ATI RN
ATI Proctored Pharmacology 2024 Questions
Question 1 of 5
Which of the following is most effective as a topical agent for a candida infection of the skin?
Correct Answer: D
Rationale: Cutaneous candidiasis needs topical antifungals. Griseofulvin treats dermatophytes orally, not candida topically. Beclometasone, a steroid, worsens fungal growth. Aciclovir targets herpes, not fungi. Amphotericin is IV for systemic use. Nystatin binds ergosterol in candida membranes, most effective topically for skin infections, widely used for its specificity and safety.
Question 2 of 5
The client is receiving a brand name drug and wants to change to the generic form because it is cheaper. What is the best outcome for this client?
Correct Answer: A
Rationale: Understanding two differences (e.g., cost, inactive ingredients) between brand and generic drugs empowers the client to make informed choices, the best outcome. Sticking to brand after physician talk assumes preference. Asking why brand is better misaligns-generics are equivalent. Cost reduction methods are practical but secondary to comprehension. Knowledge of differences supports the switch, aligning with cost-saving goals.
Question 3 of 5
An adolescent patient comes to the school nurse with complaints of vague abdominal pain. What assessment data would help to confirm the nurse's suspicion that the adolescent has body image concerns?
Correct Answer: A
Rationale: Body image concerns in adolescents often tie to eating-defensiveness about food scrutiny suggests disordered eating (e.g., anorexia), linking pain to image stress. Sexual activity, irregular periods, or parent conflicts point elsewhere-STI, hormonal issues, or family tension. Food focus signals image worry, per developmental psychology.
Question 4 of 5
Which symptoms experienced over 1 month would be most helpful to diagnose bipolar disorder?
Correct Answer: D
Rationale: Bipolar disorder's mania includes increased goal-directed activity, talkativeness, and distractibility-per DSM-5-over a month with depression cycles. Sleep/death/hallucinations lean psychotic. Delusions/fatigue suggest schizophrenia or depression. Eating/despair/ideas mix symptoms. Manic traits diagnose, per criteria.
Question 5 of 5
A 63-year-old woman with congestive heart failure begins to have lower extremity swelling. She starts taking a diuretic and the swelling improves significantly. Over the next few days, however, she develops ringing in her ears. Which of the following diuretics is she taking?
Correct Answer: B
Rationale: Diuretics treat CHF edema, but tinnitus suggests a side effect. Furosemide , a loop diuretic, causes ototoxicity (ringing in ears) at high doses. Acetazolamide , a carbonic anhydrase inhibitor, doesn't typically cause this. Hydrochlorothiazide , a thiazide, rarely affects hearing. Mannitol , an osmotic diuretic, and Spironolactone (E), an aldosterone antagonist, lack ototoxicity. Furosemide's rapid action on edema fits CHF, but its cochlear toxicity explains the symptom, common in loop diuretics.