ATI RN
ATI Pharmacology Proctored Exam 2019
1. A client has a new prescription for Furosemide. What instruction should be included by the nurse during discharge?
- A. Take the medication at bedtime.
- B. Increase intake of foods high in potassium.
- C. Avoid sun exposure.
- D. Limit fluid intake.
Correct answer: B
Rationale: The correct answer is to instruct the client to increase intake of foods high in potassium. Furosemide, a loop diuretic, can lead to potassium depletion. Increasing the intake of foods rich in potassium can help prevent hypokalemia, a potential side effect of Furosemide. Choice A is incorrect as Furosemide is usually recommended to be taken in the morning to avoid disrupting sleep with frequent urination. Choice C is irrelevant to the medication. Choice D is also incorrect as Furosemide is a diuretic and may require increased, not limited, fluid intake to prevent dehydration.
2. What type of staffing involves scheduling a certain number of people per day consistently?
- A. Flexible
- B. Mixed
- C. Block
- D. Creative
Correct answer: C
Rationale: The correct answer is C, Block staffing. Block staffing involves scheduling a consistent number of staff per day. This method ensures a predictable workforce on each shift, allowing for better planning and allocation of resources. Choices A, B, and D are incorrect because they do not specifically refer to the consistent scheduling of a certain number of staff per day as seen in block staffing.
3. Which of the following is NOT a part of a process recording?
- A. Non-verbal narrative account
- B. Analysis and interpretation
- C. Audio-visual recording
- D. Verbal narrative account
Correct answer: C
Rationale: A process recording typically includes a non-verbal narrative account (Choice A), an analysis and interpretation (Choice B), and a verbal narrative account (Choice D). These components help in providing a comprehensive assessment of a patient's condition and ensuring that interventions are appropriately targeted for optimized outcomes. An audio-visual recording (Choice C), while it can be a part of some data collection processes, is not typically included in a process recording, making it the correct answer.
4. The recommended daily fluid intake of patients maintained using hemodialysis is:
- A. 150 mL plus the volume of urinary output
- B. 500 mL plus the volume of urinary output
- C. 1000 mL plus the volume of urinary output
- D. 1500 mL plus the volume of urinary output
Correct answer: C
Rationale: The correct answer is C: 1000 mL plus the volume of urinary output. Fluid intake is typically restricted in hemodialysis patients to prevent fluid overload. The recommended daily fluid intake for these patients is 1000 mL plus any urinary output. Choice A (150 mL plus the volume of urinary output) is too low and would not provide enough fluid for these patients. Choice B (500 mL plus the volume of urinary output) is also insufficient. Choice D (1500 mL plus the volume of urinary output) is too high and may lead to fluid overload in hemodialysis patients.
5. Which of the following interventions should be included in the medical management of Crohn’s disease?
- A. Increasing oral intake of fiber
- B. Administering laxatives
- C. Using long-term steroid therapy
- D. Increasing physical activity
Correct answer: C
Rationale: Long-term steroid therapy is often used in the management of Crohn's disease to reduce inflammation and suppress the immune response.
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