ATI RN
ATI Proctored Pharmacology 2024 Questions
Question 1 of 5
An adolescent patient comes to the school nurse with complaints of vague abdominal pain. What assessment data would help to confirm the nurse's suspicion that the adolescent has body image concerns?
Correct Answer: A
Rationale: Body image concerns in adolescents often tie to eating-defensiveness about food scrutiny suggests disordered eating (e.g., anorexia), linking pain to image stress. Sexual activity, irregular periods, or parent conflicts point elsewhere-STI, hormonal issues, or family tension. Food focus signals image worry, per developmental psychology.
Question 2 of 5
A 63-year-old woman with congestive heart failure begins to have lower extremity swelling. She starts taking a diuretic and the swelling improves significantly. Over the next few days, however, she develops ringing in her ears. Which of the following diuretics is she taking?
Correct Answer: B
Rationale: Diuretics treat CHF edema, but tinnitus suggests a side effect. Furosemide , a loop diuretic, causes ototoxicity (ringing in ears) at high doses. Acetazolamide , a carbonic anhydrase inhibitor, doesn't typically cause this. Hydrochlorothiazide , a thiazide, rarely affects hearing. Mannitol , an osmotic diuretic, and Spironolactone (E), an aldosterone antagonist, lack ototoxicity. Furosemide's rapid action on edema fits CHF, but its cochlear toxicity explains the symptom, common in loop diuretics.
Question 3 of 5
A 52-year-old man who works as an air traffic controller has seasonal allergies. Currently, he is very symptomatic but cannot miss work because of staffing issues. Which of the following agents would be best suited for this patient?
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 4 of 5
A 56-year-old alcoholic man consumes a six-pack of beer before going to bed. After being absorbed from his gut, blood carries the alcohol through the portal vein into the liver where it can be metabolized. Ethanol is metabolized in multiple steps by various enzymes, including alcohol dehydrogenase. Which of the following describes a characteristic of this enzyme?
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 5 of 5
Which of the following medications reduces immune system-mediated inflammation via inhibition of pyrimidine synthesis to reduce the number of activated lymphocytes in the CNS?
Correct Answer: C
Rationale: Teriflunomide, used in multiple sclerosis, inhibits dihydroorotate dehydrogenase, blocking pyrimidine synthesis critical for lymphocyte proliferation, reducing CNS inflammation by limiting activated immune cells. Riluzole modulates glutamate for ALS, not immunity. Rotigotine, a dopamine agonist, treats Parkinson's. Dexamethasone, a corticosteroid, suppresses inflammation broadly via glucocorticoid pathways, not pyrimidine-specific mechanisms. Teriflunomide's targeted action on lymphocyte replication distinguishes it in MS, decreasing relapses by curbing immune-mediated damage, a precise fit for this description.