ATI RN
Pharmacology Across the Lifespan ATI Questions
Question 1 of 5
Primary hypothyroidism may be suspected in what scenario?
Correct Answer: B
Rationale: The correct answer is B: If TSH high. In primary hypothyroidism, the thyroid gland fails to produce enough thyroid hormones, leading to elevated TSH levels as the body tries to stimulate the thyroid to produce more hormones. A high TSH is indicative of the pituitary gland's response to low thyroid hormone levels. Choices A, C, and D do not align with the typical hormonal profile seen in primary hypothyroidism. A high TSH is the key marker for suspecting primary hypothyroidism.
Question 2 of 5
Which statements are true about Modafinil?
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 3 of 5
A physician's order indicates to administer a medication to the patient via the percutaneous route. Which route will the nurse anticipate the patient will receive this medication?
Correct Answer: C
Rationale: The correct answer is C, Topically. Percutaneous route involves applying the medication on the skin surface for absorption. Intramuscular (A) and subcutaneous (B) routes involve injections into muscle or tissue. Rectal route (D) involves inserting medication into the rectum. Topical route is the only option that aligns with percutaneous administration.
Question 4 of 5
The nurse administers an initial dose of a steroid to a patient with asthma. Thirty minutes after administration, the nurse finds the patient agitated and stating that 'everyone is out to get me.' Which term is used for this unusual reaction?
Correct Answer: C
Rationale: The correct term for the patient's unusual reaction is "C: Idiosyncratic reaction." This is because an idiosyncratic reaction is an unexpected and individual response to a medication that is not related to the known pharmacological actions of the drug. In this case, the patient's agitated behavior and paranoia are not typical side effects of steroids but rather a unique reaction specific to this individual. A: Desired action is incorrect because the patient's symptoms are not the intended therapeutic effect of the steroid. B: Adverse effect is incorrect because adverse effects are known and expected side effects of a medication, not unusual or unexpected reactions like in this scenario. D: Allergic reaction is incorrect because the patient's symptoms are not consistent with an allergic response, which typically involves rash, itching, or difficulty breathing.
Question 5 of 5
Which of the following drugs would be most appropriate for the patient at this time?
Correct Answer: D
Rationale: The correct answer is D, Caspofungin. This drug is an echinocandin antifungal agent used for serious fungal infections, especially in immunocompromised patients. It is effective against a broad spectrum of fungal pathogens. Terbinafine (A) is used for dermatophyte infections, Griseofulvin (B) is used for superficial fungal infections, and Nystatin (C) is primarily used topically for candidiasis. Caspofungin (D) is the best choice for serious systemic fungal infections due to its broad spectrum and efficacy.