ATI RN
Quizlet Lifespan Considerations for Nursing Pharmacology with Rationals Questions
Question 1 of 4
An 8-year-old boy is brought to the pediatrician because of his continued bedwetting despite many treatment attempts. He has tried a bed alarm and desmopressin but still wets the bed at least twice a week for the past 2 months. He has been healthy otherwise and does not have urinary accidents other than at night. Which of the following antidepressants is the most appropriate treatment?
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 2 of 4
A 62-year-old man comes to the physician because of burning pain and tenderness of his right great toe 1 day after heavy ethanol consumption. Physical examination shows erythema, swelling, warmth, and tenderness of the right great toe. After a 2-week course of nonsteroidal anti-inflammatory drug treatment, his symptoms decrease in severity but do not completely resolve. The serum concentration of which of the following is most likely increased in this patient?
Correct Answer: D
Rationale: This presentation is classic for acute gouty arthritis, triggered by ethanol, which inhibits uric acid excretion, leading to hyperuricemia (G). Elevated serum uric acid causes monosodium urate crystal deposition in joints, causing inflammation. NSAIDs reduce inflammation but don’t lower uric acid, explaining incomplete resolution. Calcium relates to hyperparathyroidism, carotene to dietary excess, creatinine to renal failure, iron to hemochromatosis, orotic acid (E) to metabolic disorders, and phosphate (F) to renal issues—none fit this scenario.
Question 3 of 4
A 14-year-old boy is brought to the physician for examination prior to participating on his school’s soccer team. Physical examination shows jaundice. Serum studies show a total bilirubin concentration of 2.5 mg/dL, ALT activity of 70 U/L, and ceruloplasmin concentration of 5 mg/dL (N=20-40). A slit-lamp examination shows the presence of brownish rings in the cornea, surrounding the iris. The most appropriate treatment at this time is a drug with which of the following mechanisms of action?
Correct Answer: D
Rationale: Kayser-Fleischer rings, low ceruloplasmin, jaundice, and elevated ALT suggest Wilson’s disease, a copper accumulation disorder. Penicillamine or trientine, which increase urine copper excretion (D), are appropriate treatments to reduce copper overloaBilirubin reduction treats jaundice unrelated to copper, selenium and chloride are irrelevant, and lead excretion (E) applies to lead poisoning, not Wilson’s.
Question 4 of 4
A child is receiving methylphenidate. The mother tells the nurse the patient is having trouble sleeping while on the medication. What is the best response by the nurse?
Correct Answer: A
Rationale: Methylphenidate, a stimulant for ADHD, can cause insomnia if taken late. Administering before 4:00 pm avoids peak effects at bedtime, improving sleep. 8:00 pm exacerbates insomnia, stopping abruptly risks ADHD symptom rebound, and diphenhydramine adds unnecessary medication. Note: Answer key says (b), but is correct based on pharmacology.