ATI RN
ATI Pharmacology Proctored Exam 2024 Questions
Question 1 of 5
This is described as an unpleasant sensory and emotional experience associated with actual tissue damage:
Correct Answer: C
Rationale: Pain is described as an unpleasant sensory and emotional experience associated with actual or potential tissue damage. It serves as a protective mechanism to alert the body of potential harm and encourage appropriate action to avoid further injury. Pain can be acute or chronic, and it can vary in intensity and duration depending on the underlying cause. In contrast, the other options do not directly correspond to the described sensation of pain associated with tissue damage.
Question 2 of 5
A patient taking imatinib voices concern about gaining 5 pounds in the past week. Which response by the nurse is correct?
Correct Answer: A
Rationale: Weight gain is a known side effect of imatinib, a tyrosine kinase inhibitor used to treat certain cancers. The nurse should reassure the patient that this is a common occurrence and not necessarily dangerous. However, the patient should be monitored for signs of fluid retention, such as swelling or shortness of breath, which could indicate a more serious condition. Stopping the medication abruptly is not recommended unless advised by the healthcare provider. Dietary changes may help, but they should be discussed with the healthcare team to ensure they do not interfere with treatment.
Question 3 of 5
A patient is taking oral acetazolamide, a carbonic anhydrase inhibitor, to decrease intraocular pressure. When providing drug education, which side effect will the nurse advise the patient to anticipate?
Correct Answer: D
Rationale: Acetazolamide, a carbonic anhydrase inhibitor, promotes diuresis by inhibiting the reabsorption of bicarbonate in the kidneys, leading to increased urine output. This is a common side effect that patients should be informed about. Increased weight (A) is not typically associated with acetazolamide. Light sensitivity (B) and burning or stinging of the eyes (C) are more commonly associated with topical ophthalmic medications, not systemic acetazolamide.
Question 4 of 5
An 86-year-old patient is being discharged to home on digitalis therapy and has very little information regarding the medication. Which statement best reflects a realistic outcome of patient teaching activities?
Correct Answer: A
Rationale: Patient education is a critical component of nursing care, especially for elderly patients who may have difficulty understanding complex medication regimens. A realistic outcome for an 86-year-old patient and their caregiver (daughter) is that they can state the proper way to take the drug. This ensures that the medication is taken correctly, reducing the risk of toxicity or underdosing. While teaching about adverse effects and symptoms of toxicity is important, expecting the patient to recall all symptoms may be unrealistic due to age-related cognitive decline. The most practical and achievable goal is ensuring the patient and caregiver understand the proper administration of the medication.
Question 5 of 5
Mandy, a patient, calls the clinic today because he is taking atorvastatin (Lipitor) to treat his high cholesterol and is having pain in both of his legs. You instruct him to:
Correct Answer: D
Rationale: Atorvastatin (Lipitor) is a statin medication used to lower cholesterol, but it can cause serious side effects such as myopathy or rhabdomyolysis, which present as muscle pain or weakness. Pain in both legs could indicate a severe adverse reaction. Stopping the medication and seeking immediate medical attention is crucial to prevent complications like kidney damage. Delaying treatment or continuing the medication without evaluation could worsen the condition. Therefore, the correct action is to stop the drug and come to the clinic to be seen today.