ATI RN
ATI Pharmacology Proctored Exam 2023
1. When teaching the parents of a child who has a new prescription for Desipramine, which of the following adverse effects should the nurse instruct the parents is the priority to report to the provider?
- A. Constipation
- B. Suicidal thoughts
- C. Photophobia
- D. Dry mouth
Correct answer: B
Rationale: The priority adverse effect to report when a child is taking Desipramine is suicidal thoughts. Desipramine can lead to an increased risk of suicidal thoughts and behaviors. The nurse should emphasize to the parents the importance of monitoring the child for any signs of worsening depression or suicidal ideation. Prompt reporting of such symptoms can help prevent harm to the child. Choices A, C, and D are not the priority adverse effects associated with Desipramine. While constipation, photophobia, and dry mouth can occur as side effects of Desipramine, they are not as critical as the risk of suicidal thoughts, which requires immediate attention to ensure the safety of the child.
2. A nurse is providing discharge teaching to a client following a colon resection and a new colostomy. What dietary advice should the nurse provide?
- A. Avoid foods that are high in protein.
- B. Consume foods high in fiber and low in fat.
- C. Eat foods high in vitamin C to promote healing.
- D. Avoid all raw vegetables.
Correct answer: B
Rationale: The correct answer is B: Consume foods high in fiber and low in fat. Following a colon resection and a new colostomy, a high-fiber, low-fat diet is recommended to promote healing and reduce the risk of complications. Foods high in fiber help maintain bowel regularity and prevent constipation, which is crucial after this type of surgery. Choices A, C, and D are incorrect because avoiding foods high in protein, consuming foods high in vitamin C, or avoiding all raw vegetables are not the most appropriate dietary advice in this situation.
3. A client has a new prescription for levothyroxine. Which of the following instructions should the nurse include?
- A. Take this medication at bedtime.
- B. Take this medication with food.
- C. Take this medication on an empty stomach in the morning.
- D. Take this medication with an antacid.
Correct answer: C
Rationale: Levothyroxine should be taken on an empty stomach in the morning to enhance its absorption. This timing allows for optimal absorption and effectiveness of the medication. Taking it with food, at bedtime, or with an antacid may interfere with its absorption and reduce its efficacy.
4. A male college student begins feeling sad and lonely. Although still able to go to classes and work at his job, he finds himself feeling down much of the time and worrying about what is happening to him. Which part of the definition of abnormality applies to his situation?
- A. Personal distress
- B. Cultural factors
- C. Impaired functioning
- D. Violation of societal norms
Correct answer: A
Rationale: The correct answer is A: Personal distress. In this scenario, the student is experiencing personal distress as he feels sad and lonely, despite being able to function in his daily life. Personal distress is a key criterion for determining abnormality as it signifies significant emotional discomfort. Choices B, C, and D are incorrect as cultural factors, impaired functioning, and violation of societal norms are not the primary factors highlighted in the student's situation.
5. Characteristics of type two diabetes include all of the following except:
- A. insulin resistance
- B. blood glucose levels that rise too high
- C. blood insulin levels that rise too high
- D. rapid destruction of the pancreas
Correct answer: D
Rationale: Type 2 diabetes is characterized by insulin resistance, high blood glucose levels, and high blood insulin levels. Rapid destruction of the pancreas is not a feature of this condition. The destruction of pancreatic beta cells is more commonly associated with type 1 diabetes, not type 2 diabetes. Therefore, option D is the correct answer. Options A, B, and C are all characteristic features of type 2 diabetes, making them incorrect choices.
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