ATI RN
Pharmacology and the Nursing Process Test Bank Questions
Question 1 of 5
To reduce symptoms of early morning stiffness in a ptient who has rheumatoid arthritis, the nurse can encourage the patient to:
Correct Answer: A
Rationale: The correct answer is A: take a hot tub bath or shower in the morning. This is effective as the warm water helps to relax muscles and joints, reducing stiffness. It also improves circulation, which can alleviate morning stiffness in patients with rheumatoid arthritis. Incorrect choices: B: Putting joints through passive ROM before active movement may exacerbate stiffness if not done properly. C: Sleeping with a hot pad may provide temporary relief but does not address the root cause of morning stiffness. D: Taking aspirin can help with pain but does not directly address stiffness. Waiting 15 minutes before moving may not be as effective as soaking in warm water.
Question 2 of 5
A community nurse will perform chest physiotherapy for Mrs. Dy every 3 hours. It is important for the nurse to:
Correct Answer: C
Rationale: The correct answer is C because performing chest physiotherapy (CPT) at least two hours after meals helps prevent aspiration during the procedure. This timing reduces the risk of vomiting or regurgitation of food during CPT, which could lead to aspiration pneumonia. Slapping the chest wall gently (A) may not effectively clear secretions. Using vibration techniques (B) is not typically recommended for routine CPT. Planning apical drainage at the beginning of the session (D) is not necessary as it is not a standard practice for CPT.
Question 3 of 5
Which of the following is the most common cause of hyperaldosteronism?
Correct Answer: D
Rationale: The correct answer is D: An adrenal adenoma. Adrenal adenoma is the most common cause of primary hyperaldosteronism, also known as Conn's syndrome. Adrenal adenomas are benign tumors that cause overproduction of aldosterone, leading to increased sodium retention and potassium excretion. This results in hypertension and hypokalemia. Excessive sodium intake (A) and deficient potassium intake (B) are not direct causes of hyperaldosteronism. A pituitary adenoma (C) is associated with other hormone imbalances, such as Cushing's syndrome or acromegaly, but not hyperaldosteronism.
Question 4 of 5
The adrenal cortex is responsible for producing which substances?
Correct Answer: A
Rationale: The correct answer is A: Glucocorticoids and androgens. The adrenal cortex is divided into three layers, with the outer layer responsible for producing mineralocorticoids like aldosterone, the middle layer producing glucocorticoids like cortisol, and the inner layer producing androgens. Glucocorticoids are essential for regulating metabolism and immune response, while androgens are male sex hormones. Choices B, C, and D are incorrect because mineralocorticoids, catecholamines, norepinephrine, and epinephrine are produced by different parts of the adrenal gland, not specifically by the adrenal cortex.
Question 5 of 5
The nurse administered neutral protamine Hagedorn (NPH) insulin to a diabetic client at 7am. At what time would the nurse expect the client to be at most risk for a hypoglycemic reaction?
Correct Answer: B
Rationale: Rationale: 1. NPH insulin peaks in 4-12 hours, making 4:00 PM the highest risk time. 2. 10:00 AM is too soon for peak effect. 3. Noon is too early for peak effect. 4. 10:00 PM is too late for peak effect. In summary, B is correct as it aligns with NPH insulin peak time, while other options are too early or too late.