The most productive way of managing stress would be to

Questions 31

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ATI VATI Pharmacology Assessment Questions

Question 1 of 5

The most productive way of managing stress would be to

Correct Answer: A

Rationale: Combining drugs (e.g., benzos) with nonpharmacological methods (e.g., meditation) balances quick relief and long-term coping, per stress management best practices. Anxiolytics alone risk dependence. Meditation helps but may not suffice. Addressing the cause is ideal but often slow-combined approach leverages both, enhancing outcomes.

Question 2 of 5

A 27-year-old man with recurrent asthma attacks is being considered for preventative therapy with cromolyn sodium. This agent is not effective as an acute treatment of an asthma attack because of the lack of which of the following properties?

Correct Answer: B

Rationale: In this scenario, the correct answer is B) Bronchodilator. Cromolyn sodium is a mast cell stabilizer that works by preventing the release of inflammatory mediators from mast cells, which helps to prevent asthma attacks when used as a preventative therapy. It is not a bronchodilator, which is a medication that works by dilating the airways to provide immediate relief during an acute asthma attack. Option A) Anti-inflammatory is incorrect because cromolyn sodium does have anti-inflammatory properties, but it primarily works by preventing mast cell degranulation rather than directly reducing inflammation like corticosteroids. Option C) Immune modulator is incorrect because while cromolyn sodium does modulate the immune response by stabilizing mast cells, it is not its primary mechanism of action. Option D) Mast cell stabilizer is incorrect because this property is actually a characteristic of cromolyn sodium and is why it is effective in preventing asthma attacks by inhibiting the release of inflammatory mediators from mast cells. In an educational context, understanding the mechanisms of different asthma medications is crucial for healthcare providers to effectively manage and treat patients with asthma. Knowing the specific properties of medications like cromolyn sodium can help healthcare professionals make informed decisions about the appropriate use of these drugs in managing asthma symptoms.

Question 3 of 5

A 22-year-old man college student does poorly on a course examination and decides to attempt suicide. He finds a bottle of barbiturates in his mother's medicine cabinet. He takes 2 of the 30 pills in the bottle. Which of the following effects is most likely to be exhibited by the patient?

Correct Answer: D

Rationale: In this scenario, the correct answer is D) Sedation. Barbiturates are central nervous system depressants that act by enhancing the inhibitory effects of gamma-aminobutyric acid (GABA) in the brain. Taking 2 out of 30 pills may lead to a sedative effect, causing the individual to feel drowsy, calm, and possibly euphoric. Option A) Anesthesia is unlikely with the ingestion of just 2 pills, as anesthesia typically requires higher doses and specific administration by healthcare professionals. Option B) Coma is a possibility but less likely compared to sedation. Coma usually occurs at higher doses of barbiturates. Option C) Death is less likely with just 2 pills, as a lethal dose of barbiturates is much higher and can vary depending on the individual's tolerance and other factors. Educationally, this question highlights the effects of barbiturates on the central nervous system and the potential dangers of misuse. It also emphasizes the importance of understanding dosages and expected outcomes of different medications. Understanding these concepts is crucial for healthcare professionals to provide safe and effective care to patients.

Question 4 of 5

Which one of the following statements about lithium is accurate?

Correct Answer: C

Rationale: Lithium, used for bipolar disorder, stabilizes mood via inositol depletion and other mechanisms. It can cause hypothyroidism, not hyperthyroidism, by inhibiting thyroid hormone release. High sodium intake increases lithium excretion, lowering plasma levels, not raising them. Common adverse effects include acne (sebaceous gland stimulation), polydipsia, and polyuria (due to nephrogenic diabetes insipidus from ADH antagonism), affecting many patients and requiring monitoring. Teratogenicity concerns focus on Ebstein's anomaly (cardiac defect), not spina bifida, though risks are low with modern management. Sedation isn't rapid; therapeutic effects take days to weeks. The constellation of acne, polydipsia, and polyuria reflects lithium's broad physiological impact, making it the most accurate description of its side effect profile.

Question 5 of 5

A patient has taken two doses of interferon Alfa-2b (Intron-A). He comes to the clinic today with the following complaints. Which symptoms would the nurse identify as common adverse effects of this therapy?

Correct Answer: A

Rationale: Interferon Alfa-2b is an immunomodulatory drug used for conditions like hepatitis or cancer, known for causing flu-like symptoms and systemic effects. Common adverse effects include dizziness, fatigue, and anorexia (loss of appetite), as listed in the correct answer (1, 3, 4). Dizziness reflects the drug's impact on the central nervous system, often reported early in therapy. Loss of appetite and fatigue are also hallmark symptoms due to interferon's influence on metabolism and energy levels. An itchy rash , while possible as a hypersensitivity reaction, is less commonly associated with interferon compared to these systemic effects. The nurse must recognize these as expected side effects, distinguishing them from severe reactions requiring intervention. Since the question asks for common adverse effects and the correct answer includes multiple symptoms, choice A (dizziness) is a key identifier among them, supported by its prevalence in clinical use, making it the primary focus here.

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