ATI RN
ATI Pharmacology Proctored Exam 2019
1. While teaching a client with a new prescription for Warfarin, which of the following statements by the client indicates a need for further teaching?
- A. I will avoid eating large amounts of green leafy vegetables.
- B. I will take my medication at the same time every day.
- C. I will increase my intake of foods high in potassium.
- D. I will report any signs of bleeding to my provider.
Correct answer: C
Rationale: The correct answer is C because Warfarin interacts with vitamin K, found in green leafy vegetables, not potassium. The client should avoid consuming large amounts of foods high in vitamin K to maintain the effectiveness of Warfarin therapy. Increasing potassium intake is not a concern related to Warfarin therapy, so this statement indicates a need for further teaching. Choices A, B, and D are all correct statements indicating good understanding of Warfarin therapy. Avoiding large amounts of green leafy vegetables helps prevent fluctuations in vitamin K levels, taking medication consistently maintains therapeutic levels, and reporting any signs of bleeding is essential for monitoring and managing potential side effects of Warfarin.
2. Which of the following is a common criticism against Piaget's theory of cognitive development?
- A. The sequence of stages is not fixed.
- B. Research has not supported the existence of the preoperational stage.
- C. Piaget put a heavy emphasis on the environment, ignoring the importance of mental processes.
- D. Children develop abilities earlier than Piaget theorized.
Correct answer: D
Rationale: The correct answer is D because one common criticism of Piaget's theory is that children often acquire cognitive abilities earlier than Piaget proposed. This criticism suggests that Piaget's stages might not be as fixed or rigid as he believed. Choices A, B, and C are incorrect: A is a characteristic of Piaget's theory; B is not a common criticism, as research generally supports the existence of Piaget's stages; and C is inaccurate, as Piaget actually emphasized the importance of mental processes in cognitive development.
3. Which of the following is an indication for tracheostomy?
- A. Drainage of pleural effusion
- B. Hemorrhage
- C. Infections
- D. Acute respiratory failure
Correct answer: D
Rationale: Tracheostomy is a surgical procedure where an incision is made in the windpipe to help with breathing. Acute respiratory failure, which can occur due to various reasons such as upper airway obstruction, is a common indication for tracheostomy. While drainage of pleural effusion, hemorrhage, and infections may require medical intervention, they are not direct indications for a tracheostomy like acute respiratory failure.
4. The purpose of ECT in clients with depression is to:
- A. Stimulation in the brain to increase brain conduction and counteract depression
- B. Mainly Biologic, increasing the norepinephrine and serotonin level
- C. Creates a temporary brain damage that will increase blood flow to the brain
- D. Involves the conduction of electrical current to the brain to charge the neurons and combat depression
Correct answer: A
Rationale: Patient safety and efficacy of care depend on actions rooted in established nursing protocols that consider both the immediate and long-term needs of the patient.
5. Match protease with its digestive action:
- A. breaks down carbs
- B. breaks down proteins
- C. breaks down lipids
- D. helps fat digestion
Correct answer: B
Rationale: Proteases are enzymes that break down proteins into smaller peptides and amino acids.
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