ATI RN
ATI Pharmacology Proctored Exam 2023
1. When assessing a client taking Lithium Carbonate for Bipolar disorder, which finding should the nurse recognize as a possible indication of toxicity to this medication?
- A. Severe hypertension
- B. Coarse tremors
- C. Constipation
- D. Muscle spasm
Correct answer: B
Rationale: The correct answer is B: Coarse tremors. Coarse tremors are a common sign of Lithium toxicity. Monitoring for tremors is crucial as they can indicate a potentially serious complication that requires immediate intervention. While other options such as severe hypertension, constipation, and muscle spasm may be symptoms of various conditions, they are not typically associated with Lithium toxicity. Severe hypertension is not a common sign of Lithium toxicity; constipation is not a typical symptom of Lithium toxicity either, and muscle spasm is not a direct indicator of Lithium toxicity.
2. Radiation therapy is used to treat colon cancer before surgery for which of the following reasons?
- A. Reducing the size of the tumor
- B. Eliminating the malignant cells
- C. Curing the cancer
- D. Helping the bowel heal after surgery
Correct answer: A
Rationale: Radiation therapy is used before surgery to reduce the size of the tumor, making it easier to remove.
3. The origin of the term 'anatomy' is related to
- A. the Greek word for 'function.'
- B. the name of the first anatomist.
- C. the Greek word for 'cutting up.'
- D. the function of internal organs.
Correct answer: the Greek word for 'cutting up.'
Rationale: The correct answer is C: the Greek word for 'cutting up.' The term 'anatomy' originates from the Greek words 'ana' (up) and 'temnein' (to cut), which means 'cutting up' or 'dissection.' This term refers to the process of dissecting bodies to study their structure. Choices A, B, and D are incorrect because 'anatomy' is not related to the Greek word for 'function,' the name of the first anatomist, or the function of internal organs, but rather to the act of cutting up for study and examination.
4. A nurse is assessing a client who reports pain at the site of a peripheral IV. The site is red and warm. What is the nurse's priority action?
- A. Flush the IV line with saline
- B. Discontinue the IV infusion
- C. Apply a cold compress
- D. Increase the IV flow rate
Correct answer: B
Rationale: The correct answer is to discontinue the IV infusion. The signs of redness and warmth at the IV site indicate phlebitis, an inflammation of the vein. Discontinuing the IV infusion is crucial to prevent further complications such as infection or thrombosis. Flushing the IV line with saline would not address the underlying issue of phlebitis. Applying a cold compress may provide temporary relief but does not address the cause. Increasing the IV flow rate can exacerbate the inflammation and should be avoided.
5. A nurse is providing discharge teaching for a client with chronic obstructive pulmonary disease (COPD). What instruction should the nurse include to help improve oxygenation?
- A. Use pursed-lip breathing during activities
- B. Avoid physical activity
- C. Perform weight-bearing exercises
- D. Use a humidifier while sleeping
Correct answer: A
Rationale: Corrected Rationale: The nurse should instruct the client to use pursed-lip breathing during activities to help improve oxygenation. Pursed-lip breathing can keep the airways open longer, facilitating better oxygen exchange and making it easier to exhale carbon dioxide. Choice B is incorrect as physical activity, within the client's limitations, is beneficial for maintaining overall health. Choice C is incorrect as weight-bearing exercises are important for bone health but not directly related to improving oxygenation in COPD. Choice D is incorrect as using a humidifier while sleeping can help with moisture in the airways but does not directly impact oxygenation in COPD.
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