ATI RN
Proctored Pharmacology ATI Questions
Question 1 of 5
A 22-year-old woman is investigated by authorities after the accidental death of her 4-year-old child. It appears that the child would not go to sleep and the mother used chloroform to make the child sleepy. What is the most likely explanation for this accidental death?
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 2 of 5
An adolescent male is newly diagnosed with schizophrenia. Which of the following antipsychotic agents may have the best chance to improve his apathy and blunted affect?
Correct Answer: D
Rationale: Risperidone, a second-generation antipsychotic, blocks D2 and 5HT2 receptors, improving positive symptoms (hallucinations) and, to some extent, negative symptoms like apathy and blunted affect, common in schizophrenia's prodrome. First-generation agents—chlorpromazine, fluphenazine, haloperidol—target D2 receptors, effectively reducing positive symptoms but often worsening negative symptoms via dopamine blockade in the prefrontal cortex. Thioridazine, also first-generation, has similar limitations. Risperidone's serotonin antagonism may enhance prefrontal dopamine release, offering a modest edge in addressing negative symptoms, supported by studies, making it preferable for this adolescent's presentation.
Question 3 of 5
The client receives albuterol (Proventil) via inhaler. He asks the nurse why he can't just take a pill. What is the best response by the nurse?
Correct Answer: A
Rationale: Albuterol, a bronchodilator for asthma or COPD, is inhaled to target lung airways directly. Choice A explains that inhalation allows rapid absorption via the lungs' rich blood supply, providing quicker relief (within minutes) compared to oral pills, which undergo slower gastrointestinal absorption. Choice B falsely claims pills can't help; oral bronchodilators exist but act slower. Choice C exaggerates side effect differences; inhaled albuterol minimizes systemic effects, but pills aren't inherently riskier. Choice D oversimplifies efficacy without context. The nurse's best response (A) accurately addresses the patient's question with pharmacokinetic reasoning, enhancing understanding and compliance.
Question 4 of 5
The client is receiving oxytocin (Pitocin) for induction of labor. Which assessment finding will most likely result in the nurse stopping the infusion?
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 5 of 5
A client with Parkinson's disease is prescribed levodopa/carbidopa (Sinemet). Which instruction should the nurse include?
Correct Answer: C
Rationale: Levodopa/carbidopa treats Parkinson's by increasing dopamine, but vasodilation risks orthostatic hypotension. Rising slowly prevents falls, a key instruction for safety. High-protein meals reduce levodopa absorption via amino acid competition, decreasing efficacy. Dark urine isn't a typical concern'harmless pigment changes occur. Stopping if feeling better risks symptom return, as it's not a cure. Rising slowly aligns with the drug's side effect profile, critical in Parkinson's where mobility is impaired, making C the essential teaching point to ensure client stability and adherence.