ATI RN
Virtual ATI Pharmacology Assessment Questions
Question 1 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 2 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 3 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: Post-hysterectomy pain with creatinine 1.2 mg/dL (mild renal impairment) contraindicates Ketorolac , an NSAID. Its renal toxicity risks harm. Acetaminophen , Codeine , Hydrocodone , and Oxycodone (E) are safer. Ketorolac's prostaglandin inhibition could worsen kidney function.
Question 4 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 5 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.