ATI RN
Pharmacology Across the Lifespan ATI Questions
Question 1 of 5
The antimicrobial that is recommended and highly effective for the treatment of gonorrhea at all anatomic sites of infection:
Correct Answer: B
Rationale: The correct answer is B: Parental Ceftriaxone. Ceftriaxone is recommended for treating gonorrhea due to increasing resistance to other antibiotics. It provides broad-spectrum coverage and high efficacy. The other choices are incorrect because: A: Cephalexin is not the first-line treatment for gonorrhea. C: Ciprofloxacin is no longer recommended due to high resistance rates. D: Penicillin is not effective against gonorrhea due to widespread resistance.
Question 2 of 5
A pregnant patient with a history of thrombosis. With prophylactic treatment would you prescribe?
Correct Answer: A
Rationale: The correct answer is A: Enoxaparin. Enoxaparin is a low molecular weight heparin commonly used for thrombosis prophylaxis in pregnant patients due to its safety profile. It does not cross the placenta, reducing the risk of fetal bleeding. Alteplase (B) is a thrombolytic agent used for acute thrombotic events, not prophylaxis. Clopidogrel (C) is an antiplatelet drug and not recommended during pregnancy due to potential fetal harm. Warfarin (D) is contraindicated in pregnancy due to teratogenic effects and risks of fetal bleeding.
Question 3 of 5
The NP at the immunization clinic is reviewing the list of patients who are scheduled to receive the varicella vaccination. The NP will cancel all of the following patients except:
Correct Answer: C
Rationale: The correct answer is C because having asthma does not contraindicate receiving the varicella vaccination. Asthma is not a contraindication for the varicella vaccine, so the NP should not cancel the appointment for the 8-year-old patient with asthma. All the other choices have contraindications to receiving the varicella vaccine. A: Neomycin allergy is a contraindication as the vaccine may contain neomycin. B: Gelatin allergy is a contraindication as the varicella vaccine may contain gelatin. D: Pregnancy is a contraindication as live vaccines like varicella are generally not recommended during pregnancy due to theoretical risks to the fetus.
Question 4 of 5
A patient with a history of moderate to severe headache pain associated with nausea and vomiting is diagnosed with migraines. Which medication would the NP prescribe initially?
Correct Answer: D
Rationale: The correct answer is D: Sumatriptan. Sumatriptan is a specific medication used for acute migraine treatment by targeting serotonin receptors to reduce inflammation and pain. It is the initial choice due to its efficacy in relieving migraine symptoms. Meperidine (A) and Butorphanol (B) are opioid analgesics with potential for abuse and not recommended for routine migraine treatment. Aspirin (C) is a non-specific pain reliever and may not provide adequate relief for migraines compared to specific migraine medications like Sumatriptan.
Question 5 of 5
A 38-year old female is seen in your office complaining of cold intolerance, fatigue, dry skin, weight gain, and heavy menstrual periods. Her physical exam showed a HR 58 bpm and a waxy sallow complexion and a firm goiter. Her TSH level is 34 Mu/L. What is the recommended treatment for this patient?
Correct Answer: C
Rationale: The correct answer is C: Initiate levothyroxine dose 0.1mg PO every morning and recheck her TSH in 6 weeks. Rationale: 1. The patient presents with symptoms of hypothyroidism (cold intolerance, fatigue, weight gain, heavy menstrual periods) and has elevated TSH levels, indicating primary hypothyroidism. 2. The recommended initial levothyroxine dose for adults with hypothyroidism is 1.6 mcg/kg/day, which translates to approximately 100 mcg (0.1mg) for a 60kg person. 3. Starting with a dose of 0.1mg PO every morning is appropriate to avoid rapid correction and potential adverse effects. 4. Rechecking TSH levels in 6 weeks allows for assessment of treatment response and adjustment of the levothyroxine dose if needed. Summary: A: Starting with 0.025 mg of levothyroxine is too low