ATI RN
Virtual ATI Pharmacology Assessment Questions
Question 1 of 5
A 45-year-old woman undergoes a complete hysterectomy for leiomyomas and dysfunctional uterine bleeding. The surgeon wants to prescribe a pain relief medication following the procedure, but the patient's serum creatinine is 1.2 mg/dL. Which of the following pain relief medications should the surgeon avoid prescribing?
Correct Answer: D
Rationale: Post-hysterectomy pain with creatinine 1.2 mg/dL (mild renal impairment) contraindicates Ketorolac , an NSAID. Its renal toxicity risks harm. Acetaminophen , Codeine , Hydrocodone , and Oxycodone (E) are safer. Ketorolac's prostaglandin inhibition could worsen kidney function.
Question 2 of 5
Which activity has a higher priority for the nurse to advise the patient to avoid while taking ixazomib?
Correct Answer: C
Rationale: Ixazomib, a proteasome inhibitor, can cause myelosuppression, increasing the risk of infections. Patients should be advised to avoid crowds and individuals who are ill to reduce exposure to infectious agents. While alcohol and aspirin may interact with other medications, they are not specifically contraindicated with ixazomib. Taking the drug on an empty stomach is not required, as it can be taken with or without food. Preventing infections is the highest priority due to the drug's impact on the immune system.
Question 3 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 Theophylline (E) is outdated.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 4 of 5
When administering a loop diuretic to a patient, it is most important for the nurse to determine if the patient is also taking which drug?
Correct Answer: D
Rationale: When administering a loop diuretic to a patient, it is crucial to determine if the patient is also taking theophylline. Loop diuretics may interact with theophylline, leading to an increase in theophylline levels in the blood. This interaction can result in elevated theophylline concentrations, potentially causing toxicity symptoms such as nausea, vomiting, headache, and arrhythmias. Therefore, monitoring the patient's theophylline levels and adjusting the dosage accordingly is essential to prevent adverse effects. It is important for healthcare providers to be aware of potential drug interactions and consider them when prescribing medications to avoid harmful complications for the patient.
Question 5 of 5
Which method would the nurse use to administer medications to school-age children?
Correct Answer: B
Rationale: School-age kids (6-12) grasp brief explanations-e.g., 'This helps your cough'-fitting their cognitive level, easing administration. Full decision-making exceeds maturity. Holding down distresses, not needed. Lengthy talks lose attention. Brief explanation leverages development, ensuring cooperation.