ATI RN
Virtual ATI Pharmacology Assessment Questions
Question 1 of 5
A 28-year-old woman presents to the emergency department in an acute asthma exacerbation. Her asthma developed in her 20s after she had recurrent upper respiratory infections. She was doing well, but she twisted her ankle yesterday and was taking aspirin to reduce the inflammation. She is diagnosed with aspirin-induced asthma. What is the most appropriate long-term treatment for her condition?
Correct Answer: D
Rationale: Aspirin-induced asthma (AIA) involves leukotriene overproduction. Zafirlukast , a leukotriene receptor blocker-prevents attacks long-term. Albuterol and Ipratropium treat acutely. Cromolyn stabilizes mast cells but is less specific. Theophylline (E) is outdated. Zafirlukast targets AIA's pathophysiology.
Question 2 of 5
The physician prescribes fluticasone (Flonase) for the client. The nurse would hold the drug and contact the physician with which assessment finding?
Correct Answer: B
Rationale: Fluticasone, an intranasal corticosteroid, is Category C, meaning fetal risks aren't fully known, so pregnancy prompts holding the drug and consulting the physician to weigh benefits versus potential harm. Diabetes or hypertension aren't contraindications; systemic effects are minimal with nasal use. Glaucoma might concern intraocular pressure with prolonged steroid use, but it's not an immediate hold reason. Pregnancy requires caution due to unknown teratogenic effects, making choice B the nurse's priority to ensure fetal safety and align with prescribing guidelines.
Question 3 of 5
The client receives beclomethasone (Beconase) intranasally as treatment for allergic rhinitis. He asks the nurse if this drug is safe because it is a glucocorticoid. What is the best response by the nurse?
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 4 of 5
A client with osteoporosis is prescribed alendronate (Fosamax). Which instruction should the nurse include?
Correct Answer: A
Rationale: Alendronate, a bisphosphonate, treats osteoporosis but risks esophageal irritation. Taking it with water and staying upright prevents reflux, ensuring safety and absorption. With meals reduces uptake via calcium binding. Crushing increases irritation risk. Bedtime heightens reflux. This instruction aligns with alendronate's administration guidelines, critical in osteoporosis where adherence prevents fractures, making A the key teaching point.
Question 5 of 5
The apparent volume of distribution:
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.