ATI RN
ATI Pharmacology Proctored Exam 2023 Quizlet
1. A healthcare provider is preparing to administer metoprolol to a client. Which of the following findings should the provider identify as a contraindication to receiving this medication?
- A. Bradycardia
- B. Hypertension
- C. Fever
- D. Rash
Correct answer: A
Rationale: Metoprolol, a beta-blocker, is contraindicated in clients with bradycardia as it can further lower the heart rate, potentially leading to more serious complications. Bradycardia is defined as a heart rate below 60 beats per minute, and administering metoprolol in such cases can exacerbate this condition, causing adverse effects on cardiac output. Hypertension, fever, and rash are not contraindications for metoprolol administration.
2. What is typically the first sign that a healthcare professional with a substance abuse problem will exhibit?
- A. Avoidance
- B. Bargaining
- C. Denial
- D. Regression
Correct answer: C
Rationale: The correct answer is C: Denial. When healthcare professionals have substance abuse problems, denial is often the initial sign they exhibit. Denial involves minimizing or refusing to acknowledge the issue, making it difficult to recognize and address the substance abuse problem. Choices A, B, and D are incorrect. Avoidance, bargaining, and regression are not typically the first signs displayed by healthcare professionals with substance abuse problems. By identifying denial early on, healthcare professionals can take the necessary steps to seek help and overcome substance abuse issues.
3. A client has a Transient Ischemic Attack (TIA). What should the nurse teach?
- A. Avoid eating within 3 hours of bedtime
- B. Consume liquids between meals
- C. Eat large meals to increase caloric intake
- D. Avoid liquids to prevent aspiration
Correct answer: A
Rationale: The correct answer is A: Avoid eating within 3 hours of bedtime. For a client with a Transient Ischemic Attack (TIA), it is crucial to avoid eating within 3 hours of bedtime to reduce reflux that can worsen symptoms. Choice B is incorrect because consuming liquids between meals is not specifically related to managing TIA. Choice C is incorrect as eating large meals may not be recommended, especially if the client needs to watch their caloric intake. Choice D is incorrect because avoiding liquids entirely can lead to dehydration and is not a standard recommendation for TIA management.
4. Gail is scheduled for a cholecystectomy. After completion of preoperative teaching, Gail states,”If I lie still and avoid turning after the operation, I’ll avoid pain. Do you think this is a good idea?” What is the best response?
- A. You’ll need to turn from side to side every 2 hours.
- B. It’s always a good idea to rest quietly after surgery.
- C. The doctor will probably order you to lie flat for 24 hours.
- D. Why don’t you decide about activity after you return from the recovery room?
Correct answer: A
Rationale: The best response to Gail is to inform her that she will need to turn from side to side every 2 hours to prevent complications.
5. What important point should the nurse emphasize about taking oral contraceptives consistently?
- A. Oral contraceptives must be taken at the same time each day to maintain consistent hormone levels and ensure effectiveness in preventing pregnancy.
- B. Oral contraceptives should be taken in the morning to avoid side effects at night.
- C. Oral contraceptives should be taken with food to enhance absorption.
- D. Oral contraceptives can be skipped occasionally without significant consequences.
Correct answer: A
Rationale: The correct answer is A. It is crucial for patients taking oral contraceptives to take them at the same time each day to maintain consistent hormone levels, which is essential for their effectiveness in preventing pregnancy. Choice B is incorrect as the timing of the medication is more about consistency than avoiding side effects at night. Choice C is incorrect as oral contraceptives do not necessarily need to be taken with food for absorption. Choice D is incorrect because skipping oral contraceptives occasionally can significantly reduce their effectiveness in preventing pregnancy.
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