ATI RN
ATI Pharmacology Proctored Exam 2024 Quizlet Questions
Question 1 of 5
A 63-year-old man presents to the emergency department with altered mental status after ingesting an entire bottle of acetaminophen. The patient's heart rate is 120 beats/minute, blood pressure is 100/58 mm Hg, and respiration rate is 28/minute. His aspartate aminotransferase and alanine aminotransferase are 4,128 IU and 3,978 IU, respectively. What is the most appropriate treatment for this patient?
Correct Answer: C
Rationale: Acetaminophen overdose with liver failure (elevated AST/ALT) needs N-acetylcysteine , restoring glutathione to detoxify NAPQI. Ammonium chloride and flumazenil are irrelevant. Naloxone treats opioids. Sodium bicarbonate (E) doesn't apply. N-acetylcysteine is critical.
Question 2 of 5
Which drug must be administered intravenously?
Correct Answer: B
Rationale: Interleukin 2 is administered intravenously because it is a protein that would be broken down in the digestive system if taken orally. Epoetin alfa, granulocyte colony–stimulating factor (G-CSF), and granulocyte-macrophage colony–stimulating factor (GM-CSF) can be administered subcutaneously. The nurse should ensure proper administration of interleukin 2 and monitor for side effects, such as capillary leak syndrome, which can cause fluid retention and hypotension.
Question 3 of 5
A nurse is doing an assessment data while completing an admission for a patient with a history of liver
Correct Answer: D
Rationale: Grade 1+ pitting edema in the feet is the information that should receive the most attention from the nurse when assessing a patient with a history of liver, prednisone, and azathioprine. Pitting edema in the feet may indicate fluid retention, which can be a sign of liver dysfunction or medication side effects.
Therefore, it is crucial for the nurse to further investigate the edema, monitor the patient's fluid status closely, and possibly consult with the healthcare team for appropriate interventions. Swollen and pinkish gums may also be important to note, but pitting edema in the feet is more directly concerning in the context of the patient's history and medications.
Question 4 of 5
What is the Therapeutic Effects of Lithium?
Correct Answer: A
Rationale: Lithium is commonly used as a mood stabilizer in the treatment of bipolar disorder. One of its main therapeutic effects is its ability to prevent or decrease the incidence of acute manic episodes in individuals with bipolar disorder. Lithium can help stabilize mood swings and reduce the severity and frequency of manic episodes. By regulating neurotransmitter levels in the brain, lithium helps to balance mood and prevent the extreme highs associated with mania. It is an essential medication for managing bipolar disorder and is particularly effective in treating manic symptoms.
Question 5 of 5
A client has been prescribed testosterone. Which medication education should the nurse provide?
Correct Answer: A
Rationale: Testosterone patches require placement on hair-free skin to ensure proper adhesion and absorption, as hair can block drug delivery, reducing efficacy. Active areas like the thigh or arm are suitable if hairless and dry, contrary to avoidance claims-rotation across such sites is standard. Patches are changed daily, not weekly, for consistent hormone levels. Rash observation is key due to potential skin irritation, a common side effect. Hair-free placement is critical education, directly impacting bioavailability, unlike timing or site activity, which follow secondary guidelines, ensuring effective therapy for hypogonadism or related conditions.