ATI RN
ATI Pharmacology Proctored Exam
1. A nurse is providing discharge instructions to a client who has a new prescription for a Fentanyl transdermal patch. Which of the following instructions should the nurse include?
- A. Apply the patch to a hairy area.
- B. Change the patch every 24 hours.
- C. Avoid exposure to heat sources.
- D. Cut the patch to adjust the dosage.
Correct answer: C
Rationale: The correct instruction that the nurse should include when providing discharge instructions for a client with a Fentanyl transdermal patch is to avoid exposure to heat sources. Heat can increase the absorption of the medication, leading to a risk of overdose. Choice A is incorrect because the patch should be applied to a clean, non-hairy area. Choice B is incorrect as the Fentanyl patch is usually changed every 72 hours, not every 24 hours. Choice D is incorrect as the patch should never be cut to adjust the dosage.
2. Which best describes a primary role of nurses in promoting community health?
- A. Conducting individual health assessments
- B. Advocating for health policy changes
- C. Providing health education to groups
- D. Developing health policies
Correct answer: B
Rationale: A primary role of nurses in promoting community health involves advocating for health policy changes. By advocating for policy changes, nurses can address systemic issues that impact the health of the community as a whole, rather than focusing solely on individual assessments or education. This proactive approach allows nurses to influence broader health determinants and create sustainable improvements in community health outcomes.
3. What is a common barrier to effective delegation?
- A. Lack of trust in team members
- B. Lack of communication
- C. Inadequate training
- D. Lack of resources
Correct answer: A
Rationale: One of the common barriers to effective delegation is a lack of trust in team members. Delegating tasks involves entrusting responsibilities to others, and without trust in the team members' capabilities, the delegator may struggle to effectively assign tasks. Trust is essential for successful delegation as it allows for empowerment and accountability within the team. While lack of communication is crucial for effective delegation, the lack of trust has a more profound impact as it directly affects the ability to delegate tasks. Inadequate training and lack of resources, although important factors, are not as fundamental as trust in team members when it comes to effective delegation.
4. By the end of Greta's first month of pregnancy, her embryo __________.
- A. can sense its world
- B. is about ¼ inch long
- C. can suck its thumb
- D. can curl its toes
Correct answer: B
Rationale: By the end of Greta's first month of pregnancy, her embryo is about ¼ inch long. During the first month of pregnancy, the embryo is in the very early stages of development, and its size is typically around ¼ inch as it continues to grow and develop in the uterus. Choices A, C, and D are incorrect because sensory abilities like sensing the world, sucking thumb, and curling toes develop later in the pregnancy as the embryo progresses through different stages of development.
5. Which of the following best describes the concept of evidence-based practice (EBP)?
- A. Clinical expertise as the primary basis for decision making
- B. Research findings as the sole basis for decision making
- C. Combining clinical expertise with the best available research evidence
- D. Following institutional guidelines for patient care
Correct answer: C
Rationale: The correct answer is C: 'Combining clinical expertise with the best available research evidence.' Evidence-based practice (EBP) emphasizes integrating clinical expertise with the most current and relevant research evidence when making decisions about patient care. Choice A is incorrect because EBP does not rely solely on clinical expertise. Choice B is incorrect as EBP considers research evidence alongside clinical expertise, not as the sole basis. Choice D is incorrect because EBP is not about blindly following institutional guidelines, but rather about integrating research evidence with clinical judgment to provide the best possible care.
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