ATI RN
Pharmacology Final ATI Quizlet Questions
Question 1 of 5
What is the pharmacologic classification of Amlodipine
Correct Answer: D
Rationale: Amlodipine belongs to the pharmacologic class of calcium channel blockers. It works by inhibiting the influx of calcium ions into smooth muscle cells, leading to vasodilation and lower blood pressure. This medication is commonly used to treat hypertension (high blood pressure) and certain types of angina (chest pain). It is not a beta blocker, 5-HT3 antagonist, or nonopioid analgesic.
Question 2 of 5
The ability of epinephrine to cause hyperglycemia is due to;
Correct Answer: C
Rationale: The ability of epinephrine to cause hyperglycemia is primarily due to its effect on alpha adrenoreceptors in the pancreatic islets of Langerhans. Epinephrine, acting through these alpha adrenoreceptors, inhibits the release of insulin from beta cells in response to elevated blood glucose levels. This results in decreased uptake of glucose by cells, leading to increased blood glucose levels, ultimately causing hyperglycemia. Other effects of epinephrine, such as vasoconstriction and increased heart rate, also contribute to the overall stress response, but the inhibition of insulin release through alpha adrenoreceptors is the main mechanism responsible for its hyperglycemic effects.
Question 3 of 5
The nurse is reviewing the care plan with a patient using enteral nutrition (EN). Which interventions by the nurse are appropriate for this strategy? (Select all that apply.)
Correct Answer: A
Rationale: Checking gastric residuals (A) ensures proper gastric emptying and reduces aspiration risk. Elevating the bed (B) prevents reflux and aspiration. Reporting absent bowel sounds (D) is critical, as EN is contraindicated in ileus. Feeding bags and tubing should be changed every 24 hours, not 3 to 4 days (C).
Question 4 of 5
Which of the following is an action of the drug Metformin?
Correct Answer: A
Rationale: Metformin is a commonly prescribed medication for the management of type 2 diabetes. One of the primary mechanisms of action of Metformin is to decrease hepatic glucose production. It works by inhibiting gluconeogenesis, which is the process by which the liver produces glucose. By reducing glucose production in the liver, Metformin helps to lower blood sugar levels and improve insulin sensitivity. This action helps to control hyperglycemia in patients with diabetes. The other options provided do not describe the mechanism of action of Metformin, making them incorrect choices.
Question 5 of 5
A patient complains about a burning sensation and pain when urinating. Which urinary analgesic does the nurse suspect will be ordered?
Correct Answer: D
Rationale: Phenazopyridine is a urinary analgesic commonly used to relieve the burning sensation and pain experienced during urination, typically caused by urinary tract infection or irritation. It works by acting as a local anesthetic on the lining of the urinary tract, providing relief from discomfort. Tolterodine and oxybutynin are used to treat overactive bladder by reducing bladder spasms and urge incontinence, whereas bethanechol is a direct-acting cholinergic agonist primarily used to stimulate bladder contractions in individuals with urinary retention. Thus, for the symptom of burning sensation and pain when urinating, phenazopyridine would be the most likely urinary analgesic to be ordered.