ATI RN
ATI Pharmacology Made Easy 4.0 Infection Questions
Question 1 of 9
Which of the following does NOT describe Reye's syndrome :
Correct Answer: D
Rationale: Reye's syndrome is a rare but serious disorder that primarily affects children and teenagers. It is characterized by an acute encephalopathic illness along with fatty degeneration of the liver and other viscera. Reye's syndrome typically arises after a viral infection, such as influenza or chickenpox, rather than being enhanced by sodium and water retention. This condition is not caused by excessive sodium and water retention but rather by a possible link to the use of aspirin during viral infections in children.
Question 2 of 9
What is the category class of Iron?
Correct Answer: C
Rationale: Iron is classified as an Antianemic agent. Anemia is a condition characterized by a lack of healthy red blood cells, which are responsible for carrying oxygen to the body's tissues. Iron is essential for the production of hemoglobin, the protein in red blood cells that binds oxygen. Therefore, iron supplements are commonly used to treat iron-deficiency anemia by replenishing the body's iron stores and supporting the production of healthy red blood cells.
Question 3 of 9
A 20-year-old man is diagnosed to have acute schizophrenia. Which of the following is an appropriate first-line treatment?
Correct Answer: C
Rationale: Acute schizophrenia requires antipsychotics for positive symptoms (e.g., hallucinations). IV haloperidol is for acute agitation, not first-line outpatient treatment. IM flupentixol, a long-acting typical antipsychotic, suits maintenance, not initial therapy. Oral olanzapine, an atypical antipsychotic, is first-line, balancing efficacy (D2/5-HT2 blockade) and lower extrapyramidal risk, suitable for a young patient. Procyclidine treats parkinsonism, not schizophrenia. Fluoxetine is for depression. Olanzapine's oral route and profile make it ideal for initial management, promoting adherence and tolerability.
Question 4 of 9
The following drugs have an elimination half-life of less than 4 hours in a healthy adult:
Correct Answer: A
Rationale: Dopamine has a short half-life due to rapid metabolism by monoamine oxidases and catechol-O-methyltransferase, while others have longer half-lives.
Question 5 of 9
The nurse is doing health teaching with a patient with psoriasis. Which nursing implication is a priority for a patient on infliximab to treat psoriasis?
Correct Answer: D
Rationale: Infliximab, a biologic agent used to treat psoriasis, can suppress the immune system and increase the risk of infections and blood disorders. Monitoring the complete blood count (D) is a priority to detect neutropenia, anemia, or thrombocytopenia. Monitoring weight (A), electrolytes (B), or urine output (C) is not typically associated with infliximab therapy.
Question 6 of 9
All are true about penicillins EXCEPT:
Correct Answer: B
Rationale: Penicillins cross the blood-brain barrier mainly when meninges are inflamed (e.g., meningitis), a true statement due to increased permeability. They do require dose adjustment in renal failure, as they're renally excreted, making the lack of adjustment false and the exception. They inhibit bacterial cell wall synthesis by blocking peptidoglycan cross-linkage, a true mechanism. Piperacillin is effective against Pseudomonas, especially with tazobactam, which is true. Only 5-10% of those with prior penicillin allergy react again, also true. The renal adjustment need is critical, as accumulation risks toxicity like seizures, guiding safe prescribing in kidney dysfunction.
Question 7 of 9
Nurse Bryan knows that the age group that uses the most units of blood and blood products is:
Correct Answer: A
Rationale: Premature infants, especially those born very premature or with health complications, often require blood transfusions due to their underdeveloped organs and medical conditions. Their small size and medical fragility make them the age group that typically uses the most units of blood and blood products. This high demand for blood products is necessary to support their growth, development, and overall health. Conversely, while individuals in other age groups may also require blood transfusions, premature infants have specific and ongoing needs that often result in a greater overall use of blood and blood products in this age group.
Question 8 of 9
A 59-year-old man with a long history of cardiac arrhythmia is maintained on procainamide. He presents to his primary care physician complaining of malaise, fevers, and nausea. Physical examination reveals a bilateral malar rash with erythema. What is the most likely diagnosis?
Correct Answer: D
Rationale: Procainamide can induce a lupus-like syndrome . Symptoms (malaise, fever, nausea) and malar rash mimic SLE, a known side effect due to drug-induced autoantibodies. Contact dermatitis lacks systemic features. Sun reaction or discoid lupus don't fit the drug link. Collagen disease (E) is vague. This reversible syndrome resolves with discontinuation, distinguishing it from primary lupus.
Question 9 of 9
While preparing an infusion of mannitol (Osmitrol), the nurse notices small crystals in the IV tubing. What is the most appropriate action by the nurse?
Correct Answer: B
Rationale: The most appropriate action by the nurse when small crystals are observed in the IV tubing while preparing an infusion of mannitol (Osmitrol) is to discard the solution and obtain another bag of medication. Small crystals in the IV tubing can indicate that the medication may be contaminated or that it has precipitated out of solution, which can potentially lead to complications if infused into the patient. It is crucial to ensure that the medication is in proper form before administration to prevent any harm to the patient. Therefore, discarding the solution and obtaining a new bag of medication is the safest and most appropriate course of action in this situation.