ATI RN
Virtual ATI Pharmacology Assessment Questions
Question 1 of 5
The client receives beclomethasone (Beconase) intranasally as treatment for allergic rhinitis. He asks the nurse if this drug is safe because it is a glucocorticoid. What is the best response by the nurse?
Correct Answer: A
Rationale: Beclomethasone's low systemic absorption minimizes serious effects , reassuring its safety for rhinitis. Swallowing , duration , and dosing aren't primary concerns. A aligns with its safety profile, making it the best response.
Question 2 of 5
When administering a loop diuretic to a patient, it is most important for the nurse to determine if the patient is also taking which drug?
Correct Answer: D
Rationale: When administering a loop diuretic to a patient, it is crucial to determine if the patient is also taking theophylline. Loop diuretics may interact with theophylline, leading to an increase in theophylline levels in the blood. This interaction can result in elevated theophylline concentrations, potentially causing toxicity symptoms such as nausea, vomiting, headache, and arrhythmias. Therefore, monitoring the patient's theophylline levels and adjusting the dosage accordingly is essential to prevent adverse effects. It is important for healthcare providers to be aware of potential drug interactions and consider them when prescribing medications to avoid harmful complications for the patient.
Question 3 of 5
A male patient is to begin therapy with isotretinoin and asks, 'What do I have to remember to do while taking this medicine?' How would the nurse respond? (Select all that apply.)
Correct Answer: B
Rationale: Isotretinoin is a potent medication with significant side effects and precautions. Patients should avoid sunlight (A) due to increased photosensitivity. Regular laboratory tests (C) are necessary to monitor liver function and lipid levels. Two forms of contraceptives (D) are required for females due to the high risk of teratogenicity. Monitoring weight (B) is not typically associated with isotretinoin use.
Question 4 of 5
A client with osteoporosis is prescribed alendronate (Fosamax). Which instruction should the nurse include?
Correct Answer: A
Rationale: Alendronate, a bisphosphonate, treats osteoporosis but risks esophageal irritation. Taking it with water and staying upright prevents reflux, ensuring safety and absorption. With meals reduces uptake via calcium binding. Crushing increases irritation risk. Bedtime heightens reflux. This instruction aligns with alendronate's administration guidelines, critical in osteoporosis where adherence prevents fractures, making A the key teaching point.
Question 5 of 5
A 45-year-old woman undergoes a complete hysterectomy for leiomyomas and dysfunctional uterine bleeding. The surgeon wants to prescribe a pain relief medication following the procedure, but the patient's serum creatinine is 1.2 mg/dL. Which of the following pain relief medications should the surgeon avoid prescribing?
Correct Answer: D
Rationale: Post-hysterectomy pain with creatinine 1.2 mg/dL (mild renal impairment) contraindicates Ketorolac , an NSAID. Its renal toxicity risks harm. Acetaminophen , Codeine , Hydrocodone , and Oxycodone (E) are safer. Ketorolac's prostaglandin inhibition could worsen kidney function.