ATI RN
ATI Pharmacology Practice A 2023 Questions
Question 1 of 5
All are specialized transports. except:
Correct Answer: D
Rationale: Simple diffusion is a passive transport process that does not require specialized transport proteins or energy expenditure. It involves the movement of molecules from an area of higher concentration to an area of lower concentration without the aid of a protein channel or carrier. In contrast, active transport, facilitated diffusion, and pinocytosis are specialized transports that utilize specific proteins and mechanisms to help move molecules across cell membranes. Active transport requires energy to move molecules against their concentration gradient, facilitated diffusion involves the use of specific protein channels or carriers to facilitate movement, and pinocytosis is a form of endocytosis where cells engulf fluid droplets.
Question 2 of 5
A client is prescribed with Pentamidine (Pentam) IV for the treatment of Pneumocystis carinii
Correct Answer: D
Rationale: A sudden increase in temperature (fever) to 101.5°F in a client receiving Pentamidine IV for Pneumocystis carinii pneumonia would most likely indicate the client has developed another infection. This is because Pentamidine IV is an antibiotic used to treat Pneumocystis carinii pneumonia, and a new fever during treatment would suggest a new or persistent infection causing the elevated temperature. It is important for the nurse to assess the client further and consider additional diagnostic tests or treatments for the new infection while continuing to monitor and manage the initial condition for which Pentamidine was prescribed.
Question 3 of 5
A patient reports having adverse effects with nicotinic acid (niacin). The nurse can suggest performing which action to minimize these undesirable effects?
Correct Answer: D
Rationale: Taking an aspirin tablet 30 minutes before taking nicotinic acid (niacin) can help minimize the undesirable effects such as flushing, itching, and rash. Aspirin helps to reduce these side effects by blocking the prostaglandin synthesis that mediates the flushing response associated with niacin therapy. This intervention can improve medication adherence and tolerance in patients who experience discomfort with nicotinic acid therapy.
Question 4 of 5
What is the primary action of interferon alfa?
Correct Answer: C
Rationale: Interferon alfa is an immunomodulatory agent that works by enhancing the immune system's ability to fight cancer. It has cytotoxic and cytostatic effects, meaning it can kill cancer cells or inhibit their growth. Additionally, it promotes the differentiation of stem cells, which can help restore normal cell function. While interferon alfa does produce cytokines and interleukins, its primary action is immunomodulation and direct effects on cancer cells. It does not primarily cause allergic reactions or produce red blood cells.
Question 5 of 5
A 24-year-old sexually active woman presents to her primary care physician with vaginal itching and a greenish, frothy vaginal discharge. Her boyfriend is asymptomatic. She is prescribed metronidazole for Trichomonas vaginalis. Which of the following should be told to avoid while taking metronidazole?
Correct Answer: A
Rationale: Metronidazole treats Trichomonas vaginalis, and alcohol must be avoided. It inhibits aldehyde dehydrogenase, causing a disulfiram-like reaction (nausea, flushing). Aspirin , caffeine , grapefruit juice , and machinery (E) lack this interaction. This precaution prevents severe discomfort, ensuring treatment adherence.