ATI RN
ATI Pharmacology Proctored Exam 2023
1. A client has a new prescription for Nitroglycerin sublingual tablets. Which of the following instructions should the nurse include?
- A. Take one tablet every 15 minutes until pain is relieved.
- B. Take one tablet every 5 minutes, up to three doses.
- C. Take one tablet at bedtime.
- D. Take one tablet on an empty stomach.
Correct answer: B
Rationale: The correct administration of Nitroglycerin sublingual tablets involves taking one tablet at the onset of chest pain and repeating every 5 minutes for up to three doses. This protocol helps in managing angina episodes effectively. Choice A suggests taking a tablet every 15 minutes until pain relief, which may delay appropriate intervention. Choice C, taking a tablet at bedtime, is not suitable for immediate relief during angina attacks. Choice D, taking a tablet on an empty stomach, is unrelated to the correct administration of Nitroglycerin sublingual tablets.
2. Where is Vitamin K synthesized?
- A. by bacteria in the GI tract
- B. by the body by sunlight
- C. deficiency is called beriberi
- D. found in vegetable oils
Correct answer: A
Rationale: Vitamin K is synthesized by bacteria in the gastrointestinal tract. Choice B is incorrect as the synthesis of Vitamin D, not K, can be induced by sunlight exposure. Choice C is incorrect as beriberi is a condition caused by thiamine (Vitamin B1) deficiency, not Vitamin K. Choice D is incorrect as Vitamin E is commonly found in vegetable oils, not Vitamin K.
3. What factor is most likely to influence the success of a health promotion program?
- A. Adequate funding
- B. Community engagement
- C. Support from local government
- D. Availability of resources
Correct answer: B
Rationale: Community engagement plays a pivotal role in the success of a health promotion program. When the community is actively involved, it helps in tailoring the program to meet their specific needs, garnering their support, and fostering sustainability.
4. Which of the following is NOT one of the three basic areas of concern into which practical nurse management responsibilities can be categorized?
- A. Managing patients' legal affairs
- B. Managing the hypothalamus: The hypothalamus is a small area in the brain located just below the thalamus. It plays a crucial role in controlling various bodily functions, including temperature regulation, hunger, and thirst, sleep-wake cycles, and hormone regulation. The hypothalamus is also involved in the control of the autonomic nervous system and the release of hormones from the pituitary gland.
- C. Managing work center operations
- D. Managing personnel
Correct answer: A
Rationale: Managing patients' legal affairs is not a basic area of concern in practical nurse management responsibilities. The primary areas typically include managing work center operations, managing personnel, and overseeing patient care. Choice B, managing the hypothalamus, is irrelevant to nurse management responsibilities and is not a standard area of concern in this context. Choice C, managing work center operations, and Choice D, managing personnel, align more closely with the core responsibilities and concerns of practical nurse management roles.
5. What is a crucial nursing responsibility when caring for a patient with a central line?
- A. Flush the line with saline
- B. Monitor for infection
- C. Monitor fluid balance
- D. Replace the central line
Correct answer: B
Rationale: When caring for a patient with a central line, monitoring for infection is a crucial nursing responsibility. This is essential to prevent complications such as bloodstream infections. While flushing the line with saline and monitoring fluid balance are important aspects of care, they are not as critical as monitoring for infection. Replacing the central line is only done when necessary due to complications or at the end of its recommended use.
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