ATI RN
ATI Pharmacology
1. A client is receiving heparin therapy. Which laboratory value should be monitored by the nurse to evaluate the effectiveness of the therapy?
- A. PT
- B. aPTT
- C. INR
- D. Platelet count
Correct answer: B
Rationale: The activated partial thromboplastin time (aPTT) is specifically used to monitor the effectiveness of heparin therapy. It should be maintained at 1.5 to 2 times the normal level. Monitoring aPTT helps ensure that the therapeutic range of heparin is achieved to prevent clot formation while minimizing the risk of bleeding complications. Choice A (PT) is incorrect as it is used to monitor warfarin therapy, not heparin. Choice C (INR) is also incorrect as it is primarily used to monitor warfarin therapy. Choice D (Platelet count) is not directly related to monitoring the effectiveness of heparin therapy.
2. A healthcare provider has just administered a wrong medication to a client. Which of the following actions should the provider take next?
- A. No action is needed
- B. Report error to the provider
- C. Complete an institutional incident report
- D. Inform the client that the wrong medication was given
Correct answer: B
Rationale: In the scenario where a wrong medication has been administered, it is crucial for the healthcare provider to report the error to the provider. This action is essential to ensure that the provider is informed promptly, corrective measures are taken, and the client's well-being is safeguarded. Choice A is incorrect as taking no action could lead to serious consequences and compromise patient safety. Choice C, while important, should come after reporting the error to the provider. Choice D is not the immediate priority as the provider should first focus on addressing the error internally.
3. Dr. Torrez believes that how conflicts between biological drives and social expectations are resolved determines the person's ability to learn, to get along with others, and to cope with anxiety. Dr. Torrez accepts the __________.
- A. psychoanalytic perspective
- B. psychosocial theory
- C. cognitive-developmental theory
- D. social learning theory
Correct answer: A
Rationale: Dr. Torrez's belief about conflicts between biological drives and social expectations influencing a person's ability to learn, get along with others, and cope with anxiety aligns with the psychoanalytic perspective. This perspective, developed by Sigmund Freud, focuses on the unconscious mind, early childhood experiences, and the resolution of inner conflicts as important factors in shaping personality and behavior. The other choices are incorrect because psychosocial theory, cognitive-developmental theory, and social learning theory do not specifically focus on conflicts between biological drives and social expectations as central to understanding human behavior and development.
4. A nurse is caring for a client who is at 33 weeks of gestation following an amniocentesis. The nurse should monitor the client for which of the following complications?
- A. Vomiting.
- B. Hypertension.
- C. Epigastric pain.
- D. Contractions.
Correct answer: D
Rationale: Following an amniocentesis at 33 weeks of gestation, the nurse should monitor the client for contractions. Contractions can indicate preterm labor, which requires immediate attention. Vomiting, hypertension, and epigastric pain are not typically associated with amniocentesis complications at this gestational age.
5. Which term is used to describe populations located in lower income, inner city, and rural areas with few supermarkets but numerous small stores stocking limited nutritious food items?
- A. Food fad
- B. Food insecurity
- C. Food desert
- D. Food patterns
Correct answer: C
Rationale: A food desert refers to areas with limited access to affordable and nutritious food, often found in lower-income urban and rural areas.
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