ATI RN
ATI Pharmacology Proctored Exam 2023
1. A client has a new prescription for Clonidine to assist with maintenance of abstinence from opioids. The nurse should instruct the client to monitor for which of the following adverse effects?
- A. Diarrhea
- B. Dry mouth
- C. Insomnia
- D. Hypertension
Correct answer: B
Rationale: Dry mouth is a common adverse effect associated with clonidine use. Clonidine is known to cause xerostomia (dry mouth) due to its effect on reducing salivary flow. Monitoring for dry mouth is important as it can lead to oral health issues and discomfort for the client. Diarrhea, insomnia, and hypertension are not typically associated with clonidine use, making them less likely adverse effects to monitor for in this scenario.
2. What are the complications of diabetes mellitus that a nurse should monitor for?
- A. Peripheral neuropathy and retinopathy
- B. All of the above
- C. Diabetic ketoacidosis and hyperosmolar hyperglycemic state
- D. Nephropathy and cardiovascular disease
Correct answer: D
Rationale: The correct answer is D. Complications of diabetes mellitus that a nurse should monitor for include nephropathy and cardiovascular disease, in addition to diabetic ketoacidosis, hyperosmolar hyperglycemic state, neuropathy, and retinopathy. While choices A and C mention some complications of diabetes, they do not cover all the complications that a nurse should monitor for. Choice B is incorrect as it suggests selecting all options, which is not accurate.
3. A patient admitted with a gastrointestinal bleed and anemia is receiving a blood transfusion. Based on the patient's hypotensive blood pressure, the nurse anticipates an order for IV fluids from the physician. Which of the following IV solutions may be administered with blood products?
- A. D5 and 0.45% Normal Saline
- B. Lactated Ringer's
- C. 5% dextrose in water
- D. 0.9% NaCl
Correct answer: D
Rationale: The correct answer is D: 0.9% NaCl. The only IV solution that can be administered with blood products is normal saline (0.9% NaCl). This solution is compatible with most blood products and is commonly used during transfusions to maintain hemodynamic stability. Choices A, B, and C are incorrect. Choice A, D5 and 0.45% Normal Saline, contains dextrose and is not recommended to be given simultaneously with blood products. Choice B, Lactated Ringer's, contains calcium, which can cause coagulation and should not be mixed with blood. Choice C, 5% dextrose in water, is hypotonic and not suitable to be administered with blood products.
4. Do we know all there is to know about the structure and function of the human body?
- A. Yes
- B. No
- C. Not Sure
- D. None of the above
Correct answer: No
Rationale: No, the statement that we know all there is to know about the structure and function of the human body is false. The human body is complex, and there is still much to discover and understand about its intricate functions. Science and medicine continue to make new discoveries and advancements in understanding the human body. Choice A is incorrect because it claims that we know everything, which is not true. Choice C is not the best answer as it implies uncertainty rather than acknowledging the ongoing research and discoveries in this field. Choice D is not the correct option as there is a definitive answer to the question.
5. Which of the following is true about subjective distress?
- A. All individuals with mental illness experience some degree of distress
- B. Distress is the only criterion in diagnosing abnormality
- C. Its presence is enough for a clinician to determine if someone has a mental illness
- D. Some individuals with a mental disorder may not experience subjective distress
Correct answer: D
Rationale: Subjective distress is not universal among individuals with a mental disorder. Choice A is incorrect as not all individuals with mental illness experience distress. Choice B is incorrect because distress is just one of the criteria used in diagnosing abnormality, not the only one. Choice C is incorrect because the presence of subjective distress alone is not sufficient for a clinician to determine if someone has a mental illness.
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