ATI RN
Proctored Pharmacology ATI
1. A client in a coronary care unit is being admitted after CPR post cardiac arrest. The client is receiving IV lidocaine at 2 mg/min. When the client asks the nurse why he is receiving that medication, the nurse should explain that it has which of the following actions?
- A. Prevents dysrhythmias
- B. Slows intestinal motility
- C. Dissolves blood clots
- D. Relieves pain
Correct answer: A
Rationale: Lidocaine is administered to prevent dysrhythmias by delaying conduction in the heart and reducing the automaticity of heart tissue. This action helps stabilize the heart's electrical activity and prevent life-threatening arrhythmias post-cardiac arrest. Choices B, C, and D are incorrect as lidocaine is not used for slowing intestinal motility, dissolving blood clots, or relieving pain in this context.
2. A healthcare provider in a clinic is monitoring serum electrolytes for four older adult clients who take digoxin. Which of the following electrolyte values increases a client's risk for Digoxin toxicity?
- A. Calcium 9.2 mg/dL
- B. Calcium 10.3 mg/dL
- C. Potassium 3.4 mEq/L
- D. Potassium 4.8 mEq/L
Correct answer: C
Rationale: Potassium 3.4 mEq/L is below the expected reference range, which increases the risk for digoxin toxicity. Low potassium levels can lead to fatal dysrhythmias, particularly in older clients taking Digoxin. Hypokalemia potentiates the effects of Digoxin, making the heart more sensitive to its toxic effects. Monitoring and correcting electrolyte imbalances, especially low potassium levels, are crucial to prevent adverse effects of digoxin therapy. Calcium levels do not directly influence digoxin toxicity, so choices A and B are incorrect. High potassium levels, as in choice D, are less likely to increase the risk of digoxin toxicity compared to low potassium levels.
3. Most cognitive aging research has focused on intellectual ________.
- A. stability
- B. gains
- C. competence
- D. deficits
Correct answer: D
Rationale: The correct answer is 'D: deficits.' Most cognitive aging research has indeed focused on deficits rather than stability, gains, or competence. Studies have consistently shown that deficits in processing speed and memory are common in aging individuals, making it a primary area of interest in research. Choices A, B, and C are incorrect because cognitive aging research primarily aims to understand and address deficits associated with aging rather than focusing on stability, gains, or overall competence.
4. Melena, the passage of black, tarry stools, suggests bleeding from which source?
- A. The perianal or rectal area
- B. The upper gastrointestinal (GI) tract
- C. The lower GI tract
- D. Hemorrhoids or anal fissures
Correct answer: B
Rationale: Melena indicates bleeding from the upper GI tract. The black, tarry appearance of the stool results from the partial digestion of blood as it passes through the intestines, typically originating from sources like the stomach or duodenum. Lower GI bleeding usually presents as bright red blood in the stool, originating from sources like the colon or rectum. Choices A, C, and D are incorrect because melena specifically points to upper GI bleeding rather than issues in the perianal/rectal area, lower GI tract, or hemorrhoids/anal fissures.
5. Which field of psychology studies attitude change and group behavior?
- A. Developmental psychology
- B. Social psychology
- C. Psychoanalysis
- D. Psychometrics
Correct answer: B
Rationale: The correct answer is B: Social psychology. Social psychology specifically focuses on studying topics like attitude change and group behavior. Developmental psychology (Choice A) primarily deals with human growth and development across the lifespan. Psychoanalysis (Choice C) is a theoretical approach to psychology developed by Sigmund Freud focusing on the unconscious mind and childhood experiences. Psychometrics (Choice D) involves the measurement of psychological variables such as intelligence, personality traits, and abilities.
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