Test Bank Pharmacology and the Nursing Process

Questions 67

ATI RN

ATI RN Test Bank

Test Bank Pharmacology and the Nursing Process Questions

Question 1 of 5

Just as the nurse was entering the room, the patient who was sitting on his chair begins to have a seizure. Which of the following must the nurse do first?

Correct Answer: A

Rationale: The correct answer is A: Ease the patient to the floor. This is the first step because it helps prevent injury during a seizure. Lowering the patient to the floor prevents falls and protects the patient's head. Choices B, C, and D are incorrect. Choice B can cause injury or obstruct the airway, choice C involves unnecessary movement, and choice D can lead to further harm or injury. It is crucial to prioritize safety and prevent harm during a seizure episode.

Question 2 of 5

The nurse is instructing a premenopausal woman about breast self-examination. The nurse should tell the client to do her self-examination:

Correct Answer: C

Rationale: Correct Answer: C - The nurse should tell the client to do her self-examination on the same day each month to establish a routine, making it easier to remember and detect any changes. This consistency helps in early detection of abnormalities. Incorrect Choices: A: Doing it at the end of the menstrual cycle may not be consistent due to varying cycle lengths. B: Doing it on the 1st day of the menstrual cycle may not be practical and could lead to missing potential abnormalities. D: Doing it immediately after her menstrual period may not provide a consistent schedule for self-examination.

Question 3 of 5

For which of the ff conditions would the use of salt tablets be considered?

Correct Answer: A

Rationale: Rationale: - Salt tablets are used for mild deficits of serum sodium to help restore electrolyte balance. - Sodium is crucial for fluid balance, nerve function, and muscle contraction. - Severe deficits of serum magnesium, potassium, and calcium require specific electrolyte replacement therapy, not salt tablets. Summary: - Choice A is correct because salt tablets are used for mild deficits of serum sodium. - Choices B, C, and D are incorrect because they involve severe deficits of different electrolytes that require specific replacement therapy.

Question 4 of 5

A patient is admitted for a splenectomy. Why is an injection of Vit. K ordered before surgery?

Correct Answer: A

Rationale: Step 1: Vitamin K is essential for the synthesis of clotting factors in the liver. Step 2: A splenectomy increases the risk of bleeding due to decreased platelet sequestration. Step 3: Preoperative Vitamin K injection helps correct any clotting deficiencies. Summary: - Choice B is incorrect as Vitamin K does not prevent infection. - Choice C is incorrect as Vitamin K does not directly promote healing. - Choice D is incorrect as Vitamin K does not dry secretions.

Question 5 of 5

A client has a routine Papanicolaou (Pap) test during a yearly gynecologic examination. The result reveals a class V finding. What should the nurse tell the client about this finding?

Correct Answer: D

Rationale: The correct answer is D because a class V Pap test finding indicates severe abnormalities, such as high-grade dysplasia or carcinoma in situ. Therefore, the nurse should instruct the client to undergo a biopsy as soon as possible to confirm the diagnosis and initiate appropriate treatment promptly. Choices A, B, and C are incorrect because a class V result is not normal and requires immediate follow-up, rather than waiting or repeating the Pap test at a later time.

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