ATI RN
Pharmacology Assessment 2 ATI Capstone Questions
Question 1 of 5
Which classification of drugs would the nurse refuse to administer to a pregnant patient?
Correct Answer: D
Rationale: Teratogenic drugs (e.g., thalidomide) cause fetal harm, absolute no-go in pregnancy, per safety. Category A is safe (e.g., levothyroxine). Category B has no human risk (e.g., metformin). ‘Cautionary' isn't a class-teratogenic fits X or known risks. Refusing teratogens protects the fetus, a clear rule.
Question 2 of 5
A 26-year-old woman presents to her primary care physician complaining of seasonal allergies. She has done well without medications for some time but now has worsening of her symptoms. She is given a prescription for fexofenadine. Which of the following adverse effects must be considered in this patient?
Correct Answer: B
Rationale: Fexofenadine for allergies may cause headache , a frequent side effect of this non-sedating antihistamine. Flank pain , otitis , infection , and tinnitus (E) are rare. Headache monitoring ensures safe symptom relief.
Question 3 of 5
The client receives diphenhydramine (Benadryl) to control allergic symptoms. Which common symptom does the nurse teach the client to report to the physician?
Correct Answer: D
Rationale: Diphenhydramine, a first-generation antihistamine, has anticholinergic effects, including urinary hesitancy , due to reduced bladder contractility. This can escalate to retention, a serious issue, especially in older adults or those with prostate issues, warranting physician reporting. Sedation is expected and manageable, not typically reported unless severe. Diarrhea isn't common; constipation is more likely. Projectile vomiting suggests a different pathology, not a typical antihistamine effect. The nurse teaches reporting urinary hesitancy as it's a significant anticholinergic complication requiring intervention, making choice D the priority symptom to monitor.
Question 4 of 5
What is Montelukast used for?
Correct Answer: A
Rationale: Montelukast is primarily used for the prevention and treatment of asthma. It is a leukotriene receptor antagonist that works by blocking leukotrienes, substances in the body that cause symptoms of asthma and allergic rhinitis. By blocking leukotrienes, Montelukast helps to reduce inflammation in the airways, decrease bronchoconstriction, and ultimately improve asthma symptoms and prevent asthma attacks. It is not used for lowering pain levels, treating depression, or improving wakefulness in patients.
Question 5 of 5
Sedatives and hypnotics are drugs which act as:
Correct Answer: B
Rationale: Sedatives and hypnotics are drugs that act as depressants on the central nervous system. They slow down brain activity, leading to relaxation, drowsiness, and in higher doses, inducing sleep. These drugs are commonly used to reduce anxiety, promote sleep, or induce anesthesia. Therefore, the correct classification for sedatives and hypnotics is as depressants.