ATI RN
ATI Proctored Pharmacology Test
1. A nurse in a clinic is caring for a group of clients. The nurse should contact the provider about a potential contraindication to a medication for which of the following clients? (Select all that apply.)
- A. A client at 8 weeks of gestation who asks for an Influenza immunization
- B. A client who takes Prednisone and has a possible Fungal infection
- C. A client who has chronic liver disease and is taking Hydrocodone
- D. A client who has Peptic Ulcer Disease, takes Sucralfate, and tells the nurse she has started taking OTC Aluminum Hydroxide
Correct answer: B
Rationale: Prednisone, a glucocorticoid, should not be taken by a client who has a possible systemic fungal infection as it can worsen the infection. This combination can suppress the immune response, allowing the fungal infection to proliferate. Therefore, the nurse should contact the provider regarding this potential contraindication to medication. The other options do not present a contraindication related to the medication interactions described in the question.
2. A male patient is being treated with testosterone gel for hypogonadism. What important instruction should the nurse provide?
- A. Apply the gel to the face and neck for maximum absorption.
- B. Apply the gel to the chest or upper arms and allow it to dry completely before dressing.
- C. Apply the gel to the scalp and back.
- D. Apply the gel to the genitals for improved results.
Correct answer: B
Rationale: The correct instruction for applying testosterone gel is to apply it to the chest or upper arms and allow it to dry completely before dressing. This is important to prevent the transfer of the medication to others. Applying it to the face and neck (Choice A) is incorrect as these areas are not recommended. Similarly, applying it to the scalp and back (Choice C) or the genitals (Choice D) is also incorrect and can lead to inappropriate absorption or undesirable effects.
3. You are attending a certification on cardiopulmonary resuscitation (CPR) offered and required by the hospital employing you. This is
- A. professional course towards credits
- B. inservice education
- C. advance training
- D. continuing education
Correct answer: C
Rationale: Effective nursing care involves comprehensive assessments that address all aspects of a patient's condition, ensuring that interventions are appropriately targeted and outcomes are optimized.
4. Even though this is not easy, facilitating ____________ is a mandatory skill for all nurse managers and is crucial in the success of the manager.
- A. resistance
- B. change
- C. planning
- D. collection of data
Correct answer: B
Rationale: The correct answer is 'B: change.' Facilitating change is a crucial skill for nurse managers as they often need to lead and manage changes in healthcare settings. While managing resistance (choice A) is important, the question focuses on the necessity of facilitating change. Planning (choice C) and collecting data (choice D) are also essential skills for managers, but in this context, the emphasis is on the ability to facilitate change effectively.
5. A nurse is caring for a patient postoperatively after a thyroidectomy. Which of the following findings should be reported immediately?
- A. Hoarseness
- B. Difficulty swallowing
- C. Numbness in the fingers
- D. Tingling around the mouth
Correct answer: D
Rationale: Tingling around the mouth should be reported immediately as it may indicate hypocalcemia, a serious complication resulting from accidental removal or damage to the parathyroid glands during thyroidectomy. Hoarseness and difficulty swallowing are common post-thyroidectomy symptoms related to the surgery itself and the manipulation of the vocal cords and nearby structures. Numbness in the fingers is not typically associated with immediate serious complications of a thyroidectomy.
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