ATI RN
ATI Pharmacology
1. A healthcare provider is completing a client's medical history. The client takes Simvastatin. The healthcare provider should identify which of the following disorders as a contraindication to adding Ezetimibe to the client's medications?
- A. History of severe constipation
- B. History of hypertension
- C. Active hepatitis C
- D. Type 2 diabetes mellitus
Correct answer: C
Rationale: Ezetimibe is contraindicated in patients with active moderate-to-severe liver disorders, such as active hepatitis C, especially when they are already taking a statin like simvastatin. This combination can increase the risk of liver problems and is not recommended due to the potential for further liver damage. Choices A, B, and D are not directly contraindications for adding Ezetimibe to the client's medications.
2. The nurse is preparing to administer an intramuscular injection to a toddler-age client. Which is the most appropriate statement by the nurse prior to this procedure?
- A. "We will give you your shot when your mommy comes back."
- B. "I will wipe your skin with a magic wipe and then hold the needle like this and say one, two, three, go and give you your shot. Are you ready?"
- C. "It is all right to cry. After we are done, you can go to the box and pick out your favorite sticker."
- D. "This is a magic sword that will give you your medicine and make you all better."
Correct answer: C
Rationale: The correct answer is C because it acknowledges the child's feelings, provides clear instructions, and offers comfort and rewards to help the child cope with the procedure. Choice A is not appropriate as it may create anxiety about the injection. Choice B uses the term 'magic,' which may confuse the child and lead to fear. Choice D introduces a fantasy element that may not be beneficial in preparing the child for the injection.
3. A registered nurse (RN) who usually uses public transportation has not renewed her driver�s license. During a recent car trip with a friend, she took over driving when her friend became tired. Which of the following is true?
- A. She has acted in a professional manner.
- B. She may lose her RN license for driving without a license.
- C. She should renew her driver�s license as soon as possible.
- D. Under the circumstances, she will not be faulted for driving without a license.
Correct answer: B
Rationale: Driving without a license is deemed an unprofessional and illegal behavior for which a nurse may lose his or her license.
4. The client is four hours post-operative abdominal aortic aneurysm repair. Which nursing intervention should be implemented for this client?
- A. Assist the client in ambulating
- B. Assess the client’s bilateral pedal pulses
- C. Maintain a continuous IV heparin drip
- D. Provide clear liquids to the client
Correct answer: B
Rationale: Assessing the client’s bilateral pedal pulses is crucial at this point to monitor the perfusion to the lower extremities after abdominal aortic aneurysm repair surgery. Ambulation (Choice A) may be appropriate but should be guided by the assessment findings. Maintaining a continuous IV heparin drip (Choice C) is not typically indicated post-operatively for this type of surgery. Providing clear liquids (Choice D) may not be suitable immediately after the surgery, as the client needs time to recover before resuming oral intake.
5. The system used at the division level and forward comprises six basic modules. Which module is composed of a dental officer, dental specialist, x-ray specialist, laboratory specialist, and needed equipment?
- A. Treatment squad
- B. Area support squad
- C. Medical service squad
- D. Dental squad
Correct answer: D
Rationale: The correct answer is D, the Dental squad. This squad is specifically composed of a dental officer, dental specialist, x-ray specialist, laboratory specialist, and necessary equipment. The other choices, A, B, and C, do not include the specific group of specialists mentioned in the question. Therefore, they are incorrect. The Treatment squad may involve a broader range of medical professionals, while the Area support squad and Medical service squad focus on different aspects of healthcare support not related to the dental field.
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