ATI RN
ATI Pharmacology Proctored Exam 2023
1. A client in an acute care facility is receiving IV Nitroprusside for hypertensive crisis. The nurse should monitor the client for which of the following adverse reactions to this medication?
- A. Intestinal ileus
- B. Neutropenia
- C. Delirium
- D. Hyperthermia
Correct answer: C
Rationale: The correct answer is C: Delirium. When IV Nitroprusside is infused at high dosages, it can lead to thiocyanate toxicity, causing mental status changes such as delirium. It is crucial to monitor the thiocyanate levels to ensure they remain below 10 mg/dL during therapy to prevent adverse effects. Choices A, B, and D are incorrect because IV Nitroprusside is not commonly associated with intestinal ileus, neutropenia, or hyperthermia. Monitoring for delirium is crucial due to the risk of thiocyanate toxicity.
2. What test measures the oxygen level in the blood, often used to monitor patients with respiratory or cardiovascular conditions?
- A. Pulse oximetry
- B. Arterial blood gas (ABG)
- C. Echocardiogram
- D. Chest X-ray
Correct answer: A
Rationale: The correct answer is A, Pulse oximetry. Pulse oximetry is a non-invasive test that measures the oxygen saturation level in the blood, commonly used to monitor respiratory and cardiovascular health. Arterial blood gas (ABG) measures the levels of oxygen and carbon dioxide in the blood, providing more detailed information than pulse oximetry. Echocardiogram is an ultrasound test used to visualize the heart's structure and function, while a chest X-ray is used to visualize the structures in the chest, such as the heart, lungs, and bones.
3. When does regular insulin typically peak?
- A. 30 minutes to 2 ½ hours
- B. 1 to 3 hours
- C. 6 to 14 hours
- D. 1 to 5 hours
Correct answer: D
Rationale: Regular insulin usually peaks around 1 to 5 hours after administration. This peak time frame is important to consider when managing blood glucose levels and timing meals to coincide with insulin activity. Choice A, '30 minutes to 2 ½ hours,' is incorrect because regular insulin typically peaks later. Choice B, '1 to 3 hours,' is not the most accurate as the peak for regular insulin can extend beyond 3 hours. Choice C, '6 to 14 hours,' is incorrect as this timeframe is more indicative of long-acting insulins, not regular insulin.
4. Ms. ANA had a car accident where he lost her boyfriend. As a result, she became passive and submissive. The nurse knows that the type of crisis Ms. ANA is experiencing is:
- A. Developmental crisis
- B. Maturational crisis
- C. Situational crisis
- D. Social Crisis
Correct answer: B
Rationale: Nursing interventions should be grounded in a deep understanding of the physiological processes involved, ensuring that care provided is both effective and efficient.
5. How do socioeconomic factors influence mental health?
- A. Socioeconomic factors have no impact on mental health.
- B. Socioeconomic factors are the primary determinants of mental health.
- C. Socioeconomic factors are irrelevant to mental health.
- D. Socioeconomic factors can exacerbate but not cause mental health issues.
Correct answer: B
Rationale: Socioeconomic factors are indeed primary determinants of mental health. These factors influence mental health by impacting access to resources, stress levels, and overall well-being. Choice A is incorrect as socioeconomic factors do have a significant impact on mental health. Choice C is incorrect as socioeconomic factors play a crucial role in mental health outcomes. Choice D is incorrect as socioeconomic factors can both exacerbate and cause mental health issues.
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