ATI RN
Pharmacology and the Nursing Process 10th Edition Test Bank Questions
Question 1 of 5
What should a male client over age 50 do to help ensure early identification of prostate cancer?
Correct Answer: A
Rationale: The correct answer is A: Have a digital rectal examination and prostate-specific antigen (PSA) test done yearly. This is because regular screening with both tests can help detect prostate cancer early. The digital rectal exam allows the doctor to feel for any abnormalities in the prostate gland, while the PSA test measures the levels of a specific protein produced by the prostate gland. If there are any concerning findings, further diagnostic tests can be done to confirm prostate cancer. Choice B is incorrect because transrectal ultrasound is not a recommended screening test for prostate cancer. Choice C is incorrect as testicular self-examinations are for detecting testicular cancer, not prostate cancer. Choice D is incorrect as CBC, BUN, and creatinine levels are not specific tests for prostate cancer screening.
Question 2 of 5
When teaching a preoperative older patient, which of the following is a technique to improve learning?
Correct Answer: D
Rationale: The correct answer is D, "Eliminate background noise." This technique is essential for older patients as they may have age-related hearing impairments. By reducing background noise, the patient can better focus on the information being conveyed. Sitting in bright sunlight (A) may cause glare and make it difficult to read or see clearly. Speaking in a high tone (B) may be perceived as aggressive or patronizing. Using small, white-on-black printed materials (C) may be challenging for older patients with visual impairments. Thus, eliminating background noise is the most effective technique to improve learning in preoperative older patients.
Question 3 of 5
With pulmonary edema, there is usually an alteration in:
Correct Answer: D
Rationale: Pulmonary edema causes an increase in pressure in the pulmonary circulation, leading to an alteration in afterload due to increased resistance. It also causes fluid accumulation in the pulmonary vessels, affecting preload. Additionally, the heart may compensate by increasing contractility. Therefore, all of the above choices are altered in pulmonary edema. The incorrect choices are A, B, and C individually as they only represent one aspect of the alterations seen in pulmonary edema, while the correct answer D encompasses all three factors affected in this condition.
Question 4 of 5
. A client with a suspected left sided heart failure is scheduled to undergo a multigated acquisition scan. Which of the following actions is required before undergoing the test?
Correct Answer: C
Rationale: Rationale: - A: Diuretics are not necessary before the test and may affect test results. - B: Dehydration is not recommended before the test as it can impact cardiac function. - C: Medication to relieve cough is necessary to reduce any potential interference with the scan. - D: Administering analgesics is not required for the test and may not be relevant to the client's condition.
Question 5 of 5
The nurse understands that which of the ff. best describes the action of propanolol (Inderal)?
Correct Answer: C
Rationale: Step-by-step rationale: 1. Propranolol is a beta-blocker that acts on the heart. 2. It blocks beta-adrenergic receptors, leading to decreased heart rate and contractility. 3. Decreased heart rate and contractility result in reduced cardiac output. 4. Therefore, the correct answer is C - It decreases cardiac output. Summary: A, B, and D are incorrect because propranolol does not increase heart rate, fluid volume, or cardiac contractility.