ATI RN
ATI Pharmacology Practice B 2023 Questions
Question 1 of 5
The nurse reviews the list of medications and is aware that red blood cell production can be stimulated with which drug for anemia?
Correct Answer: A
Rationale: Epoetin alfa is a recombinant form of erythropoietin, a hormone that stimulates red blood cell production. It is used to treat anemia, particularly in patients with chronic kidney disease or those undergoing chemotherapy. Filgrastim and sargramostim stimulate white blood cell production, while interleukin 2 is used to boost the immune system. The nurse should recognize epoetin alfa as the appropriate drug for managing anemia and monitor the patient's hemoglobin levels during treatment.
Question 2 of 5
The patient tells the nurse that she is interested in the human brain and questions which parts of the brain control anxiety and insomnia. What is the best reply by the nurse?
Correct Answer: A
Rationale: The limbic system (e.g., amygdala) drives anxiety-emotional response-while the reticular activating system (RAS) regulates sleep-wake, impacting insomnia, per neuroanatomy. Frontal lobes plan, not directly control these. Thalamus relays, not initiates. Hypothalamus affects sleep but less anxiety. Limbic-RAS pairing fits, answering precisely.
Question 3 of 5
The nurse has taught the client with osteoporosis about how to manage the illness. Which statement by the client indicates that additional teaching is necessary?
Correct Answer: C
Rationale: Calcium at bedtime risks poor absorption-meals optimize it, per pharmacokinetics-needing correction. Alcohol avoidance, walking (weight-bearing), and milk (calcium) aid osteoporosis. Bedtime timing misstep shows gaps, per education.
Question 4 of 5
Two days after admission, the nurse is reviewing laboratory results of the patient. Which is the most common electrolyte finding resulting from the administration of furosemide (Lasix)?
Correct Answer: C
Rationale: Furosemide (Lasix) is a loop diuretic commonly used to treat conditions such as edema and hypertension by increasing urine output. One of the most common electrolyte imbalances associated with the use of furosemide is hypokalemia, which is a low level of potassium in the blood. This occurs because furosemide increases the excretion of potassium in the urine by inhibiting its reabsorption in the kidneys. Hypokalemia can lead to various symptoms such as muscle weakness, cramps, and cardiac arrhythmias, making it important for healthcare providers to monitor potassium levels closely in patients receiving furosemide.
Question 5 of 5
A client with bipolar disorder is prescribed lithium carbonate. Which symptom should the nurse teach the client to report?
Correct Answer: C
Rationale: Lithium stabilizes mood but risks toxicity (e.g., >1.5 mEq/L), causing tremors , a neurologic sign needing reporting to adjust dosing or check levels. Thirst and weight gain are common, manageable. Nausea occurs but is less urgent unless severe. Tremors indicate potential overdose, critical in bipolar disorder where narrow therapeutic range demands vigilance, making C the key symptom to report.