ATI RN
ATI Pharmacology Book Questions
Question 1 of 5
The nurse is compiling a drug history for a patient. Which question from the nurse will obtain the most information from the patient?
Correct Answer: C
Rationale: A comprehensive drug history includes information about the patient's current and past medication use, including over-the-counter drugs, herbal supplements, and non-pharmacological pain relief methods. Asking, 'When you have pain, what do you do to relieve it?' provides insight into the patient's self-management strategies and helps identify potential drug interactions or misuse. While questions about sleeping pills, family history, and childhood diseases are relevant, they do not provide as much information about the patient's current medication practices. Therefore, focusing on pain relief methods is the most effective way to gather a detailed drug history.
Question 2 of 5
A male client has erectile dysfunction. Which systems should be assessed that could contribute to the erectile dysfunction?
Correct Answer: A
Rationale: Erectile dysfunction (ED) often stems from cardiovascular issues, like atherosclerosis or hypertension, which impair blood flow to the penis, a vascular process essential for erection. The integumentary system, while relevant to skin health, doesn't directly influence ED unless severe conditions affect genital tissue, which is rare. Endocrine disorders, such as diabetes or low testosterone, disrupt hormonal balance critical for libido and erectile function, making it a key area. The nervous system, including spinal cord injuries or neuropathy, affects nerve signals for arousal, another vital component. Cardiovascular assessment is prioritized because ED can signal underlying heart disease, with shared risk factors like smoking or high cholesterol, and its vascular basis often precedes overt cardiac symptoms, necessitating a thorough check of circulation and heart health to pinpoint or rule out this common cause.
Question 3 of 5
What patient history would the nurse recognize as a contraindication for beginning Niacin therapy?
Correct Answer: B
Rationale: Gout is a contraindication for beginning Niacin therapy due to its potential to exacerbate gout symptoms. Niacin can lead to hyperuricemia, which is increased uric acid levels in the blood, and that can trigger a gout attack. Patients with a history of gout should avoid Niacin therapy to prevent worsening of their condition.
Question 4 of 5
A patient taking sunitinib reports that the skin on the hands and feet is red, painful, and has some blisters. Which action is appropriate for the nurse to take?
Correct Answer: D
Rationale: Sunitinib, a multikinase inhibitor, can cause hand-foot syndrome, a condition characterized by redness, pain, and blistering on the palms and soles. This side effect can be severe and may require dose adjustments or treatment interruptions. The nurse should notify the oncologist to evaluate the severity of the symptoms and determine if a dosage reduction is necessary. While protective measures like wearing gloves can help, they are not sufficient if the symptoms are severe. Documentation alone is inadequate for managing this potentially debilitating side effect.
Question 5 of 5
The nurse is aware that the following solutions are routinely used to flush an IV device before and after the administration of blood to a patient is:
Correct Answer: A
Rationale: 0.9 percent sodium chloride (normal saline) is the standard solution used to flush IV devices before and after blood transfusions. It is isotonic and compatible with blood products, preventing hemolysis or clotting. Dextrose solutions and sterile water are not used because they can cause hemolysis of red blood cells. Heparin sodium is used for maintaining patency in certain IV lines but is not suitable for blood transfusions. Therefore, normal saline is the correct choice for flushing IV devices in this context.