ATI RN
Test Bank Pharmacology and the Nursing Process Questions
Question 1 of 5
Charles is started on chemotherapy, which is aimed at restoring dopaminergic activities. An example of such a drug is:
Correct Answer: D
Rationale: The correct answer is D: Dopar. Dopar is a drug that increases dopamine levels by converting into dopamine in the brain. This directly restores dopaminergic activities. Artane (A) is an anticholinergic used for Parkinson's symptoms, Elavil (B) is a tricyclic antidepressant, and Benadryl (C) is an antihistamine, none of which directly target dopaminergic activities like Dopar does.
Question 2 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 3 of 5
The nurse assesses the motor functions during a neurologic examination of a client. Which of the ff steps will help the nurse perform the examination effectively? Choose all that apply
Correct Answer: A
Rationale: Step-by-step rationale: 1. Allowing the client to grasp the nurse's hand firmly assesses grip strength and motor coordination. 2. This step helps evaluate the client's ability to follow instructions and perform a coordinated motor task accurately. 3. Assessing grip strength is essential in determining any muscle weakness or neurological deficits. 4. It also provides insight into the client's motor function and coordination abilities. Summary: - Choice B is incorrect because it focuses on sensory functions rather than motor functions. - Choice C assesses fine motor skills, not grip strength and coordination. - Choice D evaluates cognition and logic, which are not directly related to motor function assessment.
Question 4 of 5
Which of the ff actions should the nurse perform to monitor for electrolyte imbalances and dehydration in a client with a neurologic deficit?
Correct Answer: A
Rationale: The correct answer is A: Measure intake and output. Monitoring intake and output is crucial in assessing electrolyte imbalances and dehydration in clients with neurologic deficits. Electrolyte imbalances can lead to neurological complications, so accurate monitoring is essential. Mini-mental status and Glasgow Coma scale are assessments of mental status, not electrolyte balance. Vital signs can provide some information, but intake and output measurement is more specific for assessing electrolyte imbalances and dehydration.
Question 5 of 5
Which antiparkinsonian drug is associated with the on-off phenomenon and the wearing-off effect?
Correct Answer: B
Rationale: The correct answer is B: Levodopa. Levodopa is associated with the on-off phenomenon and wearing-off effect in Parkinson's disease treatment due to fluctuations in its effectiveness over time. The on-off phenomenon refers to sudden and unpredictable changes in motor function, while wearing-off effect occurs when the medication's effects diminish before the next dose. Amantadine (A) is not typically associated with these phenomena. Benztropine (C) is an anticholinergic used for tremors and rigidity. Pramixole (D) is a dopamine agonist that can cause dyskinesias but is not primarily linked to on-off or wearing-off effects.