ATI RN
Virtual ATI Pharmacology Assessment Questions
Question 1 of 5
The nurse is reviewing new medication orders for a patient who has an epidural catheter for pain relief. One of the orders is for enoxaparin (Lovenox), a low“molecular-weight heparin (LMWH). What is the nurse™s priority action?
Correct Answer: C
Rationale: The nurse's priority action in this situation is to contact the prescriber because LMWHs like enoxaparin should not be given to a patient with an epidural catheter due to the increased risk of bleeding. Giving LMWH to a patient with an epidural catheter can lead to epidural hematoma, a serious complication that can result in permanent paralysis. It is important to clarify this order with the prescriber to ensure patient safety and prevent potential harm.
Question 2 of 5
The nurse notes in the patient™s medication orders that the patient will be starting anticoagulant therapy. What is the primary goal of anticoagulant therapy?
Correct Answer: C
Rationale: The primary goal of anticoagulant therapy is to prevent the formation of blood clots or thrombi. Anticoagulants work by inhibiting the clotting process in the blood, thereby reducing the risk of clot formation in the blood vessels. This helps to prevent conditions such as deep vein thrombosis, pulmonary embolism, stroke, and other thromboembolic events. Anticoagulants do not dissolve existing clots (thrombus), they work to prevent new clots from forming. So, the main objective of starting anticoagulant therapy in a patient is to prevent the development of thrombi.
Question 3 of 5
When taking Nitroglycerine (transdermal), you should have how many hours nitrate free each day?
Correct Answer: C
Rationale: When taking Nitroglycerine (transdermal), it is recommended to have a nitrate-free interval of at least 10-12 hours to prevent tolerance from developing. Tolerance can occur if the medication is continuously delivered without a break, leading to reduced effectiveness. Therefore, having a nitrate-free interval of 3-4 hours each day helps to maintain the efficacy of Nitroglycerine therapy and prevent tolerance.
Question 4 of 5
Jonas comes into the local blood donation center. He says he is here to donate platelets only today. The nurse knows this process is called:
Correct Answer: C
Rationale: Apheresis is the process of collecting specific blood components, such as platelets, using a specialized machine. This method allows the donor to donate only the needed component while returning the rest of the blood components back to the donor. In this case, when Jonas is donating platelets only, it is known as an apheresis donation. This process is different from the traditional whole blood donation method where all blood components are collected and separated later in a lab.
Question 5 of 5
When administering Phenytoin you should monitor?
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.