ATI RN
ATI Pharmacology Proctored Exam
1. A healthcare professional is preparing to administer an IV bolus of Morphine to a client for pain management. Which of the following assessments is the healthcare professional's priority?
- A. Respiratory rate
- B. Pain level
- C. Blood pressure
- D. Level of consciousness
Correct answer: A
Rationale: The priority assessment for a client receiving an IV bolus of Morphine is the respiratory rate. Morphine can cause respiratory depression, which is a serious adverse effect. Monitoring the respiratory rate is crucial to detect any signs of respiratory compromise early and intervene promptly. Assessing pain level, blood pressure, and level of consciousness are also important but not the priority in this situation. Pain level can be assessed after ensuring the client's respiratory status is stable. Blood pressure and level of consciousness should be monitored but do not take precedence over the respiratory rate when administering Morphine.
2. Which of the following body processes is not dependent upon the presence of calcium in the body fluids?
- A. blood clotting
- B. transport of oxygen in the blood
- C. muscle contractions
- D. transmission of nerve impulses
Correct answer: B
Rationale: The transport of oxygen in the blood is carried out by hemoglobin, which does not require calcium; instead, calcium is essential for blood clotting, muscle contraction, and nerve transmission.
3. A client diagnosed with paranoid schizophrenia states, 'The FBI is watching me. I see their agents everywhere.' Which is the nurse's most appropriate response?
- A. You shouldn't worry about that. It's not real.
- B. I don't see any FBI agents, but it sounds like you're feeling frightened.
- C. Let's talk about something else to take your mind off of it.
- D. Why do you think the FBI is watching you?
Correct answer: B
Rationale: Validating the client's feelings without reinforcing the delusion is important. This response acknowledges the client's fear without agreeing with the delusion. It shows empathy and understanding towards the client's emotions while not validating the delusional belief.
4. What is a condition where the heart is unable to relax properly between beats, reducing its ability to fill with blood?
- A. Diastolic heart failure
- B. Systolic heart failure
- C. Hypertrophic cardiomyopathy
- D. Restrictive cardiomyopathy
Correct answer: A
Rationale: The correct answer is A: Diastolic heart failure. In diastolic heart failure, the heart is unable to relax properly between beats, leading to a reduced ability to fill with blood. This condition primarily affects the heart's filling function rather than its pumping function, which is characteristic of systolic heart failure (choice B). Hypertrophic cardiomyopathy (choice C) involves the abnormal thickening of the heart muscle, while restrictive cardiomyopathy (choice D) is characterized by the heart muscle becoming stiff and less compliant. Therefore, choices B, C, and D are incorrect in the context of a heart condition where relaxation between beats is impaired.
5. A client has a new prescription for Levothyroxine. Which of the following instructions should the nurse include?
- A. Take this medication with food.
- B. Take this medication at bedtime.
- C. Take this medication on an empty stomach.
- D. Take this medication with antacids.
Correct answer: C
Rationale: Levothyroxine should be taken on an empty stomach to increase absorption and efficacy. Taking it with food or antacids can interfere with its absorption, affecting the medication's effectiveness.
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