ATI RN
ATI Pharmacology Study Guide Questions
Question 1 of 5
Which of the following is NOT a pharmacologic property of histamine:
Correct Answer: D
Rationale: Histamine is a biogenic amine that acts as a neurotransmitter in the body. It is known to have several pharmacologic properties, such as the ability to reduce gastric secretion (Choice A), relaxation of vascular smooth muscle (Choice B), contraction of bronchi (Choice C), and production of pain and itch (Choice E). However, histamine does not have a direct effect on free nerve endings. Its effects on pain and itch are mediated through activation of specific histamine receptors on nerve cells and not through direct action on free nerve endings.
Question 2 of 5
A nurse is working with a patient who is taking an adrenergic blocking agent. While assessing the patient’s medication history, the nurse discovers that the patient takes several alternative therapies. What herb is the nurse concerned may interact with the adrenergic blocking agent and affect the patient’s blood glucose level?
Correct Answer: C
Rationale: Di huang is an alternative therapy that can lower blood glucose when used in combination with adrenergic blocking agents. Ginseng increases antihypertensive effects; nightshade slows the heart rate; and saw palmetto increases the risk of urinary tract complications when used in combination with adrenergic blocking agents. The nurse should educate the patient about potential interactions and monitor blood glucose levels closely.
Question 3 of 5
A patient is receiving fluid replacement. The nurse's health teaching with this patient includes which suggestions? (Select all that apply.)
Correct Answer: A
Rationale: Monitoring weight daily (A) helps assess fluid balance, as sudden changes may indicate fluid retention or loss. Thirst (B) is an early sign of mild dehydration. Monitoring intake and output (C) is essential to evaluate fluid status. Avoiding calcium and chloride supplements (D) is not relevant to fluid replacement. Reviewing electrolyte labs (E) is important but not part of routine health teaching for fluid replacement.
Question 4 of 5
The nurse is preparing to administer an injection to a preschool-age child. Which approaches are appropriate for this age group? (Select all that apply.)
Correct Answer: D
Rationale: Preschool-age children benefit from brief, concrete explanations about medical procedures, as they have limited understanding of abstract concepts. Encouraging participation, such as allowing the child to choose a bandage or hold a toy, can reduce anxiety and increase cooperation. Providing comfort measures, such as praise or a small reward, after the injection helps reinforce positive behavior. While magical thinking is characteristic of this age group, it is not an appropriate strategy for explaining medical procedures. Therefore, the nurse should focus on concrete explanations, participation, and comfort measures.
Question 5 of 5
A male patient needs to receive a unit of whole blood. What type of intravenous (IV) device should the nurse consider starting?
Correct Answer: C
Rationale: A large-bore catheter is recommended for whole blood transfusions to allow for the rapid administration of blood products and to prevent hemolysis. Smaller catheters may not accommodate the viscosity of whole blood and could increase the risk of complications. While patient comfort and past experiences are important, the primary consideration is the safe and effective delivery of the transfusion. Therefore, a large-bore catheter is the best choice.