ATI RN
Virtual ATI Pharmacology Assessment Questions
Question 1 of 5
A patient wants to take garlic tablets to improve his cholesterol levels. Which condition would be a contraindication?
Correct Answer: D
Rationale: Taking garlic tablets can potentially increase the risk of bleeding during surgery due to its blood-thinning properties. This can interfere with the body's ability to clot blood properly during and after surgery, leading to excessive bleeding and complications. Therefore, scheduled surgery is a contraindication for taking garlic tablets. It is essential to inform healthcare providers about any supplements being taken before undergoing surgery to ensure safety and prevent adverse effects.
Question 2 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 Theophylline (E) is outdated.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 3 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 4 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 5 of 5
A month after receiving a blood transfusion an immunocompromised male patient develops a fever, liver abnormalities, a rash, and diarrhea. The nurse would suspect this patient has:
Correct Answer: B
Rationale: Graft-versus-host disease (GVHD) is a potential complication in immunocompromised patients after receiving blood transfusions. It occurs when donor lymphocytes attack the recipient's tissues, leading to symptoms such as fever, rash, liver dysfunction, and diarrhea. This condition typically arises weeks to months after transfusion. An allergic response to medication would not explain the systemic symptoms. Myelosuppression is unrelated to transfusion. Therefore, GVHD is the most likely diagnosis in this scenario.