ATI RN
Pharmacology ATI Proctored Exam 2023
1. Which medication is a beta blocker?
- A. Atenolol (Tenormin)
- B. Verapamil (Calan)
- C. Captopril (Capoten)
- D. Clopidogrel (Plavix)
Correct answer: A
Rationale: Atenolol (Tenormin) is a beta blocker commonly used to treat conditions like hypertension and angina by blocking the action of adrenaline on the heart. Verapamil is a calcium channel blocker, Captopril is an ACE inhibitor, and Clopidogrel is an antiplatelet medication. Therefore, the correct answer is Atenolol (Tenormin) as it belongs to the beta blocker class of medications.
2. Daniel is pretending that one of his blocks is a car. Daniel is exhibiting which function?
- A. Abstraction
- B. Preoperational
- C. Overextension
- D. Semiotic
Correct answer: A
Rationale: The correct answer is A: Abstraction. Pretending that a block is a car demonstrates abstraction, where one object is used to represent another. Choice B, Preoperational, refers to Piaget's stage of cognitive development. Choice C, Overextension, involves using a word in a broader context than is appropriate. Choice D, Semiotic, refers to the use of symbols to represent ideas or concepts, which is not directly related to the scenario described in the question.
3. A client with heart failure has gained 2 kg (4.4 lbs) in the past 24 hours. What action should the nurse take first?
- A. Restrict the client's fluid intake.
- B. Assess the client's respiratory status.
- C. Administer diuretics as ordered.
- D. Notify the healthcare provider.
Correct answer: B
Rationale: Assessing the client's respiratory status is the priority as it helps determine if the weight gain is due to fluid retention affecting breathing. This assessment is crucial in addressing the immediate concern of potential respiratory distress before implementing interventions like fluid restriction, diuretics, or notifying the healthcare provider.
4. The healthcare provider is planning care for a patient receiving morphine sulfate via a patient-controlled analgesia pump. Which intervention may be required due to a potential adverse effect of this drug?
- A. Administering a cough suppressant
- B. Inserting a Foley catheter
- C. Administering an anti-diarrheal
- D. Monitoring urinary output
Correct answer: B
Rationale: Morphine can lead to urinary retention and urinary hesitancy. If a patient shows signs of bladder distention or inability to void, the healthcare provider should be notified, and urinary catheterization may be necessary. Administering a cough suppressant or an anti-diarrheal is not typically required to address adverse effects of morphine. Liver function tests (LFTs) are not directly related to the potential adverse effects of morphine on the urinary system.
5. Dr. Wu observes children’s responses to bullying by watching them play in a park. This is an example of a(n) __________.
- A. ethnographic study
- B. naturalistic observation
- C. structured observation
- D. clinical interview Answer: B Page Ref: 28 Skill Level: Apply Topic: Studying Development Difficulty Level: Moderate
Correct answer: B
Rationale: Dr. Wu's observation of children's responses to bullying by watching them play in a park is an example of naturalistic observation. Naturalistic observation involves observing behavior in a natural setting without any manipulation or intervention. Dr. Wu is simply observing the children's behavior in a real-world setting to gain insights into how they respond to bullying, making it a naturalistic observation.
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