ATI LPN
PN ATI Capstone Pharmacology 1 Quiz
1. A nurse is caring for a client with celiac disease. Which food should be removed from the meal tray?
- A. Cornbread
- B. Mashed potatoes
- C. Lentils
- D. Tortillas
Correct answer: D
Rationale: The correct answer is D, Tortillas. Clients with celiac disease should avoid gluten, which is often found in tortillas. Cornbread, mashed potatoes, and lentils are gluten-free options, making them safe for individuals with celiac disease. Therefore, the other choices (A, B, and C) do not need to be removed from the meal tray.
2. A healthcare provider is reviewing the health record of a client who is pregnant. The provider indicated the client exhibits probable signs of pregnancy. Which of the following findings should the provider expect? (Select all that apply)
- A. Chadwick's sign
- B. Goodell's sign
- C. Ballottement
- D. All of the above
Correct answer: D
Rationale: Chadwick's sign, Goodell's sign, and ballottement are probable signs of pregnancy. Chadwick's sign refers to a bluish discoloration of the cervix and vaginal mucosa. Goodell's sign is the softening of the cervix due to increased vascularity. Ballottement is the rebound of the fetus when the cervix is tapped during a vaginal examination. Recognizing these signs is essential for healthcare providers in assessing pregnancy. Therefore, all of the above choices are correct as they are all probable signs of pregnancy. Choice D is the correct answer as it includes all the expected findings.
3. A nurse is reinforcing discharge instructions with the parent of an infant who has rotavirus. Which of the following statements by the parent indicates an understanding of the teaching?
- A. I will avoid feeding my baby for 12 hours
- B. I will apply diaper cream during each diaper change
- C. I will give my baby water between feedings
- D. I will apply warm compresses for my baby's comfort
Correct answer: B
Rationale: The correct answer is B. Applying diaper cream during each diaper change is important to prevent skin breakdown in infants with rotavirus. Rotavirus can cause diarrhea, which can lead to skin irritation. Avoiding feeding the baby for 12 hours (choice A) can lead to dehydration and is not appropriate. Giving water between feedings (choice C) can further contribute to dehydration. Applying warm compresses (choice D) may provide comfort but does not address the specific issue of preventing skin breakdown associated with rotavirus.
4. A charge nurse is discussing the use of applying ice to a client’s injured knee with a newly licensed nurse. Which of the following is a benefit of this treatment?
- A. Systemic analgesic effect
- B. Increase in metabolism
- C. Decreased capillary permeability
- D. Vasodilation
Correct answer: C
Rationale: The correct answer is C: Decreased capillary permeability. Ice application helps decrease capillary permeability, which in turn reduces swelling and inflammation at the injury site. This vasoconstriction effect helps to limit the extent of the injury. Choices A, B, and D are incorrect. Applying ice locally does not produce a systemic analgesic effect but rather a localized numbing effect. It does not increase metabolism but rather slows down metabolic processes in the affected area. Additionally, ice application causes vasoconstriction, not vasodilation.
5. A client with chronic obstructive pulmonary disease (COPD) is prescribed tiotropium (Spiriva). Which instruction should the nurse include in the client's teaching?
- A. Use this medication only during acute exacerbations.
- B. Rinse your mouth after using the inhaler.
- C. Take this medication with food.
- D. Increase your fluid intake to at least 3 liters per day.
Correct answer: B
Rationale: The correct instruction for the nurse to include in the teaching for a client prescribed tiotropium (Spiriva) is to rinse the mouth after using the inhaler. Rinsing the mouth helps prevent oral thrush, a common side effect of inhaled medications. This action reduces the risk of developing oral fungal infections, promoting better oral health for the client.
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