ATI RN
ATI RN Pharmacology Online Practice 2019 A Questions
Question 1 of 5
The following inhibits cell wall synthesis, except:
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 2 of 5
A nurse is providing discharge instructions to a patient who is taking atenolol (Tenormin) to treat hypertension. What would the nurse teach the patient regarding a possible drug-drug interaction?
Correct Answer: C
Rationale: A decreased hypertensive effect can occur if a beta-selective adrenergic blocking agent is used in combination with NSAIDs. If this combination is used, the patient should be monitored closely and dosage adjustments made. Antibiotics, oral contraceptives, and antifungal agents are not known to have a drug-drug interaction. The nurse should educate the patient about potential interactions and advise them to consult their healthcare provider before starting any new medications.
Question 3 of 5
A prenatal patient tells the nurse that she is not taking vitamins because she heard that vitamins may cause damage to the fetus if she becomes pregnant. What is the nurse's best response?
Correct Answer: C
Rationale: While vitamins are generally beneficial during pregnancy, excessive doses (megadoses) can be harmful, especially in the first trimester. The nurse should emphasize the importance of taking vitamins at recommended levels and avoiding excessive supplementation. Taking extra vitamins (B) is not advised, and doses above the RDA (D) should be avoided unless prescribed.
Question 4 of 5
Superficial bladder cancer can be treated by direct instillation of the antineoplastic antibiotic agent mitomycin (Mutamycin). This process is termed:
Correct Answer: B
Rationale: Intravesical administration involves the direct instillation of medication into the bladder, which is a common method for treating superficial bladder cancer. This approach allows high concentrations of the drug, such as mitomycin, to come into direct contact with the cancerous cells lining the bladder, minimizing systemic side effects. Intraventricular and intrathecal administrations are used for delivering drugs to the brain and spinal cord, respectively, while intravascular administration refers to intravenous delivery. Intravesical administration is specifically designed for bladder conditions, making it the correct answer.
Question 5 of 5
Lorraine who is on chemotherapy has a history of cardiac disease. The client is at risk for cardiac complications because:
Correct Answer: B
Rationale: Chemotherapy can cause anemia, which reduces the oxygen-carrying capacity of the blood due to decreased red blood cells or hemoglobin. For a patient with a history of cardiac disease, this is particularly concerning because the heart must work harder to deliver oxygen to tissues, potentially exacerbating cardiac conditions. Reduced white blood cells increase infection risk, but this does not directly affect cardiac function. Sodium levels and hematocrit are not the primary concerns in this context. Therefore, reduced oxygen-carrying capacity is the correct answer.