ATI RN
Virtual ATI Pharmacology Assessment Questions
Question 1 of 5
The nursing mother asks the nurse if it is all right to take St. John's wort for mild depression. What is the best response by the nurse?
Correct Answer: C
Rationale: St. John's wort, an herbal antidepressant, passes into breast milk, potentially affecting the baby-e.g., sedation or colic-making it unsafe without medical advice. Allergies lack evidence as a concern. Milk production isn't a known issue. Taste changes are unproven. Excretion risk is the primary concern, supported by pharmacokinetics, prioritizing infant safety.
Question 2 of 5
The client receives hydroxychloroquine sulfate (Plaquenil). Which test does the nurse tell the client should be done on a regular basis?
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 3 of 5
A 63-year-old woman with a history of cardiac arrhythmia maintained on quinidine presents to her primary care physician complaining of frequency, urgency, and dysuria. Urine culture reveals >100,000 CFU/mL of Escherichia coli. She is given a prescription for ciprofloxacin 500 mg to be taken twice daily for 7 days. Which of the following sequelae could be problematic for this patient?
Correct Answer: D
Rationale: Quinidine and ciprofloxacin both prolong the QT interval, risking torsades de pointes. Option , QT prolongation, is correct-combined use heightens arrhythmia risk in this patient. Asystole , MI , pulmonary edema , and embolism (E) aren't directly linked. This drug interaction demands monitoring, critical given her cardiac history.
Question 4 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: Failed to generate a rationale of 500+ characters after 5 retries.
Question 5 of 5
A 28-year-old woman presents to the emergency department in an acute asthma exacerbation. Her asthma developed in her 20s after she had recurrent upper respiratory infections. She was doing well, but she twisted her ankle yesterday and was taking aspirin to reduce the inflammation. She is diagnosed with aspirin-induced asthma. What is the most appropriate long-term treatment for her condition?
Correct Answer: D
Rationale: Aspirin-induced asthma (AIA) involves leukotriene overproduction. Zafirlukast , a leukotriene receptor blocker-prevents attacks long-term. Albuterol and Ipratropium treat acutely. Cromolyn stabilizes mast cells but is less specific. Theophylline (E) is outdated. Zafirlukast targets AIA's pathophysiology.