ATI RN
ATI Pharmacology Proctored Exam 2023
1. A client has a new prescription for Losartan. Which of the following laboratory values should the nurse monitor?
- A. Serum potassium
- B. Serum sodium
- C. Serum calcium
- D. Serum magnesium
Correct answer: A
Rationale: Corrected Rationale: Losartan, an angiotensin II receptor blocker (ARB), can cause hyperkalemia. The nurse should monitor the client's serum potassium levels closely because Losartan can increase potassium levels, potentially leading to serious complications such as arrhythmias. Monitoring serum sodium, calcium, or magnesium levels is not typically necessary when a patient is prescribed Losartan, as these values are not directly affected by this medication.
2. A nurse is teaching an in-service about manifestations of hypoglycemia to a group of newly licensed nurses. Which of the following should the nurse include in the teaching?
- A. Blurred vision
- B. Vomiting
- C. Kussmaul respirations
- D. Bradycardia
Correct answer: A
Rationale: Blurred vision is a common symptom of hypoglycemia and should be included in the teaching.
3. Dr. Singh believes that a basic psychosocial conflict, which is resolved along a continuum from positive to negative, determines healthy or maladaptive outcomes at each stage of development. Dr. Singh's beliefs are aligned with those of which theorist?
- A. G. Stanley Hall
- B. Sigmund Freud
- C. Erik Erikson
- D. B. F. Skinner
Correct answer: C
Rationale: Dr. Singh's beliefs align with Erik Erikson's psychosocial theory of development. Erikson proposed that individuals go through a series of psychosocial stages, with each stage characterized by a basic conflict that must be resolved to achieve healthy development. This conflict is resolved along a continuum from positive to negative outcomes. Choice A, G. Stanley Hall, is incorrect as his work focused on adolescence and evolutionary psychology. Choice B, Sigmund Freud, is incorrect as his psychoanalytic theory is more focused on the unconscious mind and psychosexual stages. Choice D, B. F. Skinner, is incorrect as he is associated with behaviorism and operant conditioning, which is different from Erikson's psychosocial theory.
4. While caring for a newborn with jaundice receiving phototherapy, what action should the nurse take?
- A. Feed the infant 30 ml (1 oz) of glucose water every 2 hours.
- B. Keep the infant's head covered with a cap.
- C. Ensure that the newborn wears a diaper.
- D. Apply lotion to the newborn every 4 hours.
Correct answer: C
Rationale: The correct action for the nurse to take while caring for a newborn with jaundice receiving phototherapy is to ensure that the newborn wears a diaper. This is essential to prevent skin irritation during phototherapy. Feeding the infant glucose water or applying lotion are not pertinent to managing jaundice or phototherapy. Keeping the infant's head covered with a cap is also not necessary for this specific situation.
5. A nurse is caring for a client who is experiencing a tonic-clonic seizure. Which of the following actions should the nurse take?
- A. Insert a tongue depressor into the client's mouth.
- B. Restrain the client's arms and legs.
- C. Turn the client onto their side.
- D. Place the client in a prone position.
Correct answer: C
Rationale: During a tonic-clonic seizure, the nurse should turn the client onto their side. This action helps maintain an open airway by allowing saliva or any vomitus to drain out of the mouth, reducing the risk of aspiration. Inserting a tongue depressor (choice A) is incorrect as it can cause injury to the client's mouth and is not recommended during a seizure. Restraining the client's arms and legs (choice B) can lead to physical harm and should be avoided. Placing the client in a prone position (choice D) is dangerous as it can obstruct the airway and hinder breathing, which is not suitable for a client experiencing a seizure.
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