ATI RN
ATI Proctored Pharmacology Test
1. A client has a new prescription for Methotrexate. Which of the following instructions should be included in the teaching?
- A. Avoid drinking alcohol while taking this medication.
- B. Take the medication with a high-fat meal.
- C. Expect increased hair growth.
- D. You should never stop taking the medication without consulting your healthcare provider.
Correct answer: A
Rationale: The correct instruction for a client taking Methotrexate is to avoid drinking alcohol. Methotrexate can cause liver toxicity, and alcohol consumption can increase this risk. It is important to emphasize the avoidance of alcohol while on this medication to prevent adverse effects and ensure treatment effectiveness. The other options are incorrect: Taking Methotrexate with a high-fat meal is not necessary as it can be taken with or without food. Increased hair growth is not an expected effect of Methotrexate; in fact, hair loss is a potential side effect. Stopping the medication without consulting a healthcare provider can be dangerous and may lead to worsening of symptoms or relapse, making option D incorrect.
2. The client is on nitroglycerin and reports chest pain. What is the nurse’s priority action?
- A. Administer nitroglycerin as ordered.
- B. Administer morphine as ordered.
- C. Administer aspirin as ordered.
- D. Notify the healthcare provider immediately.
Correct answer: D
Rationale: The correct answer is D: Notify the healthcare provider immediately. If a client on nitroglycerin reports chest pain, the priority action is to notify the healthcare provider immediately. This is crucial to ensure prompt reassessment of the client's condition and treatment plan. Administering nitroglycerin, morphine, or aspirin without consulting the healthcare provider first can be risky as the chest pain may indicate a need for a change in treatment or further evaluation. Administering medications without proper assessment and guidance can lead to complications and is not recommended in this scenario.
3. Which of the following conditions is not caused by energy drinks?
- A. Nervousness
- B. Bradycardia
- C. Seizures
- D. Dental caries
Correct answer: B: Bradycardia
Rationale: Energy drinks are known for causing a variety of health issues, including nervousness, seizures, and an increased risk of dental caries due to their high sugar content. However, they do not cause bradycardia, which is a slow heart rate. Instead, energy drinks are associated with causing an increased or rapid heart rate, known as tachycardia. Therefore, out of the listed options, bradycardia is the condition not caused by energy drinks.
4. Which level nursery classifications are housed in institutions that can provide on-site surgical repair of serious congenital or acquired malformations?
- A. Level III
- B. Level I
- C. Level IV
- D. Level II
Correct answer: C
Rationale: The correct answer is C: Level IV. Level IV nurseries are equipped to provide the highest level of care, including complex surgical interventions for serious congenital or acquired malformations. These nurseries have the necessary resources and expertise to manage critical cases effectively. Choice A: Level III nurseries provide advanced care for moderately ill newborns but may not have the capacity for on-site surgical repair of serious malformations. Choice B: Level I nurseries offer basic care for healthy newborns and those with minor issues, lacking the resources for surgical interventions. Choice D: Level II nurseries can manage moderately ill newborns but may not have the capability for complex surgical interventions like Level IV nurseries.
5. Which of these is an example of a phenomenological community?
- A. Greenwich Village senior center
- B. NYC council district
- C. Gramercy Green residents
- D. Online support group for cancer survivors
Correct answer: D
Rationale: A phenomenological community is defined by shared experiences and interests, which are often found in online support groups for cancer survivors where individuals connect based on a common experience, fostering a sense of community and support.
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