ATI RN
ATI Capstone Pharmacology Assessment 1 and 2 Questions
Question 1 of 5
A patient in the outpatient oncology clinic has developed mucositis after receiving fluorouracil. Which statement made by the patient indicates the need for additional teaching about mucositis?
Correct Answer: C
Rationale: Mucositis, inflammation of the mucous membranes, is a common side effect of chemotherapy. Using alcohol-based mouthwash can exacerbate mucositis by causing further irritation and dryness. The patient should be taught to use gentle, non-alcoholic mouth rinses, such as saline or baking soda solutions, to soothe the mucosa. Ice pops, ice chips, and a soft toothbrush are appropriate measures to manage mucositis. The nurse should provide additional teaching to correct the misconception about alcohol-based mouthwash and emphasize the importance of gentle oral care.
Question 2 of 5
Two tests should be monitored for a patient currently on Warfarin. What are those two tests? Select ALL that apply.
Correct Answer: B
Rationale: 1. INR (International Normalized Ratio): INR is the primary test used to monitor the effectiveness of Warfarin therapy. It measures the clotting tendency of the patient's blood in relation to a standard measurement. The INR target range for patients on Warfarin therapy varies depending on the reason for treatment, but typically falls between 2.0 to 3.0.
Question 3 of 5
Concentrated solution of sugar in water
Correct Answer: D
Rationale: A concentrated solution of sugar in water is known as a syrup. Syrup is commonly used in cooking and baking to add sweetness and moisture to various dishes. It is created by dissolving sugar in water over heat until a thick, sweet liquid is formed. Syrups are often used in beverages, desserts, and even as a sweetener for certain medications.
Question 4 of 5
Which of the following drugs has a therapeutic effect that increases cardiac output and slows heart rate?
Correct Answer: C
Rationale: Digoxin is a medication commonly used to treat heart failure and certain types of irregular heartbeats. Its therapeutic effect includes increasing cardiac output, which helps improve the function of the heart. Digoxin also has the ability to slow down the heart rate, making it particularly beneficial for patients with conditions like atrial fibrillation or atrial flutter. Therefore, among the options provided, Digoxin is the drug that has a therapeutic effect of increasing cardiac output and slowing heart rate.
Question 5 of 5
A patient states during a medical history that he takes several acetaminophen tablets throughout the day for acute pain. The nurse teaches the patient that the dosage should not exceed which amount?
Correct Answer: C
Rationale: Acetaminophen is a commonly used analgesic and antipyretic, but excessive doses can lead to severe liver damage. The maximum recommended daily dose for adults is 4 grams (4000 mg). Exceeding this limit increases the risk of hepatotoxicity, which can be life-threatening. Nurses should educate patients about the importance of adhering to the recommended dosage and checking the acetaminophen content in over-the-counter medications to avoid accidental overdose. This teaching is critical for patient safety and preventing adverse outcomes.