ATI RN
ATI Proctored Pharmacology 2024 Questions
Question 1 of 5
Which statement about ARBs does the nurse identify as being true?
Correct Answer: A
Rationale: One of the key differences between Angiotensin II Receptor Blockers (ARBs) and Angiotensin-Converting Enzyme (ACE) inhibitors is their impact on potassium levels. While both medications can cause hyperkalemia (high potassium levels), it is generally considered more likely to occur with ARBs compared to ACE inhibitors. This is because ACE inhibitors inhibit the breakdown of bradykinin, which in turn can enhance potassium retention, increasing the risk of hyperkalemia. Therefore, the nurse would correctly identify this statement about ARBs as being true.
Question 2 of 5
A patient has been diagnosed with tuberculosis and is to begin antitubercular therapy with isoniazid, rifampin, and ethambutol. Which actions are appropriate for the nurse to do? (Select all that apply.)
Correct Answer: A
Rationale: Ethambutol can cause optic neuritis, so periodic eye examinations are essential. Taking medications with meals can help reduce gastrointestinal side effects. Antacids should be avoided as they can interfere with drug absorption. Numbness and tingling of the hands or feet may indicate peripheral neuropathy, a side effect of isoniazid, and should be reported promptly.
Question 3 of 5
A 63-year-old woman with congestive heart failure begins to have lower extremity swelling. She starts taking a diuretic and the swelling improves significantly. Over the next few days, however, she develops ringing in her ears. Which of the following diuretics is she taking?
Correct Answer: B
Rationale: Diuretics treat CHF edema, but tinnitus suggests a side effect. Furosemide , a loop diuretic, causes ototoxicity (ringing in ears) at high doses. Acetazolamide , a carbonic anhydrase inhibitor, doesn't typically cause this. Hydrochlorothiazide , a thiazide, rarely affects hearing. Mannitol , an osmotic diuretic, and Spironolactone (E), an aldosterone antagonist, lack ototoxicity. Furosemide's rapid action on edema fits CHF, but its cochlear toxicity explains the symptom, common in loop diuretics.
Question 4 of 5
A 52-year-old man who works as an air traffic controller has seasonal allergies. Currently, he is very symptomatic but cannot miss work because of staffing issues. Which of the following agents would be best suited for this patient?
Correct Answer: D
Rationale: An air traffic controller needs a non-sedating allergy treatment. Fexofenadine , a second-generation antihistamine, avoids drowsiness. Chlorpheniramine , Diphenhydramine , and Doxylamine sedate. Hydroxylamine (E) isn't a drug. Fexofenadine ensures safety and efficacy for his job.
Question 5 of 5
A patient asks the nurse to tell her more about a new drug the patient has been prescribed called
Correct Answer: C
Rationale: The most accurate response by the nurse is "This drug is the first medication your health care provider will use to treat your angina." This response provides important information to the patient that Ranexa is specifically used to treat angina. It also indicates that Ranexa is often the initial medication chosen for treating this condition, providing reassurance to the patient about the appropriateness of the prescribed drug.