ATI RN
ATI Pharmacology Book Questions
Question 1 of 5
This salicylate is less effective than aspirin, but may be used in patients allergic to aspirin :
Correct Answer: C
Rationale: Salicylamide is a salicylate compound that is less effective than aspirin (acetylsalicylic acid) in terms of anti-inflammatory and analgesic properties. However, salicylamide can be used as an alternative in patients who are allergic to aspirin. It is often better tolerated by individuals with hypersensitivity to aspirin. Sodium salicylate, methyl salicylate, diflunisal, and acetylsalicylic acid (aspirin) do not specifically have an advantage in patients allergic to aspirin compared to salicylamide.
Question 2 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 3 of 5
When collecting a medication history from a patient with primary open-angle glaucoma, the nurse identifies several drugs that could exacerbate glaucoma. Which drug poses a priority concern for this particular patient?
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 4 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 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.