ATI RN
ATI Pharmacology Proctored Exam
1. A client with Schizophrenia is taking Risperidone. Which of the following instructions should the nurse include in the teaching?
- A. Increase your intake of snacks to prevent weight loss.
- B. Notify the provider if you develop breast enlargement.
- C. Be aware of the possibility of mild seizures while taking this medication.
- D. Expect an increase in libido when taking this medication.
Correct answer: B
Rationale: The correct instruction the nurse should provide to the client taking Risperidone for Schizophrenia is to notify the provider if they develop breast enlargement. Risperidone can lead to an increase in prolactin levels, causing gynecomastia (breast enlargement) and galactorrhea. Therefore, it is crucial for the client to report these manifestations to the healthcare provider for appropriate management. Choices A, C, and D are incorrect. Increasing snack intake to prevent weight loss is not a specific concern related to Risperidone. Mild seizures are not a common side effect of Risperidone, so this instruction is unnecessary. Risperidone is more likely to cause sexual side effects like decreased libido rather than an increase.
2. In an adult patient, which assessment finding is considered diagnostic of Hodgkin lymphoma?
- A. Schwann cells
- B. Reed-Sternberg cells
- C. Lewy bodies
- D. Loops of Henle
Correct answer: B
Rationale: The correct answer is B: Reed-Sternberg cells. In Hodgkin lymphoma, the presence of Reed-Sternberg cells in lymph node biopsy is diagnostic. These cells are large, atypical cells originating from B-lymphocytes. They are distinctive in appearance and are key to diagnosing Hodgkin lymphoma. Choices A, C, and D are incorrect because Schwann cells are related to nerve function, Lewy bodies are associated with Parkinson's disease, and Loops of Henle are structures in the kidney, none of which are specific to Hodgkin lymphoma.
3. A healthcare professional is preparing to administer furosemide 80 mg PO daily. The available furosemide oral solution is 10 mg/1 mL. How many mL should the healthcare professional administer?
- A. 8 mL
- B. 10 mL
- C. 6 mL
- D. 12 mL
Correct answer: A
Rationale: To determine the volume to administer, divide the desired dose by the available concentration. In this case, (80 mg / 10 mg/mL) = 8 mL. Therefore, the healthcare professional should administer 8 mL of furosemide oral solution. Choice B (10 mL), C (6 mL), and D (12 mL) are incorrect as they do not accurately calculate the volume needed based on the provided concentration of the solution.
4. The nurse is caring for a child with sickle cell anemia with the following order: Morphine Sulfate 2 mg IV every 24 hours. Morphine Sulfate is available in 10 mg/1mL. How many mL should the nurse administer?
- A. 0.2 mL
- B. 0.5 mL
- C. 1 mL
- D. 2 mL
Correct answer: A
Rationale: To administer 2 mg of Morphine Sulfate when the concentration is 10 mg/mL, the nurse should administer 0.2 mL (2 mg / 10 mg/mL = 0.2 mL). Choice B, 0.5 mL, is incorrect because it is the result of dividing 2 mg by 4 mg/mL instead of 10 mg/mL. Choice C, 1 mL, is incorrect as it would be the result of dividing 2 mg by 2 mg/mL. Choice D, 2 mL, is incorrect as it would be the result of dividing 2 mg by 1 mg/mL.
5. Which statement about the Nurse-Family Partnership is true?
- A. It is an international program to reduce the risk of teratogens.
- B. One of its goals is to promote competent early caregiving.
- C. It is a series of childbirth classes offered at many U.S. hospitals.
- D. It provides family planning and genetic counseling to couples.
Correct answer: B
Rationale: The statement that is true about the Nurse-Family Partnership is that one of its goals is to promote competent early caregiving. The program provides support and guidance to first-time mothers to help them develop their caregiving skills and promote healthy child development. Choice A is incorrect because the program focuses on promoting healthy child development and supporting mothers, not specifically reducing the risk of teratogens. Choice C is incorrect because the Nurse-Family Partnership is not a series of childbirth classes but a program that involves home visits and support. Choice D is incorrect because the program's main focus is on supporting mothers in caregiving and child development, not primarily on family planning and genetic counseling.
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