ATI RN
ATI Pharmacology Proctored Exam 2023 Quizlet
1. What is the primary action of warfarin as an anticoagulant?
- A. Prevents the formation of blood clots
- B. Dissolves existing blood clots
- C. Dilates coronary arteries
- D. Treats rhythm disturbances
Correct answer: A
Rationale: The correct answer is A: "Prevents the formation of blood clots." Warfarin acts as an anticoagulant by inhibiting the synthesis of certain clotting factors in the liver. This action reduces the blood's ability to clot, making it effective in preventing the formation of blood clots. Choice B is incorrect because warfarin does not dissolve existing blood clots; it prevents their formation. Choice C is incorrect because warfarin's primary action is not to dilate coronary arteries. Choice D is incorrect as warfarin is not used to treat rhythm disturbances, but rather to prevent clot formation.
2. 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.
3. Which statement about interventions that support parents and preterm infants is true?
- A. Preterm infants whose parents receive coaching show no gains in mental test performance.
- B. Babies who are both preterm and economically disadvantaged require long-term, intensive intervention.
- C. For economically disadvantaged parents of preterm infants, just a few sessions of coaching are required.
- D. Even for parents with adequate economic and personal resources, long-term, intensive intervention is necessary. Answer: B Page Ref: 100 Skill Level: Understand Copyright © 2018 Laura E. Berk. All Rights Reserved. 29 Test Bank for Berk, Development Through the Lifespan, 7e interventions. Topic: Preterm and Low-Birth-Weight Infants Difficulty Level: Moderate
Correct answer: B
Rationale: Babies who are both preterm and economically disadvantaged typically require long-term, intensive intervention. This is because the combination of being born preterm and being economically disadvantaged can pose significant challenges for the infant's development. Providing ongoing support and interventions can help address these challenges and promote healthy development in these infants.
4. A client has a new prescription for Phenytoin. Which of the following instructions should the nurse include?
- A. Brush and floss your teeth regularly.
- B. Avoid drinking grapefruit juice.
- C. Take this medication with food.
- D. Increase your intake of calcium-rich foods.
Correct answer: A
Rationale: The correct answer is to instruct the client to brush and floss their teeth regularly. Phenytoin can lead to gingival hyperplasia, making oral hygiene crucial to prevent complications. Encouraging good oral care practices helps reduce the risk of adverse effects on the gums and teeth. Avoiding grapefruit juice is not specifically related to Phenytoin. While some medications require intake with food, Phenytoin is usually taken on an empty stomach for better absorption. Increasing calcium-rich foods is not directly associated with Phenytoin therapy.
5. A nurse is preparing to administer an enema to a client. Which of the following actions should the nurse take?
- A. Place the client in a high-Fowler's position
- B. Assist the client to the left Sims' position
- C. Insert the enema tubing 2.5 cm (1 in) into the rectum
- D. Lubricate the tip of the enema tubing with petroleum jelly
Correct answer: B
Rationale: The correct answer is to assist the client to the left Sims' position when administering an enema. This position helps facilitate the flow of the enema solution into the rectum. Placing the client in a high-Fowler's position (Choice A) is not ideal for administering an enema. Inserting the enema tubing 2.5 cm (1 in) into the rectum (Choice C) is incorrect as it should be inserted 7.5-10 cm (3-4 in) for an adult. Lubricating the tip of the enema tubing with petroleum jelly (Choice D) is a correct step to ease insertion but is not the most critical action among the choices provided.
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