ATI RN
RN ATI Capstone Pharmacology 2 Quiz Questions
Question 1 of 5
A 38-year-old man who is a chronic coffee drinker for 20 years drinks approximately seven cups of coffee per day. He suddenly decides to stop drinking coffee. Which of the following effects may he exhibit?
Correct Answer: A
Rationale: The correct answer is A) Lethargy. When a chronic coffee drinker abruptly stops consuming caffeine, they may experience lethargy as a withdrawal symptom. Caffeine is a central nervous system stimulant, and abrupt cessation can lead to symptoms such as fatigue, headache, irritability, and difficulty concentrating. Option B) Migraine is incorrect because while caffeine withdrawal can cause headaches, it is more commonly associated with generalized headaches rather than migraines specifically. Option C) Nausea is incorrect as nausea is not a typical withdrawal symptom of caffeine and is less likely to be experienced compared to lethargy or headaches. Option D) Tinnitus is incorrect as it is not a common withdrawal symptom of caffeine. Tinnitus refers to ringing in the ears and is not typically associated with caffeine withdrawal. Educationally, understanding the effects of caffeine withdrawal is important for healthcare providers, especially for patients who consume caffeine regularly. It is crucial to educate patients on the potential withdrawal symptoms they may experience if they decide to reduce or eliminate their caffeine intake to help them better manage and cope with these effects.
Question 2 of 5
The patient with schizophrenia is sitting quietly in a chair. The patient does not respond much to what is happening and has a lack of interest in the environment. How does the nurse interpret this assessment?
Correct Answer: D
Rationale: Schizophrenia involves positive symptoms (e.g., hallucinations) and negative symptoms (e.g., apathy, withdrawal). The patient's quiet demeanor, lack of responsiveness, and disinterest align with negative symptoms, which diminish normal behaviors like motivation or social engagement. Depression might present similarly but isn't assumed without further evidence like sadness or hopelessness. Hearing voices suggests positive symptoms, but the scenario lacks indicators like distractedness. Positive symptoms involve added behaviors (e.g., delusions), not subtraction, as seen here. The nurse interprets this based on schizophrenia's symptomology, recognizing negative symptoms as a core feature, making choice D the most accurate clinical interpretation.
Question 3 of 5
The patient has been depressed, and the physician plans to begin treatment with an antidepressant medication. In performing the initial assessment, what is the most important question for the nurse to ask?
Correct Answer: D
Rationale: Before antidepressants, assessing suicidal ideation is vital due to depression's suicide risk and SSRIs' potential to increase it initially. This ensures safety and guides monitoring. Alcohol use , allergies , and duration matter but are secondary to immediate risk. D prioritizes life-saving assessment, making it the most important question.
Question 4 of 5
The nurse is caring for a client receiving morphine sulfate for pain. Which assessment finding requires immediate intervention?
Correct Answer: A
Rationale: Morphine, an opioid, depresses the respiratory center, and a rate of 10 breaths per minute signals potential overdose, requiring immediate intervention (e.g., naloxone) to reverse life-threatening hypoventilation. Blood pressure and pulse are normal, not urgent. Pain at 4/10 suggests control, not distress. Respiratory depression is morphine's most dangerous effect, especially in acute settings, where even slight drops below 12 bpm demand action. This aligns with opioid pharmacology'mu-receptor agonism slows breathing'making A the priority finding to address swiftly for client safety.
Question 5 of 5
The following drugs produce a prolonged action due to enterohepatic recirculation:
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.