ATI RN
ATI Pharmacology Test Bank
1. A client with peptic ulcer disease is prescribed sucralfate. Which of the following instructions should the nurse include?
- A. Take sucralfate with meals.
- B. Take sucralfate 1 hr before meals.
- C. Take sucralfate with antacids.
- D. Take sucralfate 2 hours after meals.
Correct answer: B
Rationale: The correct instruction for taking sucralfate is 1 hour before meals. This timing allows sucralfate to effectively coat the stomach lining and provide a protective barrier against gastric acid, helping to prevent ulcers.
2. What occurs in a client with polycythemia?
- A. Deficient plasma in the blood
- B. Increased lymphatic fluid being produced
- C. Increased red blood cells being produced
- D. Deficient number of red blood cells
Correct answer: C
Rationale: The correct answer is C: Increased red blood cells being produced. Polycythemia is a condition characterized by an elevated number of red blood cells in the blood. This increased concentration of red blood cells can lead to blood thickening and potentially result in complications such as blood clots. Choices A, B, and D are incorrect because polycythemia does not involve deficient plasma, increased lymphatic fluid production, or a deficient number of red blood cells.
3. Distinguish between necessary, sufficient, and contributory causes of abnormal behavior.
- A. Necessary causes are required for a disorder to develop but do not guarantee it.
- B. Sufficient causes guarantee a disorder will develop, but they are not required.
- C. Contributory causes increase the likelihood of a disorder but are neither necessary nor sufficient.
- D. Contributory causes are conditions that guarantee the occurrence of a disorder.
Correct answer: A
Rationale: In understanding abnormal behavior, it is crucial to differentiate between necessary, sufficient, and contributory causes. Necessary causes are those that are required for a disorder to develop, meaning that without them, the disorder would not occur. However, their presence does not guarantee the occurrence of the disorder. Sufficient causes, on the other hand, are those that alone can guarantee the development of a disorder, but they are not the only factors that can lead to it. Contributory causes are factors that increase the likelihood of a disorder but are not essential on their own nor do they guarantee the disorder. Therefore, choice A is the correct answer as it accurately describes the role of necessary causes in the development of abnormal behavior. Choices B, C, and D are incorrect as they misrepresent the definitions and roles of sufficient and contributory causes in causing abnormal behavior.
4. Neural plasticity is ________.
- A. the process by which neurotransmitters are broken down in the brain.
- B. the flexibility of the brain—existing neural circuits can change or new ones can be made.
- C. strong evidence of brain damage, leading to the development of a mental disorder.
- D. the best indicator of temperament and its effect on the personality development of a child.
Correct answer: B
Rationale: Neural plasticity refers to the brain's flexibility to change existing neural circuits or create new ones. Choice A is incorrect as it describes neurotransmitter breakdown, not neural plasticity. Choice C is incorrect because neural plasticity does not necessarily indicate brain damage leading to mental disorders. Choice D is incorrect because neural plasticity is not specifically related to temperament or personality development in children.
5. In which order will the nurse take these steps to prepare NPH 20 units and regular insulin 2 units using the same syringe? (Put a comma and a space between each answer choice [A, B, C, D, E]).
- A. Rotate NPH vial, Inject 20 units of air into NPH vial, Withdraw regular insulin, Inject 2 units of air into regular insulin vial, Withdraw 20 units of NPH.
- B. Rotate NPH vial, Inject 20 units of air into NPH vial, Withdraw regular insulin, Inject 2 units of air into regular insulin vial, Withdraw 20 units of NPH.
- C. Rotate NPH vial, Inject 20 units of air into NPH vial, Inject 2 units of air into regular insulin vial, Withdraw regular insulin, Withdraw 20 units of NPH.
- D. Rotate NPH vial, Inject 20 units of air into NPH vial, Withdraw 20 units of NPH, Inject 2 units of air into regular insulin vial, Withdraw regular insulin.
Correct answer: C
Rationale: The correct order to prepare NPH 20 units and regular insulin 2 units using the same syringe is to start by rotating the NPH vial, then injecting 20 units of air into the NPH vial. Next, inject 2 units of air into the regular insulin vial, followed by withdrawing the regular insulin. Finally, withdraw 20 units of NPH. This sequence ensures proper mixing and preparation of the insulin doses. Choices A, B, and D have incorrect sequences that may lead to incorrect dosages or inadequate mixing of the insulins.
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