ATI RN
Pharmacology and the Nursing Process Test Bank Free Questions
Question 1 of 5
A nurse is completing an assessment. Which findings will the nurse report as subjective data? (Select all that apply.)
Correct Answer: C
Rationale: The correct answer is C because subjective data refers to information provided by the patient, such as their feelings, perceptions, and symptoms. In this case, the patient describing excitement about discharge is subjective as it is based on their personal experience. The other options (A, B,
D) are objective data as they can be measured or observed directly without interpretation. The patient's temperature (
A) and wound appearance (
B) are physical observations, while the patient pacing the floor (
D) is a behavior that can be observed.
Therefore, only choice C fits the definition of subjective data in a nursing assessment.
Question 2 of 5
Which of the following is the most important assessment during the acute stage of an unconscious patient like Mr. Franco?
Correct Answer: D
Rationale: The correct answer is D - Patency of airway and adequacy of respiration. This is the most important assessment during the acute stage of an unconscious patient like Mr. Franco because maintaining a clear airway and ensuring proper breathing are crucial for sustaining life. Without a patent airway and adequate respiration, the patient's oxygen supply could be compromised, leading to serious complications such as hypoxia or respiratory failure. Monitoring the airway and respiratory status takes precedence over other assessments in this scenario.
A: Level of awareness and response to pain - While important, assessing level of awareness and response to pain is secondary to ensuring a patent airway and adequate respiration in an unconscious patient.
B: Papillary reflexes and response to sensory stimuli - While these assessments provide valuable information about neurological function, they are not as critical as maintaining a clear airway and proper breathing in an unconscious patient.
C: Coherence and sense of hearing - Coherence and sense of hearing are not as vital as
Question 3 of 5
Mrs. Diwa has been diagnosed with systemic lupus erythematosus, the nurse upon assessment can expect to find which of the following?
Correct Answer: D
Rationale: The correct answer is D because systemic lupus erythematosus can lead to inflammation in the lungs, causing abnormal lung sounds. Dysphagia (choice
A) is not typically associated with lupus. Dryness or itching of genitalia (choice
B) is more characteristic of conditions like yeast infections or dermatitis. Decreased visual acuity or blindness (choice
C) is not a common manifestation of lupus. Abnormal lung sounds (choice
D) are commonly seen in lupus patients due to inflammation and possible lung involvement.
Question 4 of 5
Which of the following instructions should be included in the discharge teaching plan for a client after thyroidectomy for Grave’s disease?
Correct Answer: C
Rationale:
Step 1: Patients with Grave's disease who undergo thyroidectomy require regular follow-up care for monitoring thyroid hormone levels and overall health.
Step 2: Regular follow-up care ensures early detection of any complications or recurrence of the disease.
Step 3: Monitoring helps in adjusting medication doses and managing any potential side effects.
Step 4:
Choice A is important but not specific to thyroidectomy for Grave's disease.
Choice B is not typically used post-thyroidectomy.
Choice D may be beneficial but not a priority compared to regular follow-up care.
Question 5 of 5
For a client in addisonian crisis, it would be very risky for a nurse to administer:
Correct Answer: A
Rationale: The correct answer is A: potassium chloride. In Addisonian crisis, the adrenal glands do not produce enough cortisol and aldosterone. Potassium levels are typically elevated in Addisonian crisis due to decreased aldosterone. Administering potassium chloride can further increase potassium levels, leading to life-threatening cardiac arrhythmias. Hydrocortisone (
B) is essential to replace cortisol, normal saline solution (
C) helps with volume resuscitation, and fludrocortisone (
D) replaces aldosterone. Administering potassium chloride would exacerbate the hyperkalemia in Addisonian crisis.