ATI RN
ATI Proctored Pharmacology 2023
1. A client with osteoporosis has a new prescription for alendronate. Which of the following instructions should the nurse provide?
- A. Take the medication with a meal.
- B. Remain upright for at least 30 minutes after taking the medication.
- C. Take the medication with a glass of juice.
- D. Take the medication with milk or food.
Correct answer: B
Rationale: The correct instruction for a client taking alendronate is to remain upright for at least 30 minutes after administration. This is essential to prevent esophageal irritation and ensure the medication reaches the stomach properly. Remaining upright reduces the risk of side effects such as esophagitis. Choices A, C, and D are incorrect as alendronate should not be taken with a meal, juice, milk, or food to optimize its absorption and effectiveness.
2. What are the most obvious organized patterns of behavior in a newborn baby?
- A. Reflexes
- B. States of arousal
- C. Shrill cries
- D. Sleep patterns
Correct answer: A
Rationale: The correct answer is A: Reflexes. Reflexes are automatic, involuntary responses to specific stimuli and are the most obvious organized patterns of behavior in a newborn baby. Examples of newborn reflexes include sucking, rooting, grasping, and the Moro reflex. These reflexes are crucial for the newborn's survival and overall development. Choice B, states of arousal, refers to different levels of consciousness and responsiveness, not organized behavior patterns. Choice C, shrill cries, is a form of communication and not an organized behavior pattern. Choice D, sleep patterns, while important for newborns, are not the most obvious organized behavior patterns.
3. A nurse has provided education to a client regarding prescribed levothyroxine sodium. Which of the following client statements demonstrates understanding of medication administration?
- A. I should take my medication as needed to alleviate symptoms
- B. I should take the medication in divided doses to ensure therapeutic drug levels
- C. I should take the medication in the morning to prevent insomnia
- D. I should take the medication on a full stomach
Correct answer: C
Rationale: Levothyroxine should be taken once in the morning to prevent insomnia and maintain therapeutic levels.
4. What role do genetic predispositions play in the development of mental disorders?
- A. Genetic predispositions solely determine the development of mental disorders.
- B. Genetic predispositions play a role but are not solely responsible for the development of mental disorders.
- C. Genetic predispositions have no influence on mental disorders.
- D. Genetic predispositions guarantee the development of mental disorders.
Correct answer: B
Rationale: Genetic predispositions are indeed a factor in the development of mental disorders, but they are not the sole determining factor. While genetics can predispose individuals to certain conditions, environmental factors, lifestyle choices, and life experiences also play a significant role. Choice A is incorrect because mental disorders are influenced by a combination of genetic and environmental factors. Choice C is incorrect as genetic predispositions do have an impact on mental health. Choice D is incorrect as genetic predispositions do not guarantee the development of mental disorders, as other factors also contribute to their onset.
5. A client with Angina Pectoris asks the nurse about the next step if they take one tablet, wait 5 minutes, but still have Anginal pain. Which response should the nurse provide?
- A. Take two more sublingual tablets at the same time.
- B. Call emergency services.
- C. Take a sustained-release nitroglycerin capsule.
- D. Wait another 5 minutes then take a second sublingual tablet.
Correct answer: B
Rationale: If anginal pain persists after taking the first tablet and waiting 5 minutes, the priority step is to call emergency services (911) and then take a second sublingual tablet. Persistent pain could indicate a myocardial infarction, and immediate medical attention is crucial. Taking two more tablets at the same time (Choice A) can lead to excessive vasodilation and hypotension. Taking a sustained-release nitroglycerin capsule (Choice C) is not appropriate for immediate relief during an acute episode. Waiting another 5 minutes and then taking a second tablet (Choice D) is not advisable in this emergency situation where prompt action is necessary.
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