ATI RN
ATI Pharmacology Assessment 2 Questions
Question 1 of 5
The patient with schizophrenia is sitting quietly in a chair. The patient does not respond much to what is happening and has a lack of interest in the environment. How does the nurse interpret this assessment?
Correct Answer: D
Rationale: Schizophrenia's negative symptoms include apathy and withdrawal, seen in quietness and disinterest . Depression needs more evidence. Voices suggest positive symptoms, absent here. Positive symptoms add behaviors, not subtract. D aligns with schizophrenia's clinical presentation, making it the correct interpretation.
Question 2 of 5
The following drugs are most commonly associated with nephrotoxicity:
Correct Answer: A
Rationale: Gentamicin is associated with nephrotoxicity, particularly when administered in high doses or for prolonged periods.
Question 3 of 5
A patient with a history of pancreatitis and cirrhosis is also being treated for hypertension. Which drug will most likely be ordered for this patient?
Correct Answer: D
Rationale: Given the patient's medical history of pancreatitis and cirrhosis, both conditions can affect the functioning of the liver and potentially interact with medications that are metabolized by the liver. Captopril is an angiotensin-converting enzyme (ACE) inhibitor, which is often a preferred choice for patients with liver disease as it has minimal hepatic metabolism. This decreased reliance on hepatic metabolism makes captopril a safer choice for this patient compared to other antihypertensive medications that may cause liver-related complications. Additionally, ACE inhibitors like captopril are commonly used in patients with hypertension to help reduce blood pressure and protect against further complications related to cardiovascular health.
Question 4 of 5
When teaching a patient who has a new prescription for transdermal nitroglycerin patches, the nurse tells the patient that these patches are most appropriately used for which situation?
Correct Answer: C
Rationale: Transdermal nitroglycerin patches are most appropriately used to prevent the occurrence of angina. Nitroglycerin is a vasodilator that works by relaxing and widening blood vessels, which helps to increase blood flow and oxygen to the heart muscle. By using nitroglycerin patches regularly, the patient can help prevent episodes of angina, which is chest pain or discomfort that occurs when the heart muscle does not receive enough oxygen-rich blood. Nitroglycerin patches are not used to prevent low blood pressure, relieve shortness of breath, or control heart rate during exercise.
Question 5 of 5
After a severe auto accident, a patient has been taken to the trauma unit and has an estimated
Correct Answer: D
Rationale: Packed red blood cells (PRBCs) are the most appropriate product to administer after a severe auto accident when there is significant blood loss and anemia. PRBCs are used to increase the oxygen-carrying capacity of the blood and improve tissue oxygenation. They are specifically designed to deliver red blood cells without the unnecessary components found in whole blood. This targeted approach helps to avoid volume overload and reduce the risk of complications such as transfusion reactions. In a trauma situation where there is active bleeding and a need to rapidly restore oxygen-carrying capacity, PRBCs are the preferred blood product.