ATI RN
ATI Proctored Pharmacology 2023
1. A client has been prescribed Warfarin for atrial fibrillation. Which of the following instructions should the nurse include in the discharge teaching?
- A. Avoid foods high in vitamin K.
- B. Take this medication with food to prevent nausea.
- C. Monitor your heart rate daily before taking the medication.
- D. Limit your fluid intake to 1 liter per day.
Correct answer: A
Rationale: The correct instruction for the nurse to include in the discharge teaching for a client prescribed Warfarin is to 'Avoid foods high in vitamin K.' Foods high in vitamin K can decrease the effectiveness of Warfarin by interfering with its anticoagulant effects, potentially leading to blood clotting issues. It is crucial for clients on Warfarin therapy to maintain a consistent intake of vitamin K-containing foods to ensure the stability of the medication's effects. Choices B, C, and D are incorrect because taking Warfarin with food, monitoring heart rate daily, or limiting fluid intake are not directly related to optimizing the effectiveness of Warfarin therapy.
2. When counseling a teenager about fast food, a dental hygienist could correctly cite which of the following facts, with one exception. Which is the exception?
- A. Most fast food menus lack a rich source of vitamin A
- B. Consumer demands have driven the establishment of salads and other healthy menu items
- C. Shortages of biotin, folate, pantothenic acid, and copper are reported in fast foods
- D. Studies reveal that protein is lacking in most menu items
Correct answer: D
Rationale: The correct answer is 'D'. Fast food is generally not deficient in protein since it often contains meat, a significant source of protein. On the other hand, fast food is known to lack essential nutrients like Vitamin A and certain minerals, as mentioned in choices 'A' and 'C'. Choice 'B' is also accurate as many fast food establishments have started offering healthier options such as salads due to customer demands. Therefore, all options are true except 'D', which makes it the exception.
3. A healthcare professional is preparing education material for a client. Which of the following techniques should the professional use in creating material?
- A. Emphasize important information using bold lettering.
- B. Use a 7th-grade reading level.
- C. Avoid using cartoons in the material.
- D. Use words with three or four syllables.
Correct answer: B
Rationale: The correct answer is to 'Use a 7th-grade reading level.' This ensures that the material is accessible to most clients by keeping the language simple and easy to understand. Emphasizing important information using bold lettering (Choice A) can be helpful but may not enhance overall readability. Avoiding cartoons (Choice C) is not a universal rule and can sometimes make the material more engaging. Using words with three or four syllables (Choice D) can make the material difficult to comprehend for many clients.
4. Down syndrome is caused by ________.
- A. a chemical imbalance.
- B. a gene on the X chromosome.
- C. possessing an extra X chromosome.
- D. possessing an extra chromosome in chromosome 21.
Correct answer: D
Rationale: Down syndrome is caused by possessing an extra chromosome in chromosome 21, not by a chemical imbalance (choice A), a gene on the X chromosome (choice B), or possessing an extra X chromosome (choice C). The presence of an additional chromosome 21 disrupts the normal course of development and leads to the characteristics associated with Down syndrome.
5. In healthy, physically fit women, regular moderate to vigorous exercise during pregnancy is related to __________.
- A. lower birth weight and higher risk of premature birth
- B. suppressed development of the immune system
- C. serious damage to the central nervous system
- D. improved fetal cardiovascular functioning
Correct answer: D
Rationale: In healthy, physically fit women, regular moderate to vigorous exercise during pregnancy is related to improved fetal cardiovascular functioning. Regular exercise has been shown to benefit both the mother and baby by promoting better cardiovascular health and overall well-being during pregnancy. Choices A, B, and C are incorrect as exercise during pregnancy, when done appropriately, does not lead to lower birth weight, higher risk of premature birth, suppressed immune system development, or serious damage to the central nervous system. Instead, it is known to have positive effects on fetal development and maternal health.
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