ATI RN
ATI Proctored Pharmacology Test
1. A client has a new prescription for Cyclobenzaprine to treat muscle spasms. Which of the following instructions should the nurse include in the teaching?
- A. Avoid driving or operating heavy machinery while taking this medication.
- B. Take this medication on an empty stomach for best results.
- C. Take this medication only when experiencing muscle pain.
- D. Increase your intake of potassium-rich foods while taking this medication.
Correct answer: A
Rationale: The correct instruction that the nurse should include in the teaching for a client prescribed Cyclobenzaprine is to avoid driving or operating heavy machinery while taking this medication. Cyclobenzaprine can cause drowsiness, so it is important to advise clients to avoid activities that require alertness and coordination to prevent accidents or injuries. Choice B is incorrect because Cyclobenzaprine can be taken with or without food. Choice C is incorrect because Cyclobenzaprine is typically taken regularly as prescribed, not just when experiencing muscle pain. Choice D is incorrect because there is no specific need to increase potassium-rich foods while taking Cyclobenzaprine.
2. According to the diathesis-stress model, having a predisposition towards mental illness...
- A. Means that a person will surely develop a mental disorder in the future
- B. Does not affect the chances of developing a mental disorder
- C. Increases the chance that a person would have a mental disorder
- D. None of the above
Correct answer: C
Rationale: According to the diathesis-stress model, having a predisposition towards mental illness increases the risk but does not guarantee the development of a mental disorder. Choice A is incorrect as the model does not imply certainty. Choice B is incorrect as having a predisposition does affect the chances. Choice D is incorrect as the model does have an impact on the likelihood of developing a mental disorder.
3. A client has been diagnosed with adenocarcinoma of the stomach and is scheduled to undergo a subtotal gastrectomy (Billroth II procedure). During pre-operative teaching, the nurse is reinforcing information about the procedure. Which of the following explanations is most accurate?
- A. The procedure will result in enlargement of the pyloric sphincter
- B. The procedure will result in anastomosis of the gastric stump to the jejunum
- C. The procedure will result in removal of the duodenum
- D. The procedure will result in repositioning of the vagus nerve
Correct answer: B
Rationale: The Billroth II procedure involves anastomosis of the gastric stump to the jejunum.
4. How does socioeconomic status impact health?
- A. It affects access to resources and health care.
- B. It has no significant impact on health.
- C. It only affects mental health.
- D. It determines genetic predisposition to diseases.
Correct answer: A
Rationale: Socioeconomic status plays a crucial role in health outcomes as it affects access to resources, education, and healthcare services. Individuals with higher socioeconomic status generally have better access to quality healthcare, leading to improved overall health compared to those with lower socioeconomic status.
5. During the third stage of labor, __________.
- A. the cervix thins to nothing
- B. uterine contractions begin
- C. the placenta is delivered
- D. the baby is born
Correct answer: C
Rationale: During the third stage of labor, the correct answer is C, the placenta is delivered. This stage occurs after the baby is born and involves the expulsion of the placenta from the uterus. Choice A is incorrect because the thinning of the cervix to nothing typically occurs during the first stage of labor. Choice B is incorrect as uterine contractions usually begin during the first stage of labor to help with the dilation of the cervix. Choice D is incorrect because the baby is typically born in the second stage of labor, not the third.
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