ATI RN
ATI Pharmacology Proctored Exam
1. A healthcare provider is preparing to administer an Opioid agonist to a client who has acute pain. Which of the following complications should the provider monitor?
- A. Urinary retention
- B. Tachypnea
- C. Hypertension
- D. Irritating cough
Correct answer: A
Rationale: The correct answer is urinary retention. Opioid agonists like morphine can suppress the awareness of bladder fullness, leading to urinary retention. This complication can result in significant discomfort and potential urinary tract issues if not promptly addressed. Tachypnea (increased respiratory rate) is a common side effect of opioids but is not a specific complication related to urinary retention. Hypertension is not typically associated with opioid agonists and is more commonly seen with opioid antagonists. An irritating cough is not a known complication of opioid agonists and is not directly related to the effect opioids have on the urinary system.
2. The PEM in which children ages 18-24 months display edema of the extremities, torso, and face, fatty liver, sparse yellow hair, and receive adequate kilocalories but not enough high-quality proteins is called?
- A. Marasmus
- B. Kwashiorkor
- C. Anemia
- D. Noma
Correct answer: B
Rationale: Kwashiorkor is a form of severe malnutrition characterized by edema, fatty liver, and other symptoms, typically resulting from inadequate protein intake despite adequate calorie intake.
3. A nurse is providing teaching to a client who has a new prescription for levothyroxine. Which of the following instructions should the nurse include?
- A. Take this medication on an empty stomach.
- B. Take this medication at bedtime.
- C. Take this medication with food.
- D. Take this medication with a calcium supplement.
Correct answer: A
Rationale: The correct answer is A: 'Take this medication on an empty stomach.' Levothyroxine should be taken on an empty stomach to enhance absorption. Taking it with food or at bedtime can interfere with its absorption. Calcium supplements should also be avoided when taking levothyroxine as they can reduce its absorption.
4. A client who underwent surgical placement of a colostomy is being cared for by a nurse. Which of the following statements indicates the client understands the dietary teaching?
- A. “Eating yogurt can help decrease the amount of gas that I have.”
- B. “I should eliminate pasta from my diet so that I don’t have as many loose stools.”
- C. “My largest meal of the day should be in the evening.”
- D. “Carbonated beverages can help control odor.”
Correct answer: “Carbonated beverages can help control odor.”
Rationale: The correct answer is D. Carbonated beverages can help control odor in clients with colostomies. This is because carbonated drinks can help decrease odor by reducing the production of odoriferous compounds in the colon. Choices A, B, and C are incorrect. Eating yogurt may help regulate bowel movements but does not specifically address odor control associated with colostomies. Eliminating pasta from the diet to reduce loose stools is not necessary for colostomy care. The timing of the largest meal of the day is not directly related to dietary teaching for colostomy care.
5. A client is at risk for excess fluid volume. Which nursing intervention ensures the most accurate monitoring of the client’s fluid status?
- A. Measuring and recording fluid intake and output
- B. Weighing the client daily at the same time each day
- C. Assessing the client’s vital signs every 4 hours
- D. Checking the client’s lungs for crackles during every shift
Correct answer: B
Rationale: Weighing the client daily at the same time each day is the most accurate method for monitoring fluid balance. Changes in body weight can reflect fluid retention or loss. Measuring and recording fluid intake and output (Choice A) is important but may not provide immediate changes in fluid status. Assessing vital signs (Choice C) can offer some information but may not be as specific to fluid status as daily weighing. Checking the client's lungs for crackles (Choice D) is more related to assessing respiratory status rather than direct fluid monitoring.
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