ATI RN
ATI Proctored Pharmacology Test
1. Which of the following drugs has a therapeutic effect that increases cardiac output and slows heart rate?
- A. Heparin
- B. Alprazolam
- C. Digoxin
- D. Levothyroxine
Correct answer: C
Rationale: Digoxin is the correct answer. It is a medication known for its positive inotropic effects, which increase cardiac output, and negative chronotropic effects, which slow the heart rate. These effects are achieved by inhibiting the sodium-potassium ATPase pump in myocardial cells. Therefore, Digoxin is commonly prescribed to manage conditions like heart failure and atrial fibrillation, where enhancing cardiac output and reducing heart rate are beneficial. Choices A, B, and D are incorrect because Heparin is an anticoagulant, Alprazolam is a benzodiazepine used for anxiety disorders, and Levothyroxine is a thyroid hormone replacement drug, none of which have the specified therapeutic effects on cardiac function.
2. When caring for a client with pneumonia, what intervention is most effective in preventing the spread of infection?
- A. Administer prescribed antibiotics on time.
- B. Encourage the client to use a tissue when coughing.
- C. Place the client in a private room.
- D. Perform hand hygiene before and after client contact.
Correct answer: D
Rationale: The most effective intervention to prevent the spread of infection when caring for a client with pneumonia is performing hand hygiene before and after client contact. This practice helps reduce the transmission of pathogens from one person to another, promoting infection control and maintaining a safe environment for both the client and healthcare provider.
3. This is a branch of the left coronary arteries which supplies the LEFT ATRIUM, posterior lateral surface of the left ventricle.
- A. Right coronary artery
- B. Left circumflex artery
- C. Left anterior descending artery
- D. Posterior descending artery
Correct answer: B
Rationale: The correct answer is B, Left circumflex artery. The circumflex artery is a branch of the left coronary artery that supplies blood to the left atrium and the lateral wall of the left ventricle. Choice A, the Right coronary artery, does not supply the mentioned areas. Choice C, the Left anterior descending artery, supplies the anterior wall of the left ventricle. Choice D, the Posterior descending artery, is a branch of the right coronary artery and supplies the inferior wall of the left ventricle and the posterior septum.
4. A client who will undergo a bronchoscopy procedure with a rigid scope and general anesthesia will have their neck in which of the following positions?
- A. A flexed position
- B. An extended position
- C. A neutral position
- D. A hyperextended position
Correct answer: D: A hyperextended position
Rationale: During a bronchoscopy with a rigid scope and general anesthesia, the provider will typically place the client's neck in a hyperextended position to allow better visualization and access to the airways. This position helps to align the trachea for easier insertion of the scope.
5. The nurse knows that the most common complication of Measles is: A Pneumonia and larynigotracheitis
- A. Encephalitis
- B. Otitis Media
- C. Bronchiectasis
- D.
Correct answer: A
Rationale: Patient safety and efficacy of care depend on actions rooted in established nursing protocols that consider both the immediate and long-term needs of the patient.
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