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PN ATI Capstone Pharmacology 1 Quiz
1. A healthcare professional is completing a nutritional assessment on a client and measures body mass index (BMI). Which of the following readings correlates with a BMI of an overweight client?
- A. 18.5
- B. 24.9
- C. 25
- D. 32
Correct answer: C
Rationale: A BMI of 25-29.9 is considered overweight. Therefore, a BMI of 25 correlates with an overweight client. A BMI of 18.5-24.9 indicates a healthy weight. Choices A, B, and D are incorrect as they fall into the healthy weight or obese categories, not overweight.
2. A nurse is providing discharge instructions for a client after surgery. Which of the following should be included?
- A. Resume normal activities immediately
- B. Monitor for signs of infection
- C. Avoid all physical activity for 1 month
- D. Take pain medications only as needed
Correct answer: B
Rationale: The correct answer is B: 'Monitor for signs of infection.' After surgery, it is essential for clients to watch for signs of infection, such as increased redness, swelling, or drainage at the incision site. Choice A is incorrect because resuming normal activities immediately after surgery can be harmful. Choice C is incorrect as complete avoidance of physical activity for a month is typically not necessary and can lead to complications like blood clots. Choice D is incorrect as taking pain medications only as needed may not provide adequate pain management post-surgery.
3. A nurse is preparing to administer a dose of enoxaparin. Which of the following actions should the nurse take?
- A. Administer it intramuscularly
- B. Monitor APTT levels
- C. Give it in the abdomen
- D. Administer rapidly
Correct answer: C
Rationale: The correct answer is to give enoxaparin in the abdomen. Enoxaparin is usually administered subcutaneously in the abdomen to avoid muscle irritation. Choice A is incorrect because enoxaparin should not be administered intramuscularly. Choice B is incorrect as monitoring APTT levels is not directly related to administering enoxaparin. Choice D is incorrect as enoxaparin should be administered slowly to prevent bruising or bleeding at the injection site.
4. A nurse is caring for a newborn in the nursery following a circumcision. The newborn's grandparent, who does not have an identification bracelet, requests to take the newborn to his mother's room. What action should the nurse take?
- A. Notify security.
- B. Respectfully deny the grandparent’s request.
- C. Contact the mother for verification.
- D. Escort the grandparent and newborn to the room.
Correct answer: B
Rationale: The correct action for the nurse to take is to respectfully deny the grandparent's request. In healthcare settings, strict security protocols are in place to ensure the safety of newborns. Only individuals with proper identification bracelets are allowed to transport newborns to prevent unauthorized individuals from taking them. Contacting the mother for verification would be time-consuming and may not be feasible immediately. Escorting the grandparent and newborn without proper identification would violate security protocols and compromise the newborn's safety. Notifying security should be done only if there is a threat or concern for safety, which is not the case in this scenario. Therefore, the best course of action is for the nurse to respectfully deny the grandparent's request to uphold the safety and security measures in place.
5. A nurse is teaching a client about the use of sildenafil. Which of the following should be included?
- A. It should not be taken with nitrates
- B. Monitor for headaches
- C. It is a prescription medication
- D. It may have side effects
Correct answer: B
Rationale: The correct answer is to monitor for headaches when taking sildenafil. This medication can cause headaches and other side effects, so it is crucial to inform clients about these potential adverse reactions. Choice A is incorrect because sildenafil should not be taken with nitrates due to the risk of severe hypotension. Choice C is incorrect as sildenafil is a prescription medication, not an over-the-counter one. Choice D is incorrect because sildenafil, like any medication, can have side effects that should be discussed with the client.
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