ATI RN
Virtual ATI Pharmacology Assessment Questions
Question 1 of 5
Which method would the nurse use to administer medications to school-age children?
Correct Answer: B
Rationale: School-age kids (6-12) grasp brief explanations-e.g., 'This helps your cough'-fitting their cognitive level, easing administration. Full decision-making exceeds maturity. Holding down distresses, not needed. Lengthy talks lose attention. Brief explanation leverages development, ensuring cooperation.
Question 2 of 5
A 63-year-old woman with a history of cardiac arrhythmia maintained on quinidine presents to her primary care physician complaining of frequency, urgency, and dysuria. Urine culture reveals >100,000 CFU/mL of Escherichia coli. She is given a prescription for ciprofloxacin 500 mg to be taken twice daily for 7 days. Which of the following sequelae could be problematic for this patient?
Correct Answer: D
Rationale: Quinidine and ciprofloxacin both prolong the QT interval, risking torsades de pointes. Option , QT prolongation, is correct-combined use heightens arrhythmia risk in this patient. Asystole , MI , pulmonary edema , and embolism (E) aren't directly linked. This drug interaction demands monitoring, critical given her cardiac history.
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: Failed to generate a rationale of 500+ characters after 5 retries.
Question 4 of 5
A 28-year-old woman presents to the emergency department in an acute asthma exacerbation. Her asthma developed in her 20s after she had recurrent upper respiratory infections. She was doing well, but she twisted her ankle yesterday and was taking aspirin to reduce the inflammation. She is diagnosed with aspirin-induced asthma. What is the most appropriate long-term treatment for her condition?
Correct Answer: D
Rationale: Aspirin-induced asthma (AIA) involves leukotriene overproduction. Zafirlukast , a leukotriene receptor blocker-prevents attacks long-term. Albuterol and Ipratropium treat acutely. Cromolyn stabilizes mast cells but is less specific. Theophylline (E) is outdated. Zafirlukast targets AIA's pathophysiology.
Question 5 of 5
Which of the following antipsychotic agents is most associated with the possibility of a hematological dyscrasia such as agranulocytosis in a patient being treated for schizophrenia?
Correct Answer: D
Rationale: Clozapine, a second-generation antipsychotic, is highly effective for treatment-resistant schizophrenia but carries a 1-2% risk of agranulocytosis, a severe drop in neutrophils, necessitating regular blood monitoring. Chlorpromazine causes rare leukopenia, not agranulocytosis prominence. Buspirone, an anxiolytic, lacks hematological risks. Lithium may increase leukocytes, not decrease them. Asenapine has minimal blood dyscrasia association. Clozapine's unique efficacy comes with this rare but serious side effect, distinguishing it and requiring strict oversight, per FDA guidelines.