ATI RN
ATI Pharmacology Book Questions
Question 1 of 5
How would you teach a patient how to prep an inhaler?
Correct Answer: B
Rationale: Teaching a patient how to prepare an inhaler is an important step in proper medication administration. Shaking the inhaler for about 5 seconds before use helps to ensure that the medication is properly mixed and dispersed. This is especially important for metered-dose inhalers where the medication is dispersed as a fine spray. Priming the inhaler by shaking it helps ensure that the patient receives the correct dose of medication with each use.
Question 2 of 5
This salicylate is less effective than aspirin, but may be used in patients allergic to aspirin :
Correct Answer: C
Rationale: Salicylamide is a salicylate compound that is less effective than aspirin (acetylsalicylic acid) in terms of anti-inflammatory and analgesic properties. However, salicylamide can be used as an alternative in patients who are allergic to aspirin. It is often better tolerated by individuals with hypersensitivity to aspirin. Sodium salicylate, methyl salicylate, diflunisal, and acetylsalicylic acid (aspirin) do not specifically have an advantage in patients allergic to aspirin compared to salicylamide.
Question 3 of 5
A patient who is taking aspirin for arthritis pain asks the nurse why it also causes gastrointestinal upset. The nurse understands that this is because aspirin:
Correct Answer: C
Rationale: Aspirin works by inhibiting both cyclooxygenase-1 (COX-1) and cyclooxygenase-2 (COX-2) enzymes. COX-1 is responsible for producing prostaglandins that help maintain the stomach lining, promote blood clotting, and support kidney function. When COX-1 is inhibited by aspirin, it interferes with the protective mechanisms of the stomach lining, leading to increased risk of gastrointestinal irritation, ulcers, and bleeding. This is why aspirin is known to cause gastrointestinal upset, including symptoms like stomach pain, heartburn, nausea, and even ulcers in some cases.
Question 4 of 5
A patient taking sunitinib reports that the skin on the hands and feet is red, painful, and has some blisters. Which action is appropriate for the nurse to take?
Correct Answer: D
Rationale: Sunitinib, a multikinase inhibitor, can cause hand-foot syndrome, a condition characterized by redness, pain, and blistering on the palms and soles. This side effect can be severe and may require dose adjustments or treatment interruptions. The nurse should notify the oncologist to evaluate the severity of the symptoms and determine if a dosage reduction is necessary. While protective measures like wearing gloves can help, they are not sufficient if the symptoms are severe. Documentation alone is inadequate for managing this potentially debilitating side effect.
Question 5 of 5
When collecting a medication history from a patient with primary open-angle glaucoma, the nurse identifies several drugs that could exacerbate glaucoma. Which drug poses a priority concern for this particular patient?
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.