ATI RN
Proctored Pharmacology ATI
1. When administering the drug lithium, what is one important side effect to watch for?
- A. Anaphylaxis
- B. Seizures
- C. Angioedema
- D. Pulmonary Edema
Correct answer: C
Rationale: When administering lithium, it is crucial to watch for the side effect of angioedema. Angioedema is a potential adverse reaction associated with lithium therapy, characterized by rapid swelling beneath the skin, often around the eyes and lips. Monitoring for this side effect is essential to promptly address and manage any signs of angioedema that may occur during lithium treatment. Choices A, B, and D are incorrect because anaphylaxis, seizures, and pulmonary edema are not typically associated side effects of lithium administration.
2. Which of the following is NOT one of the major duties of the M6 practical nurse?
- A. Performing preventive, therapeutic, and emergency nursing care procedures
- B. Managing other paraprofessional personnel
- C. Managing ward or unit operations
- D. Implementing Level II through Level IV CSH operations
Correct answer: D
Rationale: The correct answer is D because implementing Level II through Level IV CSH operations is not a major duty of the M6 practical nurse. A practical nurse's major duties include performing preventive, therapeutic, and emergency nursing care procedures (Choice A), managing other paraprofessional personnel (Choice B), and managing ward or unit operations (Choice C). These duties are more aligned with the responsibilities of a practical nurse, emphasizing patient care and coordination within a healthcare setting.
3. During examination of a toddler's extremities, the nurse notes that the child is bowlegged. The nurse should recognize that this finding is which?
- A. Abnormal and requires further investigation
- B. Abnormal unless it occurs in conjunction with knock-knee
- C. Normal if the condition is unilateral or asymmetric
- D. Normal because the lower back and leg muscles are not yet well developed
Correct answer: D
Rationale: Bowleggedness is normal in toddlers due to the development of lower back and leg muscles. It usually resolves as the child grows.
4. In a longitudinal design, participants are studied repeatedly at different ages, and changes are noted as they get older.
- A. cross-sectional
- B. experimental
- C. longitudinal
- D. correlational
Correct answer: C
Rationale: The correct answer is C: longitudinal. In a longitudinal design, participants are followed and studied over an extended period, allowing researchers to observe changes and continuity in development as individuals age. This design is crucial for understanding how individuals grow and change over time. Cross-sectional studies (Choice A) involve comparing different groups at the same time point, while experimental studies (Choice B) involve manipulating variables to observe their effects. Correlational studies (Choice D) examine relationships between variables but do not involve studying participants over time.
5. A 40-year-old man has been living with HIV for several years but experienced a significant decrease in his CD4+ levels a few months ago. The patient has just been diagnosed with Mycobacterium avium complex disease. The nurse should anticipate administering which of the following medications?
- A. Clarithromycin
- B. Pyrazinamide
- C. Rifapentine (Priftin)
- D. Azithromycin
Correct answer: A
Rationale: The correct answer is A: Clarithromycin. In the case of Mycobacterium avium complex disease, a common treatment regimen includes a macrolide antibiotic like clarithromycin or azithromycin in combination with other antimicrobials. Clarithromycin is a key component of the treatment due to its effectiveness against Mycobacterium avium complex. Choice B (Pyrazinamide) is not typically part of the standard treatment for this condition. Choice C (Rifapentine) is mainly used in tuberculosis treatment and is not a primary agent for Mycobacterium avium complex disease. Choice D (Azithromycin) is another suitable macrolide antibiotic for treating Mycobacterium avium complex disease but is not the medication typically used first-line.
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