ATI RN
ATI VATI Pharmacology Assessment Questions
Question 1 of 5
A 22-year-old man college student does poorly on a course examination and decides to attempt suicide. He finds a bottle of barbiturates in his mother's medicine cabinet. He takes 2 of the 30 pills in the bottle. Which of the following effects is most likely to be exhibited by the patient?
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 2 of 5
A patient has taken two doses of interferon Alfa-2b (Intron-A). He comes to the clinic today with the following complaints. Which symptoms would the nurse identify as common adverse effects of this therapy?
Correct Answer: A
Rationale: Interferon Alfa-2b is an immunomodulatory drug used for conditions like hepatitis or cancer, known for causing flu-like symptoms and systemic effects. Common adverse effects include dizziness, fatigue, and anorexia (loss of appetite), as listed in the correct answer (1, 3, 4). Dizziness reflects the drug's impact on the central nervous system, often reported early in therapy. Loss of appetite and fatigue are also hallmark symptoms due to interferon's influence on metabolism and energy levels. An itchy rash , while possible as a hypersensitivity reaction, is less commonly associated with interferon compared to these systemic effects. The nurse must recognize these as expected side effects, distinguishing them from severe reactions requiring intervention. Since the question asks for common adverse effects and the correct answer includes multiple symptoms, choice A (dizziness) is a key identifier among them, supported by its prevalence in clinical use, making it the primary focus here.
Question 3 of 5
Discharge planning for the client prescribed tetracycline will include which instruction?
Correct Answer: C
Rationale: Tetracycline, a broad-spectrum antibiotic, requires specific administration instructions to ensure efficacy. It binds to divalent cations like calcium (in milk), magnesium (in antacids), and iron (in supplements), forming insoluble chelates that reduce absorption, rendering it ineffective. The instruction 'Do not take the medication with milk' is critical to avoid this interaction, ensuring therapeutic levels are achieved. Taking it with antacids or iron similarly impairs absorption, making these incorrect and potentially harmful suggestions. Decreasing vitamins is irrelevant, as vitamins don't typically interfere unless combined with minerals. This guidance aligns with tetracycline's pharmacokinetics, emphasizing timing away from meals or supplements containing these ions. Effective discharge teaching prevents treatment failure, especially for infections requiring consistent drug levels, making C the priority instruction for the client's understanding and adherence.
Question 4 of 5
A patient says, 'I have such bad seasonal allergies. Is there anything I can take to keep them from happening?' What information should the nurse provide?
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 5 of 5
The nurse administers IV morphine to a client with acute pain. Which finding requires immediate action?
Correct Answer: A
Rationale: Morphine depresses respiration, and 8 breaths per minute signals overdose, needing immediate action (e.g., naloxone) to reverse hypoventilation. BP of 120/80 and pulse of 90 are normal. Pain at 3/10 shows relief. Respiratory depression is morphine's gravest risk, critical in acute pain where safety trumps comfort, making A the finding requiring swift response.