ATI RN
Pharmacology and the Nursing Process Test Bank Free Questions
Question 1 of 9
There seems to be a positive correlation between type 2 diabetes mellitus and:
Correct Answer: B
Rationale: The correct answer is B: Obesity. Obesity is a well-established risk factor for developing type 2 diabetes mellitus due to the increased resistance of body cells to insulin. This leads to elevated blood sugar levels. Hypotension (A) is low blood pressure and is not typically associated with type 2 diabetes. Kidney dysfunction (C) is a complication of diabetes but not a direct correlation. Sex (D) does not have a direct link to the development of type 2 diabetes. Therefore, the most likely correlation is with obesity due to its impact on insulin resistance.
Question 2 of 9
A client, age 42, visits the gynecologist. After examining her, the physician suspects cervical cancer. The nurse reviews the client’s history for risk factors for this disease. Which history finding is a risk factor for cervical cancer?
Correct Answer: D
Rationale: The correct answer is D: Human papilloma virus (HPV) infection at age 32. HPV infection is a well-known risk factor for cervical cancer as certain strains of HPV can lead to cellular changes in the cervix that may progress to cancer. Here's the rationale: 1. HPV is a known risk factor: HPV is a sexually transmitted infection that is strongly linked to the development of cervical cancer. 2. Age of infection: The client's history of acquiring HPV at age 32 is significant as long-standing HPV infection increases the risk of cervical cancer. 3. Other choices are not directly linked: Choices A, B, and C are not directly associated with an increased risk of cervical cancer. Age of sexual activity onset, spontaneous abortion, and eclampsia are not established risk factors for cervical cancer.
Question 3 of 9
The physician orders cystoscopy and random biopsies of the bladder for a client who reports painless hematuria. Test results reveal carcinoma in situ in several bladder regions. To treat bladder cancer, the client will have a series of intravesical instillations of bacillus Calmette-Guerin (BCG), administered 1 week apart. When teaching the client about BCG, the nurse should mention that this drug commonly causes:
Correct Answer: C
Rationale: The correct answer is C: Hematuria. Bacillus Calmette-Guerin (BCG) is a type of immunotherapy used to treat bladder cancer by stimulating the immune system to attack cancer cells. One common side effect of BCG instillations is hematuria, which is the presence of blood in the urine. This occurs because BCG irritates the bladder lining, leading to inflammation and bleeding. It is important for the nurse to educate the client about this potential side effect so they are aware and can report any excessive bleeding to their healthcare provider promptly. Other choices are incorrect: A: Renal calculi - BCG therapy is not known to cause renal calculi. B: Delayed ejaculation - BCG therapy is not associated with delayed ejaculation. D: Impotence - BCG therapy is not linked to impotence.
Question 4 of 9
A nurse is planning care for a patient with a nursing diagnosis of Impaired skin integrity. The patient needs many nursing interventions, including a dressing change, several intravenous antibiotics, and a walk. Which factors does the nurse consider when prioritizing interventions? (Select all that apply.)
Correct Answer: A
Rationale: The correct answer is A because ranking all the patient's nursing diagnoses in order of priority allows the nurse to address the most critical needs first. By prioritizing based on the urgency and potential impact on the patient's health, the nurse can ensure that interventions are carried out effectively. B is incorrect because priorities may need to be adjusted based on the patient's changing condition. C is incorrect as priorities should consider not only physiological but also psychological and sociological factors. D is incorrect because time is an influencing factor, but it should not be the sole consideration when prioritizing interventions.
Question 5 of 9
A client with allergic rhinitis is prescribed loratadine (Claritin). On a follow-up visit, the client tells the nurse, “I take one 10-mg of Claritin with a glass of water two times daily”. The nurse concludes that the client requires additional teaching about this medication because:
Correct Answer: C
Rationale: Rationale: 1. Loratadine is typically dosed once daily, not twice daily, for allergic rhinitis. 2. Taking it twice daily may increase the risk of side effects without added benefit. 3. The client's dosing schedule reflects a misunderstanding of the medication regimen. 4. Option A is incorrect because loratadine is available in 10mg tablets. 5. Option B is incorrect as loratadine can be taken with or without food. 6. Option D is incorrect as Claritin is a common trade name for loratadine.
Question 6 of 9
What deficits would the nurse expect in a right-handed person experiencing a stroke affecting the left side of the cortex?
Correct Answer: A
Rationale: The correct answer is A: Expressive aphasia and paralysis on the right side of the body. In a right-handed person, the left side of the brain controls language and right-sided motor function. A stroke affecting the left side of the cortex would lead to expressive aphasia due to damage to Broca's area, causing difficulty in speaking and forming words. Paralysis on the right side of the body would result from damage to the motor cortex in the left hemisphere. Choices B, C, and D are incorrect because they do not align with the typical deficits seen in a person with a stroke affecting the left side of the cortex in a right-handed individual.
Question 7 of 9
A 68-year old client has been complaining of sleeping more, increased urination, anorexia, weakness, irritability, depression, and bone pain that interferes with her going outdoors. Based on these assessment findings, the nurse would suspect which of the following disorders?
Correct Answer: D
Rationale: The correct answer is D: Hyperparathyroidism. This disorder is characterized by excessive secretion of parathyroid hormone, leading to increased calcium levels in the blood. The symptoms described in the question - bone pain, weakness, irritability, and depression - are all associated with hypercalcemia, a common manifestation of hyperparathyroidism. Additionally, the client's anorexia and increased urination can be attributed to the effects of hypercalcemia on the gastrointestinal and renal systems. Diabetes mellitus (choice A) involves high blood sugar levels and is not associated with the symptoms described. Hypoparathyroidism (choice B) is characterized by low levels of parathyroid hormone and calcium, leading to different symptoms such as muscle cramps and seizures. Diabetes insipidus (choice C) is a disorder of water balance characterized by excessive thirst and urination, not the symptoms presented in the question.
Question 8 of 9
Which of the following guidelines should a nursing instructor provide to nursing students who are now responsible for assessing their clients?
Correct Answer: A
Rationale: The correct answer is A because assessment data should be collected continuously to ensure timely detection of any changes in the client's condition. This allows for prompt interventions and prevents complications. Choice B is incorrect as assessment should be ongoing and not limited to specific times. Choice C is incorrect as the frequency of assessment should be based on client needs, not a fixed schedule. Choice D is incorrect as assessments should not be limited to certain times but should be ongoing to provide comprehensive care.
Question 9 of 9
There seems to be a positive correlation between type 2 diabetes mellitus and:
Correct Answer: B
Rationale: The correct answer is B: Obesity. Obesity is a well-established risk factor for developing type 2 diabetes mellitus due to the increased resistance of body cells to insulin. This leads to elevated blood sugar levels. Hypotension (A) is low blood pressure and is not typically associated with type 2 diabetes. Kidney dysfunction (C) is a complication of diabetes but not a direct correlation. Sex (D) does not have a direct link to the development of type 2 diabetes. Therefore, the most likely correlation is with obesity due to its impact on insulin resistance.