ATI RN
ATI Capstone Pharmacology Assessment 2 Questions
Question 1 of 5
The basic metric unit for the measurement of volume :
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 2 of 5
A patient undergoing chemotherapy for breast cancer asks why she is not receiving trastuzumab like her sister. Which response by the nurse is correct?
Correct Answer: D
Rationale: Trastuzumab is a targeted therapy used specifically for HER2-positive breast cancer. If the patient's cancer cells do not overexpress the HER2 receptor, trastuzumab will not be effective. The decision to use targeted therapy is based on the molecular characteristics of the tumor, not the patient's age, insurance coverage, or estrogen receptor status. The nurse should explain that targeted therapies are tailored to the specific biology of the cancer, and trastuzumab is only appropriate for HER2-positive tumors.
Question 3 of 5
Upon preparing to administer activated charcoal by mouth to treat a patient who took an overdose of aspirin and several unknown drugs, the nurse notes that the patient has become very somnolent and eyes open only to a noxious stimulus. Which action by the nurse is most appropriate at this point?
Correct Answer: A
Rationale: The patient's decreased level of consciousness (somnolence and only responding to noxious stimuli) indicates a potential deterioration in their condition, possibly due to the overdose. Activated charcoal is contraindicated in patients with an altered mental status due to the risk of aspiration. The nurse should immediately consult the nurse practitioner to reassess the patient's condition and determine the appropriate intervention, such as securing the airway or considering alternative treatments.
Question 4 of 5
For the patient who is taking nalbuphine, what should the nurse do? (Select all that apply.)
Correct Answer: D
Rationale: Nalbuphine is an opioid agonist-antagonist used for pain management. Like other opioids, it can cause respiratory depression, so monitoring respirations is critical. Bradycardia is another potential side effect that patients should report. Administering nalbuphine undiluted is not standard practice, as it can increase the risk of adverse reactions. Excessive urine output is not associated with nalbuphine use. Therefore, the nurse should focus on monitoring respirations and educating the patient to report bradycardia.
Question 5 of 5
The most serious adverse effect of Alprostadil (Prostin VR pediatric injection) administration in neonates is:
Correct Answer: B
Rationale: Apnea is the most serious adverse effect of alprostadil in neonates, requiring close monitoring and respiratory support. Alprostadil is used to maintain ductus arteriosus patency in congenital heart defects, but its use carries significant risks. Bleeding, hypotension, and fever are also possible but are less critical than apnea.