ATI RN
2023 Pharmacology ATI Questions
Question 1 of 5
Liquid preparation of vegetable drugs prepared by percolation and contains alcohol
Correct Answer: B
Rationale: In this context, a liquid preparation of vegetable drugs prepared by percolation and containing alcohol is known as a fluid extract. Fluid extracts are concentrated herbal extracts that are typically made by percolating a solvent, such as alcohol, through the plant material to extract its active constituents. This process results in a liquid extract that contains the medicinal properties of the plant. Fluid extracts are commonly used in herbal medicine due to their potency and ability to preserve the therapeutic compounds of the plant.
Question 2 of 5
The nurse is caring for a patient with colorectal cancer who is to receive fluorouracil. Which symptom will be most important for the nurse to report to the health care provider?
Correct Answer: C
Rationale: Fluorouracil, an antimetabolite chemotherapy drug, can cause myelosuppression, leading to a decrease in platelets (thrombocytopenia). Bleeding gums is a sign of low platelet counts and potential bleeding risk, which can be life-threatening if not addressed promptly. Nausea, decreased appetite, and constipation are common side effects of chemotherapy but are not as urgent as bleeding gums, which indicates a potential hematologic emergency. The nurse should report this symptom immediately to the healthcare provider for further evaluation and intervention, such as platelet transfusion or dose adjustment.
Question 3 of 5
A patient has received an IV dose of adenosine, and almost immediately the heart monitor shows
Correct Answer: D
Rationale: Adenosine is a medication commonly used to treat certain types of irregular heartbeats, such as supraventricular tachycardia. One of the common side effects of adenosine administration is transient asystole or a brief pause in the electrical activity of the heart. This can cause the heart to stop beating momentarily, leading to a drop in blood pressure and a feeling of lightheadedness in the patient. Therefore, in this scenario where the heart monitor shows an immediate abnormality after adenosine administration, the nurse should prepare to administer cardiopulmonary resuscitation and be ready to intervene if the patient's heart rhythm deteriorates further. It is crucial to be proactive and prepared to respond quickly to any adverse effects of the medication to prevent potential harm to the patient. Regular monitoring should also continue to assess the patient's condition and response to treatment.
Question 4 of 5
Glyceryl trinitrate for angina is most effective when given in what route?
Correct Answer: D
Rationale: Glyceryl trinitrate, also known as nitroglycerin, is most effective for the treatment of angina when given sublingually (under the tongue). This route allows for rapid absorption of the medication directly into the bloodstream, providing quick relief of angina symptoms. Sublingual administration ensures the drug bypasses the first-pass metabolism in the liver, resulting in higher bioavailability compared to oral administration. The sublingual route also allows for a faster onset of action, making it the preferred route for the management of acute angina episodes.
Question 5 of 5
A patient is taking infliximab and asks the nurse what side effects/adverse reactions to expect from this drug. The nurse lists which side effects? (Select all that apply.)
Correct Answer: D
Rationale: Infliximab is a biologic medication used to treat autoimmune conditions like rheumatoid arthritis and Crohn's disease. Common side effects include fatigue and headache, which are generally mild but can affect the patient's quality of life. Chest pain is a less common but serious side effect that may indicate cardiovascular complications or infusion reactions. Nausea is not typically associated with infliximab. Nurses should educate patients about these potential side effects and advise them to report any severe or persistent symptoms, such as chest pain, immediately.