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: Failed to generate a rationale of 500+ characters after 5 retries.
Question 2 of 5
Which of the following antipsychotic agents is most associated with the possibility of a hematological dyscrasia such as agranulocytosis in a patient being treated for schizophrenia?
Correct Answer: D
Rationale: Clozapine, a second-generation antipsychotic, is highly effective for treatment-resistant schizophrenia but carries a 1-2% risk of agranulocytosis, a severe drop in neutrophils, necessitating regular blood monitoring. Chlorpromazine causes rare leukopenia, not agranulocytosis prominence. Buspirone, an anxiolytic, lacks hematological risks. Lithium may increase leukocytes, not decrease them. Asenapine has minimal blood dyscrasia association. Clozapine's unique efficacy comes with this rare but serious side effect, distinguishing it and requiring strict oversight, per FDA guidelines.
Question 3 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 4 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 5 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.