ATI RN
ATI Pharmacology Proctored Exam
1. A client has a new prescription for Omeprazole. Which of the following instructions should the nurse include?
- A. Take this medication before meals.
- B. Take this medication with food.
- C. Take this medication at bedtime.
- D. Take this medication with antacids.
Correct answer: A
Rationale: The correct answer is A: 'Take this medication before meals.' Omeprazole is a proton pump inhibitor that is most effective in reducing stomach acid production when taken before meals. This timing helps the medication work optimally by inhibiting acid secretion that occurs in response to food intake. Choice B ('Take this medication with food') is incorrect because Omeprazole should be taken before meals. Choice C ('Take this medication at bedtime') is incorrect as the optimal timing is before meals, not at bedtime. Choice D ('Take this medication with antacids') is incorrect because Omeprazole should not be taken with antacids as they can interfere with its absorption.
2. When teaching parents of a school-aged child with a new diagnosis of osteomyelitis of the tibia, which statement by the parents indicates an understanding of the teaching?
- A. My child will have a cast until healing is complete.
- B. My child will receive antibiotics for several weeks.
- C. My child can return to playing sports once he is discharged.
- D. My child needs to be in contact isolation.
Correct answer: B
Rationale: The correct answer is B. Osteomyelitis of the tibia typically requires antibiotic therapy for at least 4 weeks. Surgery may be necessary if the infection does not respond to antibiotics. Weight-bearing should be avoided with osteomyelitis to prevent complications. Choices A, C, and D are incorrect because a cast until healing, returning to sports immediately, and contact isolation are not primary management strategies for osteomyelitis.
3. The nurse is working with a patient who recently had a stroke. The patient frequently chokes and coughs when eating and is having difficulty feeding herself. What is the best way to ensure adequate nutrition?
- A. to have an aide feed her at each meal
- B. to ask a family member to assist during meals
- C. to provide tube feedings for the patient
- D. to initiate TPN for the patient
Correct answer: C
Rationale: The best way to ensure adequate nutrition for a stroke patient who frequently chokes and coughs when eating and has difficulty feeding herself is to provide tube feedings. Tube feedings are a safe and effective method to deliver nutrition directly to the stomach or intestines, bypassing the swallowing mechanism, reducing the risk of aspiration. Having an aide feed her each meal (choice A) may not address the underlying issue of swallowing difficulty and aspiration risk. Asking a family member to be present at each meal (choice B) does not provide a definitive solution to the patient's nutritional needs. Placing the patient on total parenteral nutrition (TPN) (choice D) is a more invasive and typically reserved for patients who cannot tolerate enteral feedings or have non-functional gastrointestinal tracts.
4. Which characteristic presents the greatest risk for injury to others in a patient diagnosed with schizophrenia?
- A. Depersonalization
- B. Pressured speech
- C. Negative symptoms
- D. Paranoia
Correct answer: D
Rationale: Paranoia in patients with schizophrenia can lead to aggressive behaviors, including violence, which poses a significant risk of injury to others. Individuals experiencing paranoia may perceive others as threats and act defensively or aggressively in response, increasing the likelihood of harm to those around them.
5. During Irina's first week of pregnancy, __________.
- A. heart muscles begin to develop
- B. the zygote multiplies and forms a blastocyst
- C. a primitive brain and spinal cord appear
- D. the embryo can move
Correct answer: B
Rationale: During the first week of pregnancy, the zygote (fertilized egg) undergoes rapid cell divisions and forms a blastocyst. This is a crucial stage where the cells differentiate and specialize, setting the foundation for the development of the embryo. It is during this time that the zygote implants itself into the uterine wall, initiating the process of pregnancy. Choices A, C, and D are incorrect because during the first week of pregnancy, the focus is on the initial development and multiplication of the zygote, not on the development of heart muscles, a primitive brain and spinal cord, or the embryo's ability to move.
Similar Questions
Access More Features
ATI Basic
- 50,000 Questions with answers
- All ATI courses Coverage
- 30 days access @ $69.99
ATI Basic
- 50,000 Questions with answers
- All ATI courses Coverage
- 90 days access @ $149.99