ATI RN
ATI Pharmacology Proctored Exam
1. A client is admitted for a surgical procedure. Which preexisting condition can be a contraindication for the use of Ketamine as an intravenous anesthetic?
- A. Peptic ulcer disease
- B. Breast cancer
- C. Diabetes mellitus
- D. Schizophrenia
Correct answer: D
Rationale: Ketamine can produce psychological effects like hallucinations. Patients with schizophrenia may be more prone to experiencing exacerbation of their symptoms when exposed to Ketamine due to its potential to worsen psychotic symptoms. Therefore, schizophrenia can be a contraindication for the use of Ketamine as an anesthetic. Peptic ulcer disease, breast cancer, and diabetes mellitus are not contraindications for the use of Ketamine.
2. Which of the following interventions should a nurse include in the care plan for a client with major depressive disorder? Select one that is not appropriate.
- A. Encourage participation in activities
- B. Promote adequate nutrition and hydration
- C. Discourage verbalization of feelings
- D. Monitor for suicidal ideation
Correct answer: C
Rationale: Interventions for a client with major depressive disorder should focus on encouraging participation in activities, promoting adequate nutrition and hydration, monitoring for suicidal ideation, and providing a structured daily schedule. Discouraging verbalization of feelings goes against the therapeutic approach as expressing and discussing feelings is crucial in the treatment of major depressive disorder. Clients with major depressive disorder often benefit from talking about their emotions and experiences, as it can help in processing their feelings and promoting recovery. Therefore, discouraging verbalization of feelings would hinder the client's progress and is not an appropriate intervention.
3. What is the pharmacological action of metformin?
- A. Blocks stimulation of beta1 and beta2.
- B. Blocks vasoconstriction and aldosterone.
- C. Acts at many levels in the CNS to produce an anxiolytic effect.
- D. Decreases hepatic glucose production.
Correct answer: D
Rationale: The correct answer is D: Decreases hepatic glucose production. Metformin's primary pharmacological action is to decrease hepatic glucose production, leading to lower blood sugar levels and improved insulin sensitivity in the liver. Choices A, B, and C are incorrect because metformin does not block stimulation of beta1 and beta2 receptors, vasoconstriction, aldosterone, or act in the CNS to produce an anxiolytic effect. Therefore, these options are not reflective of metformin's mechanism of action.
4. A client with hypertension is being taught about dietary modifications by a nurse. Which of the following food choices by the client indicates an understanding of the teaching?
- A. I will choose processed meats for meals.
- B. I will eat canned vegetables to reduce my sodium intake.
- C. I will eat fresh fruits and vegetables each day.
- D. I will increase my intake of canned soups.
Correct answer: C
Rationale: The correct answer is C. Choosing fresh fruits and vegetables is a healthy choice for someone with hypertension as they are low in sodium and high in nutrients. Processed meats (A) are high in sodium and unhealthy fats, which can worsen hypertension. Canned vegetables (B) often have added sodium, so fresh is a better choice. Canned soups (D) are typically high in sodium and should be limited in a hypertensive diet.
5. Children from lower-SES families ________.
- A. are more likely to be resilient adults than those from higher-SES families.
- B. show no signs of ill effects if there is an increase in SES before age 5.
- C. are not affected by SES status unless persistent employment is the reason for the economic hardships of the family.
- D. are less likely to show ill effects of SES status if they possess a high IQ and develop healthy attachments to adults and peers.
Correct answer: D
Rationale: Children from lower-SES families are less likely to show ill effects of SES status if they possess a high IQ and develop healthy attachments. Choice A is incorrect because children from lower-SES families typically face more challenges and are not inherently more resilient. Choice B is incorrect as an increase in SES may not erase the effects of early socioeconomic disadvantages. Choice C is incorrect as SES status can impact children from lower-SES families regardless of the reason for economic hardships.
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