ATI RN
ATI Proctored Exam Pharmacology Questions
Question 1 of 5
A 19-year-old man is brought to the emergency room after being found by the police to be disruptive in a shopping mall. He states that he is hearing voices and seeing Jesus Christ. The police apprehended him because he was acting violently. He arrives in the emergency department and is combative. His blood pressure is 190/90 mm Hg. His core body temperature is 39°C. The most likely explanation for these findings is overdose of which of the following?
Correct Answer: D
Rationale: Hallucinations, violence, hypertension, and hyperthermia suggest phencyclidine (PCP) overdose . PCP, an NMDA antagonist, causes dissociative psychosis and sympathetic stimulation. Alcohol sedates, cocaine lacks hallucinations, marijuana doesn't cause violence, and Quaaludes (E) sedate. PCP's unique profile fits this acute, agitated presentation.
Question 2 of 5
The client has MRSA and receives vancomycin (Vancocin) intravenously (IV). The nurse assesses an upper body rash and decreased urine output. What is the nurse's priority action?
Correct Answer: A
Rationale: Vancomycin is an antibiotic used to treat serious infections like MRSA, but it can cause significant adverse effects, including nephrotoxicity (kidney damage) and hypersensitivity reactions, such as rashes. The symptoms of an upper body rash and decreased urine output suggest a possible allergic reaction or renal impairment, both of which are potentially life-threatening if the drug continues to be administered. Holding the next dose prevents further exposure to the drug, which could exacerbate the reaction or damage, while notifying the physician ensures prompt medical evaluation and intervention. Obtaining an X-ray or urine specimen might provide additional data but doesn't address the immediate risk. Administering an antihistamine could mask symptoms without addressing the underlying issue, potentially delaying critical treatment. Thus, the priority is to stop the drug and seek physician guidance, making choice A the most appropriate action.
Question 3 of 5
The patient has been prescribed oxymetazoline (Afrin). What medication information should the nurse provide?
Correct Answer: D
Rationale: Oxymetazoline relieves congestion quickly but risks rebound if overused. 'Take this medication exactly as directed as there is no antidote if you overdose' emphasizes adherence to prevent misuse . Hand washing and not swallowing reduce risks. It acts fast, not over days . Choice D ensures safe use, critical for nasal decongestants.
Question 4 of 5
The client is prescribed a nasal decongestant spray. What information should the nurse include when educating the client about how to use this medication?
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 5 of 5
A client is prescribed docusate sodium (Colace) for constipation. Which statement by the client indicates understanding?
Correct Answer: B
Rationale: Docusate, a stool softener, prevents straining by drawing water into stool. Drinking more water enhances this, showing understanding. It works in 1-3 days, not hours or immediately . Milk isn't needed. Hydration aligns with docusate's mechanism, key in constipation where moisture matters, making B the correct statement.