ATI RN
ATI Proctored Pharmacology 2023
1. A client has a new prescription for Calcitonin-Salmon for Osteoporosis. Which of the following instructions should the nurse include in the teaching?
- A. Administer the medication intramuscularly.
- B. Swallow the medication whole.
- C. Inject the medication subcutaneously.
- D. Expect nasal bleeding with this medication.
Correct answer: C
Rationale: When teaching a client about Calcitonin-Salmon for Osteoporosis, the nurse should include instructions to inject the medication subcutaneously or administer it intranasally. Option A is incorrect because Calcitonin-Salmon is not typically administered intramuscularly. Option B is incorrect because it is not meant to be swallowed. Option D is incorrect as nasal bleeding is not an expected side effect with this medication.
2. A nurse is providing discharge teaching to a client who has a new prescription for albuterol. Which of the following instructions should the nurse include?
- A. You should take this medication at bedtime.
- B. You might experience palpitations while taking this medication.
- C. You should rinse your mouth after using this medication.
- D. You should avoid eating before taking this medication.
Correct answer: C
Rationale: The correct answer is C: 'You should rinse your mouth after using this medication.' When providing discharge teaching for a client prescribed albuterol, the nurse should include the instruction to rinse the mouth after each use. This is important to prevent dry mouth and oral infections. Choice A is incorrect as albuterol is usually taken during the day to manage symptoms, not at bedtime. Choice B is incorrect as palpitations are not a common side effect of albuterol. Choice D is incorrect as there is no specific requirement to avoid eating before taking albuterol.
3. How does abuse and maltreatment tend to affect a child's ability to relate to others?
- A. It leads to the development of strong, healthy relationships.
- B. It results in difficulty forming healthy relationships later in life.
- C. It has little to no impact on a child's social development.
- D. It promotes independence in forming new relationships.
Correct answer: B
Rationale: The correct answer is B. Abuse and maltreatment tend to result in difficulties in forming healthy relationships and may lead to a disorganized and disoriented attachment style. Choice A is incorrect because abuse and maltreatment usually hinder the development of strong and healthy relationships. Choice C is incorrect as abuse and maltreatment significantly impact a child's social development. Choice D is incorrect because abuse and maltreatment do not promote independence in forming new relationships but rather create barriers to forming healthy connections.
4. A healthcare professional is educating a client who is starting therapy with gemcitabine. Which of the following findings should the healthcare professional instruct the client to report?
- A. Dyspnea
- B. Constipation
- C. Tinnitus
- D. Dry mouth
Correct answer: A
Rationale: The healthcare professional should instruct the client to report dyspnea since it can indicate pulmonary toxicity, a severe adverse effect associated with gemcitabine therapy. Monitoring and reporting dyspnea promptly can help in early detection and management of potential serious complications. Constipation, tinnitus, and dry mouth are not typically associated with gemcitabine therapy and are not urgent findings requiring immediate reporting.
5. A nurse is assessing a client following a head injury and a brief loss of consciousness. Which of the following findings should the nurse report to the provider?
- A. Glasgow Coma Scale (GCS) score of 12
- B. Edematous bruise on the forehead
- C. Small drops of clear fluid in the left ear
- D. Pupils are 4 mm and reactive to light
Correct answer: C
Rationale: The correct answer is C. Clear fluid draining from the ear may indicate a cerebrospinal fluid (CSF) leak, which is a serious complication following a head injury. Reporting this finding is crucial as it may require immediate medical intervention to prevent further complications. Choices A, B, and D are not as concerning as a CSF leak. A GCS score of 12 is relatively high, indicating a mild level of consciousness alteration. An edematous bruise on the forehead is a common physical finding after a head injury. Pupils that are 4 mm and reactive to light suggest normal pupillary function.
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