic because he™s had the flu, with terrible vomiting and
Correct Answer: A
Rationale: The correct statement by the nurse is to instruct the patient to "stop taking the diuretic for a few days, and then restart it when you feel better." This is because the patient has been experiencing vomiting due to influenza, which can cause dehydration. Continuing the diuretic while experiencing such significant fluid loss can lead to further dehydration and electrolyte imbalances. It is important for the patient to pause the diuretic temporarily to allow the body to recover and then resume once the vomiting has subsided and hydration has improved. It's always best for patients to follow specific instructions given by healthcare providers in such situations.
Question 3 of 5
A patient with , should stop taking NSAIDS
Correct Answer: A
Rationale: Patients with peptic ulcers should stop taking NSAIDs (Nonsteroidal Anti-Inflammatory Drugs) because NSAIDs can worsen the condition and increase the risk of gastrointestinal bleeding and ulcer perforation. NSAIDs inhibit prostaglandin synthesis, which normally helps protect the stomach lining.
Therefore, patients with peptic ulcers should avoid NSAIDs and consult their healthcare provider for alternative pain management options.
Question 4 of 5
When teaching a patient about antihypertensive drug therapy, which statements by the nurse are correct? (Select all that apply.)
Correct Answer: A
Rationale: A. You need to have your blood pressure checked once a week and keep track of the readings. - This statement is correct because monitoring blood pressure regularly is essential when taking antihypertensive medications to ensure they are effectively controlling hypertension.
Question 5 of 5
A patient has taken two doses of interferon Alfa-2b (Intron-A). He comes to the clinic today with the following complaints. Which symptoms would the nurse identify as common adverse effects of this therapy?
Correct Answer: A
Rationale: Interferon Alfa-2b, used for hepatitis or cancer, commonly causes flu-like symptoms—dizziness , fatigue , and anorexia —due to its immune-modulating effects. Dizziness reflects CNS impact, often early in therapy, while fatigue and appetite loss stem from systemic inflammation. An itchy rash might suggest hypersensitivity but is less frequent than these systemic effects. The nurse identifies dizziness as a common adverse effect (correct answers: 1, 3, 4), distinguishing it from severe reactions requiring intervention. This aligns with interferon's side effect profile, where patients often report such symptoms within days of starting, necessitating education on management (e.g., rest, hydration).
Choice A is a key identifier among expected effects, ensuring appropriate monitoring.