ATI RN
Virtual ATI Pharmacology Assessment Questions
Question 1 of 5
The physician prescribes fluticasone (Flonase) for the client. The nurse would hold the drug and contact the physician with which assessment finding?
Correct Answer: B
Rationale: Fluticasone, an intranasal corticosteroid, is Category C, meaning fetal risks aren't fully known, so pregnancy prompts holding the drug and consulting the physician to weigh benefits versus potential harm. Diabetes or hypertension aren't contraindications; systemic effects are minimal with nasal use. Glaucoma might concern intraocular pressure with prolonged steroid use, but it's not an immediate hold reason. Pregnancy requires caution due to unknown teratogenic effects, making choice B the nurse's priority to ensure fetal safety and align with prescribing guidelines.
Question 2 of 5
Which of the following antipsychotic agents is most associated with the possibility of a hematological dyscrasia such as agranulocytosis in a patient being treated for schizophrenia?
Correct Answer: D
Rationale: Clozapine, a second-generation antipsychotic, is highly effective for treatment-resistant schizophrenia but carries a 1-2% risk of agranulocytosis, a severe drop in neutrophils, necessitating regular blood monitoring. Chlorpromazine causes rare leukopenia, not agranulocytosis prominence. Buspirone, an anxiolytic, lacks hematological risks. Lithium may increase leukocytes, not decrease them. Asenapine has minimal blood dyscrasia association. Clozapine's unique efficacy comes with this rare but serious side effect, distinguishing it and requiring strict oversight, per FDA guidelines.
Question 3 of 5
A patient wants to take garlic tablets to improve his cholesterol levels. Which condition would be a contraindication?
Correct Answer: D
Rationale: Taking garlic tablets can potentially increase the risk of bleeding during surgery due to its blood-thinning properties. This can interfere with the body's ability to clot blood properly during and after surgery, leading to excessive bleeding and complications. Therefore, scheduled surgery is a contraindication for taking garlic tablets. It is essential to inform healthcare providers about any supplements being taken before undergoing surgery to ensure safety and prevent adverse effects.
Question 4 of 5
Which activity has a higher priority for the nurse to advise the patient to avoid while taking ixazomib?
Correct Answer: C
Rationale: Ixazomib, a proteasome inhibitor, can cause myelosuppression, increasing the risk of infections. Patients should be advised to avoid crowds and individuals who are ill to reduce exposure to infectious agents. While alcohol and aspirin may interact with other medications, they are not specifically contraindicated with ixazomib. Taking the drug on an empty stomach is not required, as it can be taken with or without food. Preventing infections is the highest priority due to the drug's impact on the immune system.
Question 5 of 5
What route is Amlodipine taken?
Correct Answer: A
Rationale: Amlodipine is a medication that is taken orally, usually in the form of tablets. The abbreviation "PO" stands for per os, which means by mouth or orally. Amlodipine is widely prescribed to treat high blood pressure and certain types of chest pain. It works by relaxing the blood vessels, making it easier for the heart to pump blood. Taking amlodipine orally allows it to be absorbed through the digestive system and enter the bloodstream to exert its therapeutic effects.