ATI RN
ATI Pharmacology Book Questions
Question 1 of 5
A 19-year-old female is brought to the emergency department by a friend concerned with a change in her behavior during a party. The patient is agitated, anxious, and exhibits paranoid reactions to the physical exam. Her pulse is 120 beats/minute and her blood pressure is 150/100 mm Hg. She also complains of 'bugs' crawling all over her skin, although there is nothing there. Which of the following drugs has she most likely taken?
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 2 of 5
A 30-year-old male patient who is treated with haloperidol for his diagnosis of schizophrenia is considered to be well-managed symptomatically for his psychotic symptoms. However, he is reporting restlessness, the inability to sit still at the dinner table, and his family notices that he is pacing up and down the hallway frequently. Of the following, which is the best medication to treat this antipsychotic-induced akathisia?
Correct Answer: E
Rationale: Haloperidol's D2 blockade causes akathisia—restlessness and pacing—as an EPS. Propranolol, a beta-blocker, reduces akathisia by modulating catecholamine activity, a first-line treatment per guidelines, unlike anticholinergics (benztropine) which target dystonia/parkinsonism. Dantrolene treats muscle spasticity, not akathisia. Amoxapine, an antidepressant, worsens psychosis. Bromocriptine, a dopamine agonist, risks psychosis exacerbation. Propranolol's efficacy, safety, and specificity for akathisia make it the best choice, replacing D as instructed.
Question 3 of 5
The nurse teaches the client about the difference between oral and nasal decongestants. The nurse evaluates that learning has been effective when the client makes which statement?
Correct Answer: A
Rationale: Oral decongestants (e.g., pseudoephedrine) act systemically, raising blood pressure via vasoconstriction, a key difference from nasal decongestants (e.g., oxymetazoline), which act locally but risk rebound congestion. The statement 'Oral decongestants can cause hypertension' shows the client grasps this systemic effect, indicating effective teaching. Nasal decongestants aren't safe for a month ; they cause rebound after 3-5 days. Only nasal decongestants typically cause rebound , not oral. Oral efficacy varies, not inherently superior. Choice A reflects accurate understanding of oral decongestants' broader impact, critical for safe use, making it the best learning indicator.
Question 4 of 5
The nurse completes medication education for the client receiving antihistamines. The nurse evaluates that learning has occurred when the client makes which statement?
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 5 of 5
A client is prescribed methotrexate (Rheumatrex) for rheumatoid arthritis. Which teaching point should the nurse emphasize?
Correct Answer: A
Rationale: Methotrexate, a DMARD, treats RA but risks renal toxicity from crystal formation. Drinking plenty of water ensures excretion, reducing this risk, a critical teaching point. Milk doesn't help'absorption is unaffected. Green leafy vegetables increase folate, which methotrexate depletes, but supplementation is controlled. Stopping if better risks flare-ups. Hydration aligns with methotrexate's pharmacokinetics, vital in RA where long-term safety matters, making A the priority to emphasize for renal protection.