ATI RN
ATI VATI Pharmacology Assessment Questions
Question 1 of 5
A patient who is taking amitriptyline (Elavil) reports constipation and dry mouth. The patient notes that these
Correct Answer: A
Rationale: The correct instruction the nurse should give the patient who is experiencing constipation and dry mouth as side effects of amitriptyline (Elavil) is to increase fluid intake. Increasing fluid intake can help alleviate these side effects. Adequate hydration can help with constipation by softening stools and making bowel movements easier, and it can also help relieve dry mouth by promoting saliva production. It is a simple and effective measure that can be taken to manage these common side effects without the need to stop the medication or switch to a different antidepressant.
Question 2 of 5
When a patient is receiving diuretic therapy, which of these assessment measures would best reflect the patient™s fluid volume status?
Correct Answer: C
Rationale: When a patient is receiving diuretic therapy, the best assessment measures to reflect the patient's fluid volume status are intake, output, and daily weight monitoring.
Question 3 of 5
A 52-year-old overweight male steamroller operator presents to his primary care physician complaining of itchy, watery eyes and runny nose in the springtime. He says that he has had this problem for as long as he can remember but does not like going to doctors. His wife finally convinced him to come today to see what his physician might be able to do for him. What is the most appropriate treatment for this patient?
Correct Answer: D
Rationale: The patient's chronic springtime symptoms-itchy, watery eyes, and runny nose-point to seasonal allergic rhinitis, a histamine-driven condition. Albuterol is a bronchodilator for asthma, not allergies. Diphenhydramine is an H1 antihistamine, effective but sedating, which may not suit an active steamroller operator. Epinephrine is for acute anaphylaxis, not chronic allergies. Hydroxyzine is another sedating antihistamine, less ideal for daily use. Loratadine (E), a non-sedating H1 antihistamine, effectively blocks histamine receptors, relieving symptoms without drowsiness, making it the most appropriate choice. Given his occupation and chronicity, a non-sedating option is critical for safety and compliance. Loratadine's long-acting, once-daily dosing also fits his reluctance to seek medical care, offering convenience and efficacy. The rationale prioritizes a treatment balancing symptom relief with minimal impact on his daily function, ruling out sedating or irrelevant options.
Question 4 of 5
Prescribed if a patient is allergic with Penicillin:
Correct Answer: B
Rationale: Erythromycin is a suitable alternative for patients allergic to penicillin. Erythromycin belongs to the macrolide class of antibiotics and is effective against a wide range of bacterial infections. It is generally well-tolerated and can be used as an alternative in cases of penicillin allergy.cephalosporins, tetracyclines, sulfonamides, and aminoglycosides like gentamicin should not be prescribed to a patient with a known penicillin allergy as they can potentially cross-react and cause allergic reactions.
Question 5 of 5
A 46-year-old businessman of Caribbean origin is found to have a total serum cholesterol concentration of 6.2 mmol/L, high-density lipoprotein (HDL) of 0.7 mmol/L and triglycerides of 9.4 mmol/L. He drinks no alcohol (ethanol) during the week but admits to eight pints of lager and up to one bottle of rum at weekends. Other chemistries are notable only for a serum glutamic oxaloacetic transaminase (SGOT) level of 72 (upper limit of normal -42 u/L) and gamma glutamyl transferase (GGT) level of 128 (upper limit of normal = 51 u/L). Which of the following is correct?
Correct Answer: B
Rationale: High triglycerides (9.4 mmol/L) and low HDL (0.7 mmol/L) with binge drinking suggest alcohol-induced dyslipidemia. Alcohol typically raises HDL, not lowers it, so that's incorrect. Elevated triglycerides (>5.6 mmol/L) risk pancreatitis, a true statement, worsened by alcohol. Fibrates treat hypertriglyceridemia, but statins address total cholesterol (6.2 mmol/L) first in mixed dyslipidemia. Ezetimibe lowers LDL, not relevant here. Eicosapentaenoic acid reduces triglycerides, not total cholesterol primarily. Pancreatitis risk drives urgent management, linked to his lipid profile and drinking pattern.