ATI RN
ATI RN Pharmacology 2019 III Questions
Question 1 of 5
A nurse in a provider's office is assessing a client. The nurse should identify that which of the following findings are manifestations of pulmonary tuberculosis? (Select all that apply)
Correct Answer: B,C,D
Rationale: The correct manifestations of pulmonary tuberculosis are night sweats, low-grade fever, and blood in the sputum. Night sweats are a common symptom due to the body fighting the infection. Low-grade fever is indicative of an inflammatory response. Blood in the sputum is a classic sign of TB due to lung tissue damage. Weight gain and flushed cheeks are not typical signs of pulmonary tuberculosis. In summary, B, C, and D are correct because they are directly related to the infection process, while A and E are not specific to TB.
Question 2 of 5
A nurse is caring for a client who had a stroke involving the right cerebral hemisphere. The nurse should monitor for which of the following findings?
Correct Answer: A
Rationale: The correct answer is A: Poor impulse control. When a stroke involves the right cerebral hemisphere, it can affect behavior regulation, causing poor impulse control. Right hemisphere stroke is associated with emotional and behavioral changes. Deficits in the right visual field (
B) are typically associated with left hemisphere stroke. Unable to discriminate words and letters (
C) is related to left hemisphere stroke. Motor retardation (
D) is more commonly seen with left hemisphere stroke as well.
Question 3 of 5
A nurse is caring for a client who has a head injury. The client states they fell off a ladder while painting approximately 2 hours ago and lost consciousness for 45 minutes according to their partner. The nurse should determine that the client is experiencing which of the following classifications of traumatic brain injury?
Correct Answer: A
Rationale: The correct answer is A: Moderate. This classification is determined based on the client's history of falling off a ladder, losing consciousness for 45 minutes, and having a head injury within the last 2 hours. A moderate traumatic brain injury involves a loss of consciousness for more than 30 minutes but less than 24 hours. Severe traumatic brain injury involves loss of consciousness for more than 24 hours. Mild traumatic brain injury typically involves a loss of consciousness for less than 30 minutes. The other choices are incorrect because the client's history clearly indicates a moderate level of traumatic brain injury based on the duration of loss of consciousness.
Question 4 of 5
A nurse is planning care for a female client who has a T4 spinal cord injury and is at risk for acquiring urinary tract infections. Which of the following actions should the nurse include in the client's plan of care?
Correct Answer: D
Rationale:
Correct
Answer: D - Encourage fluid intake at and between meals.
Rationale: Encouraging fluid intake helps to increase urinary output, flushing out bacteria and preventing urinary stasis, reducing the risk of urinary tract infections. Adequate hydration is crucial for maintaining urinary tract health. This action promotes frequent urination, which can help prevent urinary retention and decrease the likelihood of infection.
Summary of other choices:
A: Cleansing the perineum from back to front increases the risk of introducing bacteria into the urethra, leading to infection.
B: Indwelling urinary catheters increase the risk of urinary tract infections due to the introduction of bacteria into the urinary tract.
C: Offering the bedpan every 2 hours may not directly decrease the risk of urinary tract infections.
Question 5 of 5
A nurse is caring for a client who has had a stroke involving the right hemisphere. Which of the following alterations in function should the nurse expect?
Correct Answer: C
Rationale: The correct answer is C: Inability to recognize his family members. When a stroke affects the right hemisphere of the brain, it can lead to a condition called hemispatial neglect, where the individual may fail to recognize or respond to stimuli on the side opposite to the brain lesion. This can include neglecting or being unable to recognize familiar faces, such as family members, due to the brain's impaired ability to process visual information from the left side. Right hemiparesis (
A) is typically associated with left hemisphere strokes. Aphasia (
B) is more common in left hemisphere strokes affecting language centers. Difficulty reading (
D) is also more likely in left hemisphere strokes.