ATI RN
ATI Pharmacology Proctored Exam 2024 Quizlet Questions
Question 1 of 5
A client has been prescribed testosterone. Which medication education should the nurse provide?
Correct Answer: A
Rationale: Testosterone patches require placement on hair-free skin to ensure proper adhesion and absorption, as hair can block drug delivery, reducing efficacy. Active areas like the thigh or arm are suitable if hairless and dry, contrary to avoidance claims-rotation across such sites is standard. Patches are changed daily, not weekly, for consistent hormone levels. Rash observation is key due to potential skin irritation, a common side effect. Hair-free placement is critical education, directly impacting bioavailability, unlike timing or site activity, which follow secondary guidelines, ensuring effective therapy for hypogonadism or related conditions.
Question 2 of 5
The patient has generalized anxiety disorder. He asks the nurse, 'Will I need medication for this? My neighbor is very nervous and he takes medication.' What is the best response by the nurse?
Correct Answer: D
Rationale: Medication for GAD (e.g., SSRIs) is warranted when anxiety disrupts daily function-quality of life-not universally or compared to others, a tailored approach. Meds as lifestyle is extreme. Initial meds then therapy assumes progression, not individual need. ‘Probably not' dismisses severity. Quality of life guides treatment, per guidelines.
Question 3 of 5
The client has arthritis and has just learned that she is pregnant. What is the best instruction by the nurse?
Correct Answer: C
Rationale: In this scenario, the best instruction by the nurse for a pregnant client with arthritis is to suggest splinting for discomfort (Option C). The rationale behind this is that splinting is a non-pharmacological intervention that can help provide support and reduce joint pain without the potential risks associated with medications during pregnancy. It is a safe and effective method to manage discomfort in pregnant individuals with arthritis. Option A, avoiding heat on the joint, is incorrect because heat therapy can actually help relieve pain in arthritis; however, it may not be the best option during pregnancy due to the potential risks of overheating or affecting fetal development. Option B, recommending Hydroxychloroquine (Plaquenil), is incorrect because medications should be carefully evaluated for safety during pregnancy, and this particular medication may have risks that need to be considered for both the mother and the fetus. Option D, stating that Glucocorticoids are safe during pregnancy, is incorrect because glucocorticoids may have adverse effects on fetal development and are generally not considered first-line treatment for arthritis in pregnant individuals due to these potential risks. Educationally, it is important for nurses to understand the unique considerations and challenges in managing chronic conditions like arthritis in pregnant individuals. Non-pharmacological interventions should be the initial approach, and any medication recommendations must be carefully evaluated for safety during pregnancy to ensure the well-being of both the mother and the developing fetus.
Question 4 of 5
A 3-year-old girl was found by her mother chewing on some weeds in their flower garden. The mother rushed her to the hospital along with a portion of the weed. The emergency department physician identifies the weed as deadly nightshade, which contains atropine. Which of the following physiologic changes will be expected because of this patient's atropine exposure?
Correct Answer: B
Rationale: Deadly nightshade (atropine) blocks muscarinic receptors. Decreased gastric acid secretion is correct-atropine inhibits parasympathetic stimulation of parietal cells. Bradycardia is wrong; tachycardia occurs. Increased bronchial secretions and salivation decrease, as does miosis (E)-pupils dilate. This anticholinergic effect explains the expected change in this poisoning.
Question 5 of 5
A 20-year-old female with a history of substance abuse has delivered a child whose weight is less than the 10th percentile. Other findings include small head and flat midface. The patient has an atrial septal defect. Which of the following substances may have caused these symptoms?
Correct Answer: A
Rationale: The correct answer is A) Alcohol. Fetal Alcohol Syndrome (FAS) is a well-documented condition that occurs when a pregnant woman consumes alcohol, leading to significant birth defects in the child. The symptoms described in the question, such as low birth weight, small head, flat midface, and cardiac abnormalities like atrial septal defect, are all characteristic features of FAS. Cocaine (option B) can also cause adverse effects on the fetus, including low birth weight and cardiac defects, but these symptoms are more indicative of alcohol exposure in this case. Marijuana (option C) and opioids (option D) do not typically cause the specific constellation of symptoms described in the scenario. Educationally, understanding the teratogenic effects of substances on fetal development is crucial for healthcare providers, especially those working with pregnant women or individuals of childbearing age. It highlights the importance of substance abuse screening, education, and intervention to prevent potential harm to both the mother and the developing fetus. By identifying and addressing substance abuse early, healthcare providers can help improve maternal and fetal outcomes.