ATI RN
Pharmacology Test Bank Questions
Question 1 of 5
An individual who has difficulty sleeping due to two final examinations scheduled for the same day later in the week most likely would be suffering from
Correct Answer: A
Rationale: Sleep trouble from exams is situational anxiety-transient, event-driven stress, per psychiatry. Social anxiety involves interaction fears, not events. OCD features obsessions/rituals, not sleep-specific. Performance anxiety ties to tasks, less sleep focus. Situational fits, triggered by circumstance.
Question 2 of 5
A 38-year-old man who is obese complains of an extremely painful, swollen metatarsophalangeal joint of his left big toe. He presents to his primary care physician for evaluation. He has had two similar attacks in the past 4 years. The physician prescribes probenecid. Which of the following describes probenecid's mechanism of action?
Correct Answer: C
Rationale: Gout (recurrent toe pain) is treated with probenecid , which inhibits urate reabsorption in the proximal tubule, increasing uric acid excretion. Anti-inflammatory and leukocyte migration inhibition are colchicine's effects. Xanthine oxidase inhibition is allopurinol's. Upregulation (E) is wrong. Probenecid's uricosuric action reduces urate levels, preventing attacks.
Question 3 of 5
A 43-year-old woman with multiple sclerosis has not been treated with medication because of only having mild symptoms. Now, she has bilateral lower extremity weakness and urinary complaints. She has begun on mitoxantrone. Which of the following adverse effects must the treating physician be aware of?
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 4 of 5
Tricyclic antidepressants
Correct Answer: B
Rationale: Tricyclic antidepressants (TCAs) like imipramine block norepinephrine and serotonin reuptake, but their anticholinergic effects are significant. In glaucoma, particularly angle-closure type, these effects can increase intraocular pressure by dilating pupils and obstructing aqueous humor outflow, risking acute attacks—thus, they're contraindicated. TCAs lower seizure threshold, lacking anticonvulsant activity, and may exacerbate epilepsy. They don't enhance levodopa absorption; rather, they might interact via monoamine pathways, but this isn't a primary effect. Some TCAs (e.g., amitriptyline) have quinidine-like sodium channel blockade, giving antiarrhythmic properties, but this isn't their primary use. The glaucoma concern is critical due to the anticholinergic mechanism, making it a key clinical consideration and the most accurate statement here.
Question 5 of 5
The female client has a fungal infection and will receive nystatin (Mycostatin). What assessment data is critical for the nurse to review prior to administering this medication?
Correct Answer: C
Rationale: Nystatin is an antifungal medication used to treat fungal infections, such as candidiasis. Before administration, assessing whether the client could be pregnant is critical because nystatin's safety in pregnancy is not fully established (Category C), meaning potential risks to the fetus cannot be ruled out without further evaluation. This makes pregnancy status a key safety consideration to prevent harm to an unborn child, outweighing other factors in urgency. The type of diet or amount of fat might influence general health or drug absorption minimally but isn't directly critical to nystatin's administration. Height and weight could affect dosing in some medications, but nystatin's dosing is typically standard and not weight-based for most fungal infections. Thus, confirming pregnancy status ensures the drug's safety profile aligns with the client's condition, making choice C the most critical assessment data to review prior to administration.