ATI RN
ATI Pharmacology Assessment 2 Questions
Question 1 of 5
The client says to the nurse, 'My wife and I take the same drug, but we have different side effects. Are we doing something wrong?' What is the best response by the nurse?
Correct Answer: A
Rationale: Sex differences affect drug metabolism (e.g., liver enzymes, body fat), leading to varied side effects, a normal pharmacodynamic variation, reassuring the client they're not at fault. Checking the drug delays a clear answer. Generic vs. brand typically doesn't alter side effects-bioequivalence is required. Uncertainty muddies education. Sex-based differences offer a concise, accurate explanation, normalizing their experience and enhancing understanding.
Question 2 of 5
The patient has been depressed, and the physician plans to begin treatment with an antidepressant medication. In performing the initial assessment, what is the most important question for the nurse to ask?
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 3 of 5
A 21-year-old male presents to the clinic with 6 weeks of painful, bloody stools. Flexible sigmoidoscopy reveals erythema and friability with pseudopolyps. Which of the following drugs used for ulcerative colitis has both anti-inflammatory and antibacterial properties?
Correct Answer: C
Rationale: Ulcerative colitis (UC) presents with bloody stools and mucosal inflammation, as seen on sigmoidoscopy. Sulfasalazine is correct-it combines 5-ASA (anti-inflammatory) and sulfapyridine (antibacterial), reducing inflammation and bacterial overgrowth in UC. Azathioprine is an immunosuppressant, lacking antibacterial action. Cyclosporine is immunosuppressive, not antibacterial. Mesalamine is anti-inflammatory only. Olsalazine (E) is similar to mesalamine. Sulfasalazine's dual action targets UC's inflammatory and microbial components, making it uniquely suited among the options for this chronic condition.
Question 4 of 5
A 48-year-old man presents to the emergency department in the morning with urticaria and difficulty breathing following a bee sting received while gardening. He is treated, recovers, and is sent home. Later that evening, his symptoms return and he is treated again in the emergency department. He denies having been stung again. What should have been given to this patient to avoid his return to the emergency department?
Correct Answer: D
Rationale: Recurrent allergic symptoms post-bee sting suggest ongoing inflammation. Prednisolone , a corticosteroid, reduces late-phase reactions. Diphenhydramine and Loratadine treat acute symptoms. Epinephrine is for anaphylaxis but short-acting. Prednisolone prevents biphasic reactions, avoiding his return.
Question 5 of 5
A 29-year-old man with recurrent allergic rhinitis presents to his primary care physician for evaluation. He states that his symptoms are more problematic lately and desires treatment. He has begun on fexofenadine. Which of the following adverse reactions is possible in this patient?
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.