ATI RN
Pharmacology Cardiovascular Drugs Test Questions
Question 1 of 5
The nurse wants to assess a patient with major depression for disturbances in circadian rhythms. Select the best question for this aspect of the assessment.
Correct Answer: B
Rationale: The correct answer is B because asking about the patient's worst and best times of day can provide insight into disturbances in circadian rhythms commonly seen in major depression. This question directly addresses the patient's sleep-wake cycle, energy levels, and mood fluctuations throughout the day. It helps identify patterns of insomnia, hypersomnia, and diurnal mood variations which are common in depression. Choice A is incorrect as it pertains to hallucinations, not circadian rhythm disturbances. Choice C is irrelevant to assessing circadian rhythms. Choice D focuses on thoughts related to sadness, not specifically related to circadian rhythm disruptions.
Question 2 of 5
A patient was diagnosed with pancreatic cancer last month, and has complained of a dull ache in the abdomen for the past 4 months. This pain has been gradually increasing, and the pain relievers taken at home are no longer effective. What type of pain is the patient experiencing?
Correct Answer: B
Rationale: The correct answer is B: Chronic pain. The patient's pain has been ongoing for 4 months and is gradually increasing, indicating a long-lasting and persistent nature characteristic of chronic pain. Chronic pain is defined as pain lasting beyond the expected healing time. Acute pain (choice A) is sudden and short-term. Somatic pain (choice C) arises from the skin, muscles, or bones and is localized, not consistent with the abdominal pain described. Neuropathic pain (choice D) results from nerve damage and is typically described as burning or shooting, not matching the dull ache described by the patient.
Question 3 of 5
Chlorpromazine (Thorazine) is prescribed for a patient, and the nurse provides instructions to the patient about the medication. The nurse includes which information?
Correct Answer: B
Rationale: The correct answer is B because chlorpromazine can cause photosensitivity, making the patient more prone to sunburn and skin damage. It is essential for the patient to wear sunscreen while outside to protect their skin. Choice A is incorrect as there is no specific interaction between chlorpromazine and caffeine. Choice C is incorrect because long-term therapy with chlorpromazine is more likely to result in sedation and drowsiness rather than nervousness and excitability. Choice D is incorrect as antacids may interfere with the absorption of chlorpromazine, so they should not be taken together.
Question 4 of 5
Which nursing diagnosis is appropriate for a patient receiving antidysrhythmics?
Correct Answer: B
Rationale: The correct answer is B: Deficient knowledge. Patients receiving antidysrhythmics need education to understand the medication's purpose, side effects, and signs of complications. This empowers patients to manage their condition effectively. The other options are not directly related to the administration of antidysrhythmics. A (Risk for infection) is not typically a priority for patients receiving antidysrhythmics. C (Deficient fluid volume) may be relevant if the medication causes electrolyte imbalances, but education is more critical. D (Urinary retention) is not commonly associated with antidysrhythmics. Thus, B is the most appropriate nursing diagnosis for a patient receiving antidysrhythmics.
Question 5 of 5
A patient with a tracheostomy has difficulty removing excessive, thick mucus from the respiratory tract. The nurse expects that which drug will be ordered to aid in the removal of mucus?
Correct Answer: A
Rationale: Rationale: 1. Guaifenesin is an expectorant that helps loosen and thin mucus in the respiratory tract. 2. It aids in the removal of excessive, thick mucus, making it easier for the patient to cough it out. 3. Benzonatate is a cough suppressant, not an expectorant. 4. Diphenhydramine is an antihistamine and not indicated for mucus removal. 5. Dextromethorphan is a cough suppressant and does not help in mucus expectoration. In summary, guaifenesin is the correct choice as it specifically targets mucus removal, while the other options do not have this expectorant effect.