ATI Questions

Question 1

A client asks you about the difference between a generic drug and a trade- or brand-name drug. Which of the following are true regarding generic drugs?

Answer 1

1. Have the same chemical composition as the brand-name drug
2. May have several brand names
3. Are usually less expensive than brand-name drug

Question 2

Define excretion

Answer 2

The removal of the drug or its metabolites through the kidneys, GI tract, skin, or lungs

Question 3

Define metabolism

Answer 3

The change of a drug into a more or less potent or more soluble form after it passes though the liver, kidneys, intestinal mucosa, or other body part

Question 4

Define distribution

Answer 4

The movement of a drug by the circulatory system to its intended site of action

Question 5

Define absorption

Answer 5

The movement of a drug from the site of administration into the circulatory system

Question 6

A client with glaucoma asks you about taking oxybutnin, a muscarinic antagonist, to manage an overactive bladder. You explain that glaucoma is a contraindication for taking oxybutynin. Primary care providers should not prescribe contraindicated drugs because of their potential for which of the following?

Answer 6

Serious adverse reactions

Question 7

You note that a primary care provider prescribed morphine sulfate, an opioid agonist, to relieve a clients postoperative pain. Which of the following actions describes the action of an agonist on a receptor?

Answer 7

Activates the receptor

Question 8

PCP (primary care providers) prescribe drug dosages for children using which of the following information?

Answer 8

1. Body surface area
2. Age
3. Weight
4. Drug properties

Question 9

A client is about to start taking aspirin to prevent cardiovascular events. You should instruct the client to watch for and report which adverse drug reaction of aspirin?

Answer 9

Petechiae

Question 10

Morphine is classified as:

Answer 10

Opioid analgesic

Question 11

Ibuprofen is classified as:

Answer 11

Nonsteroidal Anti-Inflammatory Drug (NSAID)

Question 12

Prednisone is classified as:

Answer 12

Glucocorticoid

Question 13

Naloxone is classified as:

Answer 13

Opioid antagonist

Question 14

A provider prescribes prednisone for a client who has type 1 diabetes mellitus. Recognizing the risk for an adverse drug reaction to the prednisone, which of the following precautions should be the primary care provider take for this client?

Answer 14

Increase serum glucose monitoring

Question 15

A client is about to start taking tramadol to treat moderate pain. Which of the following instructions should you include when talking with the client about taking this drug?

Answer 15

Allow 1 hour for it to take effect

Question 16

A client who is receiving chemotherapy takes allopurinol prior to the chemotherapy to reduce the risk for which condition?

Answer 16

Hyperuricemia (elevated uric acid level in the blood)

Question 17

Therapeutic effect for Acetaminophen:

Answer 17

Fever reduction

Question 18

Therapeutic effect for Morphine:

Answer 18

Sedation

Question 19

Therapeutic effect for Butorphanol:

Answer 19

Anesthesia adjunct

Question 20

Therapeutic effect for Prednisone:

Answer 20

Prevention of organ rejection

Question 21

A client arrives to the emergency room immediately following an acetaminophen overdose. Which drug should you prepare to administer?

Answer 21

Acetylcysteine (a mucolytic that reduces risk of hepatotoxicity from acetaminophen overdose by binding to the toxic byproducts of acetaminophen metabolism to prevent liver toxicity)

Question 22

Butorphanol is an unsafe analgesic choice for clients who:

Answer 22

use a fentanyl patch for chronic pain

Question 23

A client is about to begin celecoxib therapy for osteoarthritis. You should instruct the client to watch and report which of the following possible indications of a serious reaction to this drug?

Answer 23

Black tarry stools