ATI RN
Pharmacology and the Nursing Process Test Bank Free Questions
Question 1 of 5
Which of the following would be the most appropriate nursing intervention when caring for a client with a fractured rib?
Correct Answer: A
Rationale: Correct Answer: A - Apply immobilization device after examination by physician Rationale: 1. Immobilization helps reduce pain and prevent further injury. 2. Physician examination ensures proper diagnosis and treatment plan. 3. Immobilization device may include chest binders or splints for support. 4. It is crucial to follow medical advice to prevent complications. Summary: B: Discouraging deep breaths can lead to respiratory complications. C: Advising against analgesics can increase pain and hinder recovery. D: Increased fluid intake is important but not directly related to rib fracture care.
Question 2 of 5
The nurse understands that an anaphylactic reaction is considered which of the following types of hypersensitivity reactions?
Correct Answer: A
Rationale: The correct answer is A: Type I hypersensitivity reaction. In Type I hypersensitivity, anaphylactic reactions involve immediate IgE-mediated responses to allergens, leading to histamine release and potentially life-threatening symptoms. This type of reaction is characterized by rapid onset and systemic involvement. Choices B, C, and D are incorrect because Type III reactions involve immune complex deposition leading to inflammation (B), Type II reactions involve cytotoxic antibodies targeting cells (C), and Type IV reactions involve delayed cell-mediated responses (D).
Question 3 of 5
A patient who is being tested for HIV asks what tests are used. The nurse would correct in stating that the tests used to confirm HIV infection are which of the following?
Correct Answer: B
Rationale: The correct answer is B: ELISA and Western Blot. The rationale is as follows: ELISA (enzyme-linked immunosorbent assay) and Western Blot are specific tests used to confirm HIV infection by detecting antibodies or antigens related to the virus. ELISA is the initial screening test, while Western Blot is the confirmatory test. These tests are highly sensitive and specific for HIV detection. Choice A is incorrect because CD4+ cell count and thymus function are not tests used to confirm HIV infection. They are used to monitor disease progression and immune function in HIV-positive individuals. Choice C is incorrect because B-cell and T-cell count are also not tests used to confirm HIV infection. They are indicators of immune system health but not specific for HIV diagnosis. Choice D is incorrect because while CD4+ and viral load tests are used in monitoring HIV progression, ELISA is the main confirmatory test for HIV diagnosis, and viral load is not typically used for initial
Question 4 of 5
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 5 of 5
While obtaining a health history, the nurse learns that the client is allergic to bee stings. When obtaining the client’s medication history, the nurse should determine if the client keeps which medication on hand?
Correct Answer: A
Rationale: Rationale: A: Diphenhydramine hydrochloride (Benadryl) is an antihistamine commonly used to treat allergic reactions, including those from bee stings. It can help alleviate symptoms like itching and swelling. Keeping Benadryl on hand is crucial for managing an allergic reaction promptly. Other Choices: B: Guaifenesin (Robitussin) is an expectorant used to treat coughs, not allergic reactions. C: Pseudoephedrine hydrochloride (Sudafed) is a decongestant used for nasal congestion, not allergic reactions. D: Loperamide (Imodium) is an antidiarrheal used to treat diarrhea, not allergic reactions.