ATI RN
ATI Pharmacology Practice A Questions
Question 1 of 5
What is the most important patient/family teaching for patients that are taking Digoxin
Correct Answer: D
Rationale: The most important patient teaching for patients taking Digoxin is to regularly monitor and take their pulse. Digoxin is a medication used to treat certain heart conditions by helping the heart beat stronger and more regularly. Monitoring the pulse is important because Digoxin can affect the heart rate, and if the pulse is too slow or irregular, it may indicate an adverse reaction to the medication. Patients should be taught how to check their pulse and to contact their healthcare provider if they notice any significant changes in their heart rate while taking Digoxin. Taking the pulse is crucial in ensuring the medication is being tolerated well and is working effectively.
Question 2 of 5
Of the following salicylates, which does not exhibit an analgesic effects:
Correct Answer: C
Rationale: Salicylic acid, which is the parent compound of the salicylate drug class, does not exhibit analgesic effects. In order to have analgesic effects, such as pain relief, salicylic acid needs to be modified into derivatives like acetyl salicylic acid (aspirin), sodium salicylate, salicylamide, and diflunisal. These derivatives possess analgesic, antipyretic, and anti-inflammatory properties due to their ability to inhibit cyclooxygenase enzymes (COX) and subsequently decrease prostaglandin production.
Question 3 of 5
The nurse is performing a health history on a patient who is ordered to begin therapy with valproic
Correct Answer: D
Rationale: Valproic acid is known to have potential hepatotoxicity, meaning it can damage the liver. Therefore, if a patient already has liver disease, it can increase the risk of further liver damage when taking valproic acid. The nurse needs to be particularly cautious when a patient with pre-existing liver disease is prescribed this medication, as close monitoring of liver function tests will be necessary to detect any signs of liver damage early on. It is important to assess and consider the patient's liver condition before initiating valproic acid therapy to prevent potential adverse effects.
Question 4 of 5
Which class of targeted therapy would cause the nurse the most concern in regard to a possible infusion reaction?
Correct Answer: C
Rationale: Monoclonal antibodies, such as trastuzumab and rituximab, are more likely to cause infusion reactions compared to other classes of targeted therapy. These reactions can range from mild symptoms like fever and chills to severe anaphylaxis. Tyrosine kinase inhibitors, multikinase inhibitors, and proteasome inhibitors are less commonly associated with infusion reactions. The nurse should closely monitor patients receiving monoclonal antibodies during infusion and be prepared to manage any adverse reactions promptly.
Question 5 of 5
The nurse has a patient demonstrate self-administration of eyedrops. Place the steps in the order in which the patient will perform them.
Correct Answer: B
Rationale: The correct order for self-administering eyedrops is: 1. Wash hands (g). 2. Remove the cap (d). 3. Gently shake the bottle to evenly distribute the drug (b). 4. Tilt the head backward and look upward (e). 5. Pull the lower lid away from the eye so that a pouch is formed (a). 6. Place the dropper just above the pouch without touching the tip to the eye or finger (f). 7. Gently squeeze one drop of medicine into the pouch (h). 8. Press a finger against the inner corner of the eye for 2 to 3 minutes (c). This sequence ensures proper administration and minimizes the risk of contamination or systemic absorption.