ATI RN
ATI Pharmacology Proctored Exam 2019
1. A client has a new prescription for Prednisone. Which of the following instructions should be included in the discharge teaching?
- A. Increase your intake of potassium-rich foods.
- B. Avoid consuming grapefruit juice.
- C. Take this medication with food.
- D. Decrease your intake of sodium-rich foods.
Correct answer: A
Rationale: The correct answer is A: 'Increase your intake of potassium-rich foods.' Prednisone can lead to potassium depletion, making it important for clients to increase their intake of potassium-rich foods like bananas, oranges, and spinach to prevent potential complications. Choice B is incorrect because grapefruit juice can interact with certain medications, but it is not a specific concern with Prednisone. Choice C is incorrect as Prednisone can be taken with or without food. Choice D is also incorrect because there is no direct relationship between Prednisone and sodium-rich foods.
2. When caring for a client prescribed Digoxin, which finding should the nurse monitor to assess for potential toxicity?
- A. Bradycardia
- B. Hypertension
- C. Hypoglycemia
- D. Hypercalcemia
Correct answer: A
Rationale: Bradycardia is a common sign of Digoxin toxicity. Digoxin, a cardiac glycoside, can lead to toxic effects such as bradycardia, which is a slow heart rate. Therefore, the nurse should closely monitor the client's heart rate for any significant decreases, as this could indicate Digoxin toxicity and prompt further intervention. Choices B, C, and D are incorrect because Digoxin toxicity typically presents with bradycardia, not hypertension, hypoglycemia, or hypercalcemia.
3. Which condition involves the heart muscle becoming abnormally thickened, reducing its ability to pump blood?
- A. Hypertrophic cardiomyopathy
- B. Dilated cardiomyopathy
- C. Restrictive cardiomyopathy
- D. Ischemic cardiomyopathy
Correct answer: A
Rationale: The correct answer is A: Hypertrophic cardiomyopathy. In this condition, the heart muscle thickens, leading to a decreased ability to pump blood effectively. Choice B, Dilated cardiomyopathy, is characterized by the heart chambers enlarging and weakening. Choice C, Restrictive cardiomyopathy, involves the heart muscle becoming rigid and less compliant. Choice D, Ischemic cardiomyopathy, is when the heart muscle is weakened due to reduced blood flow.
4. In which of the following cases is Lansoprazole not used?
- A. Gastritis
- B. Peptic Ulcers
- C. Zollinger-Ellison syndrome
- D. Thalamus hypertrophy
Correct answer: D
Rationale: Lansoprazole is a proton pump inhibitor mainly used to treat conditions related to the stomach, such as gastritis, peptic ulcers, and Zollinger-Ellison syndrome. Thalamus hypertrophy is not a condition that Lansoprazole is indicated for; it is used for gastrointestinal issues and not neurological conditions.
5. Why is it difficult to determine the nature of the relationship between divorce and the psychological functioning of family members?
- A. Cause and effect cannot be determined as preexisting behavioral abnormalities in either the parents or the children may make divorce more likely.
- B. The findings have been too inconsistent to draw any conclusions.
- C. While the effects of divorce are negative on children, the effects on the spouses are generally positive.
- D. Due to modern acceptance of divorce, there has been an ongoing decrease in the negative effects of divorce.
Correct answer: A
Rationale: The correct answer is A because it highlights a crucial factor that makes it challenging to establish a clear cause and effect relationship between divorce and the psychological functioning of family members. Preexisting behavioral abnormalities in either the parents or the children may influence both the likelihood of divorce and the psychological functioning of family members. Choice B is incorrect as it generalizes the findings without specifying the key issue of preexisting conditions. Choice C is incorrect as it oversimplifies the effects of divorce on family members. Choice D is incorrect as it presents a broad statement without addressing the complexities involved in determining the effects of divorce.
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