ATI RN
ATI Pharmacology Proctored Exam 2019 Quizlet Questions
Question 1 of 5
A 42-year-old woman has widely disseminated colon cancer. Her main symptom is pain from a spinal crush fracture, incompletely suppressed by oral morphine. She is also troubled by constipation, nausea and occasional vomiting. Which of the following is true?
Correct Answer: D
Rationale: Metastatic colon cancer with spinal pain needs palliation. Fentanyl patches cause nausea, like morphine, due to opioid effects, so that's false. Cisplatin, for other cancers, doesn't prolong survival in advanced colon cancer (FOLFOX does). Radiotherapy to the primary isn't mainstay for metastases; palliation is. Biopsy of the vertebra is unnecessary with known cancer. Intercostal nerve block targets chest pain, not spinal, but localized nerve blocks (e.g., epidural) are true options for refractory pain, making this the best fit per key.
Question 2 of 5
The home care nurse is providing teaching for a 59-year-old patient taking a nonselective beta-blocker. The nurse teaches the patient the importance of notifying the prescribing physician when what occurs related to this medication?
Correct Answer: B
Rationale: Bronchospasm, cough, rhinitis, and bronchial obstruction are related to loss of bronchodilation of the respiratory tract and vasodilation of mucous membrane vessels so a sudden onset of a cough or difficulty breathing should be immediately reported to the health care provider. Other options may need to be reported but not in relation to the nonselective beta-blocking medication. The nurse should educate the patient about potential adverse effects and the importance of timely reporting.
Question 3 of 5
Which nursing intervention(s) should the nurse consider for the patient taking ciprofloxacin? (Select all that apply.)
Correct Answer: A
Rationale: Ciprofloxacin is a fluoroquinolone antibiotic that requires careful monitoring. Obtaining a culture before administration ensures the infection is susceptible to ciprofloxacin. Tendon pain or rupture is a serious adverse effect of fluoroquinolones, particularly in older adults or those on corticosteroids. Dairy products can interfere with the absorption of ciprofloxacin, so patients should avoid them around the time of administration. Dizziness may indicate central nervous system effects, which should be reported promptly.
Question 4 of 5
The nurse is preparing to transfuse a patient with a unit of packed red blood cells (PRBCs). Which patient would be best treated with this transfusion?
Correct Answer: B
Rationale: Packed red blood cells (PRBCs) are primarily used to treat patients with severe anemia, where the patient's red blood cell count is significantly low. Severe anemia can lead to symptoms such as fatigue, weakness, and shortness of breath due to decreased oxygen-carrying capacity of the blood. By transfusing PRBCs, the patient can receive a concentrated dose of red blood cells to help improve their oxygen levels and overall health.
Question 5 of 5
Which of the following is described as the fastest route of drug administration?
Correct Answer: A
Rationale: Intravenous (I.V.) administration is described as the fastest route of drug administration because the medication is directly delivered into the bloodstream. This allows for immediate systemic circulation and rapid onset of action, making it the most efficient route for drugs to reach their target organs or tissues. In contrast, other routes such as intramuscular (I.M), oral, rectal, and intradermal have slower absorption rates and may involve additional barriers before reaching the bloodstream, causing a delay in onset of action compared to intravenous administration.