ATI RN
ATI Pharmacology Proctored
1. Which of the following conditions is not typically treated with Hydrochlorothiazide?
- A. CHF
- B. HTN
- C. Nephritis
- D. Hypercalciuria
Correct answer: C
Rationale: Nephritis is not commonly treated with Hydrochlorothiazide. Hydrochlorothiazide is primarily used for managing hypertension (HTN) and congestive heart failure (CHF) by reducing blood pressure and fluid retention. It is not a standard treatment for nephritis, which involves inflammation of the kidneys. Hypercalciuria, characterized by excessive calcium excretion in the urine, is not typically treated with Hydrochlorothiazide either.
2. Diseases of the heart and blood vessels are collectively referred to as _____.
- A. Coronary artery disease
- B. Cardiovascular disease
- C. Coronary heart disease
- D. Coronary vessel disease
Correct answer: B
Rationale: The correct term for diseases of the heart and blood vessels is cardiovascular disease. While coronary artery disease (Choice A) specifically involves the narrowing of coronary arteries, it is just one type of cardiovascular disease. Coronary heart disease (Choice C) is also a specific condition related to the heart's blood vessels. Choice D, coronary vessel disease, is not a commonly used term to describe diseases of the heart and blood vessels. Therefore, Choice B, cardiovascular disease, is the most inclusive and appropriate term to refer to these conditions.
3. The nurse is monitoring a client admitted to the hospital with a diagnosis of appendicitis. The client is scheduled for surgery for 2 hours. The client begins to complain of increases abdominal pain and begins to vomit. On assessment the nurse notes that the abdomen distended and bowel sounds are diminished. Which of the following is the most appropriate nursing intervention?
- A. Administer the prescribed pain medication.
- B. Notify the physician.
- C. Call and ask the operating room team to perform the surgery as soon as possible.
- D. Reposition the client and apply a heating pad on warm setting to the client’s abdomen.
Correct answer: B
Rationale: Based on the signs and symptoms presented in the question, the nurse should suspect peritonitis and should notify the physician. Administering pain medication is not an appropriate intervention. Heat should never be applied to the abdomen of a client with suspected appendicitis. Scheduling surgical time is not within the scope of nursing practice, although the physician probably would perform the surgery earlier than the prescheduled time.
4. Which term describes a type of abnormal heart rhythm characterized by rapid and irregular beating of the atria?
- A. Atrial fibrillation
- B. Ventricular fibrillation
- C. Atrial flutter
- D. Sinus tachycardia
Correct answer: A
Rationale: The correct answer is Atrial fibrillation. Atrial fibrillation is indeed a type of abnormal heart rhythm characterized by rapid and irregular beating of the atria. This condition can increase the risk of stroke and heart failure. Choice B, Ventricular fibrillation, is incorrect because it refers to a life-threatening arrhythmia that occurs in the ventricles, not the atria. Choice C, Atrial flutter, is incorrect as it describes a different type of atrial arrhythmia characterized by a regular but fast heartbeat. Choice D, Sinus tachycardia, is incorrect because it is a normal increase in heart rate originating from the sinus node, not an abnormal rhythm.
5. The concept of ________ means that because of their genetic makeup, individuals differ in their responsiveness to qualities of the environment.
- A. gene-environment interaction
- B. niche-picking
- C. passive correlation
- D. evocative correlation
Correct answer: A
Rationale: The correct answer is A, gene-environment interaction. This concept highlights that genetic factors play a role in how individuals react to environmental factors. Niche-picking (choice B) refers to the tendency of individuals to select environments that complement their genetic predispositions, not the inherent genetic differences in responsiveness. Passive correlation (choice C) involves the association between the genetic makeup of parents and the environment they provide for their children, not individual differences in responsiveness. Evocative correlation (choice D) relates to the idea that an individual's genetic traits can elicit certain responses from others in the environment, rather than individual differences in responsiveness.
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