ATI RN
ATI RN Pharmacology Online Practice 2023 A Questions
Question 1 of 5
Aspirin is ionized as it enters the small intestine. Which statement is accurate regarding the absorption of aspirin in the small intestine?
Correct Answer: A
Rationale: Aspirin, an acidic drug, ionizes in the small intestine's alkaline pH, reducing absorption as ionized forms cross membranes less easily than non-ionized. Absorption increases in the stomach's acid pH. Ionization directly affects rate. It absorbs mainly in the stomach and intestine, not beyond. Decreased absorption reflects pH impact, a pharmacokinetic rule.
Question 2 of 5
A client calls the nurse help-line and says, 'My friend and I have been swimming and drinking beer all day and he took a couple of swigs of Robitussin DM (dextromethorphan) about 15 minutes ago. Now he is acting funny and seeing things.' What should the nurse consider when formulating a response?
Correct Answer: D
Rationale: Dextromethorphan (DM), a cough suppressant, can cause dizziness, hallucinations, and confusion, especially with alcohol, which amplifies CNS depression . Dialysis isn't standard for DM overdose; it's not an opioid , though it acts centrally; and addiction isn't the acute issue. The nurse considers dizziness as a key adverse effect, worsened by beer, guiding a response to seek medical help.
Question 3 of 5
Which of the following statements regarding colloid administration does the nurse identify as being true?
Correct Answer: A
Rationale: Colloids, such as albumin and synthetic colloids like hydroxyethyl starch, do not enhance the oxygen-carrying capacity of the blood. They can help to increase the intravascular volume in cases of hypovolemia by osmotically drawing fluid into the intravascular space. This can help improve tissue perfusion by increasing blood pressure. Colloids do not have a direct effect on oxygen-carrying capacity or coagulation properties. Dextran therapy can cause adverse effects like anaphylaxis or renal failure, but it is not a general contraindication for all colloid administration in the treatment of hypovolemia.
Question 4 of 5
Aspirin is ionized as it enters the small intestine. Which statement is accurate regarding the absorption of aspirin in the small intestine?
Correct Answer: A
Rationale: Aspirin, an acidic drug, ionizes in the small intestine's alkaline pH, reducing absorption as ionized forms cross membranes less easily than non-ionized. Absorption increases in the stomach's acid pH. Ionization directly affects rate. It absorbs mainly in the stomach and intestine, not beyond. Decreased absorption reflects pH impact, a pharmacokinetic rule.
Question 5 of 5
A patient is receiving intravenous (IV) potassium supplements. What is the most important nursing implication when administering this drug?
Correct Answer: B
Rationale: IV potassium must always be diluted in IV fluids and administered via an infusion pump to prevent rapid infusion, which can cause life-threatening cardiac arrhythmias. Administering undiluted potassium or too quickly can lead to hyperkalemia and cardiac arrest. While central lines (A) are sometimes used, potassium can also be given through a peripheral IV if properly diluted. Chilling potassium (C) is unnecessary and could cause discomfort. Preservatives (D) are not a primary concern with IV potassium administration.