ATI RN
Virtual ATI Pharmacology Assessment Questions
Question 1 of 9
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 9
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 3 of 9
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 Theophylline (E) is outdated.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 4 of 9
What route is Amlodipine taken?
Correct Answer: A
Rationale: Amlodipine is a medication that is taken orally, usually in the form of tablets. The abbreviation "PO" stands for per os, which means by mouth or orally. Amlodipine is widely prescribed to treat high blood pressure and certain types of chest pain. It works by relaxing the blood vessels, making it easier for the heart to pump blood. Taking amlodipine orally allows it to be absorbed through the digestive system and enter the bloodstream to exert its therapeutic effects.
Question 5 of 9
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 6 of 9
Atropine:
Correct Answer: A
Rationale: Atropine, a muscarinic antagonist, causes bronchodilation by relaxing bronchial smooth muscle, a true statement used in asthma or COPD. It produces mydriasis (pupil dilation), not miosis (constriction), making that false, as it blocks parasympathetic tone. It's highly lipid-soluble, crossing the blood-brain barrier, so that's false. It doesn't block acetylcholine (ACh) reuptake (there's no such mechanism) but competitively inhibits muscarinic receptors, so that's incorrect. It reduces, not increases, salivary secretions. Bronchodilation is a primary therapeutic effect, reflecting atropine's anticholinergic action, critical for respiratory applications and distinguishing it from sympathomimetics.
Question 7 of 9
Jonas comes into the local blood donation center. He says he is here to donate platelets only today. The nurse knows this process is called:
Correct Answer: C
Rationale: Apheresis is the process of collecting specific blood components, such as platelets, using a specialized machine. This method allows the donor to donate only the needed component while returning the rest of the blood components back to the donor. In this case, when Jonas is donating platelets only, it is known as an apheresis donation. This process is different from the traditional whole blood donation method where all blood components are collected and separated later in a lab.
Question 8 of 9
Which of the following is NOT a site for drug metabolism:
Correct Answer: D
Rationale: The placenta is not a site for drug metabolism. Drug metabolism primarily occurs in the liver, gastrointestinal tract (GIT), skin, and kidney. The placenta serves as a barrier between the mother and fetus and is involved in nutrient and waste exchange but does not play a significant role in drug metabolism processes.
Question 9 of 9
Which of the following drugs is contraindicated if there is a history of acute porphyria?
Correct Answer: C
Rationale: Acute porphyria involves heme synthesis defects, triggered by drugs inducing hepatic enzymes (e.g., CYP450). Quinine, used in malaria, isn't a major porphyria trigger. Atenolol, a beta-blocker, is porphyrin-safe, with minimal enzyme induction. Oral contraceptives, containing estrogens/progestins, induce ALA synthase, exacerbating acute porphyria, making them contraindicated. Heparin and amoxicillin don't significantly affect porphyrin metabolism. The contraceptive link reflects hormonal exacerbation of porphyric attacks, critical for safe prescribing in this rare condition.