ATI RN
ATI RN Pharmacology 2019 III Questions
Question 1 of 5
A nurse is caring for a client who has a chest tube in place to a closed chest drainage system. Which of the following findings should indicate to the nurse that the client's lung has expanded?
Correct Answer: A
Rationale:
Correct Answer: A - No fluctuations in the water seal chamber
Rationale: When the lung has fully expanded, there should be no air leaking from the lung into the pleural space, leading to no fluctuations in the water seal chamber. This indicates that the chest tube is effectively removing air or fluid from the pleural space, allowing the lung to fully expand and preventing further collapse.
Summary of other choices:
B: No reports of pleuritic chest pain - This finding does not directly indicate lung expansion, as pain can be present even with an expanded lung.
C: Occasional bubbling in the water seal chamber - Bubbling indicates air leakage, which is not indicative of lung expansion.
D: Oxygen saturation of 95% - While oxygen saturation is important, it does not directly assess lung expansion status.
Question 2 of 5
A nurse is caring for a client who has aphasia following a stroke. A family member asks the nurse how she should communicate with the client. Which of the following responses by the nurse is appropriate?
Correct Answer: C
Rationale: The correct answer is C: Incorporate nonverbal cues in the conversation. This is appropriate because individuals with aphasia may have difficulty understanding and producing speech but can often interpret nonverbal communication effectively. Nonverbal cues such as gestures, facial expressions, and body language can help enhance communication and convey meaning. Using simple childlike statements (
A) may come across as patronizing and disrespectful. Using a higher-pitched tone of voice (
B) may not necessarily aid in communication for someone with aphasia. Asking multiple choice questions (
D) may not be effective as it may still rely heavily on verbal language.
Question 3 of 5
A nurse is receiving a transfer report for a client who has a head injury. The client has a Glasgow Coma Scale (GCS) score of 3 for eye opening, 5 for best verbal response, and 5 for best motor response. Which of the following is an appropriate conclusion based on this data?
Correct Answer: B
Rationale: The correct answer is B: The client opens his eyes when spoken to. This is because a GCS score of 3 for eye opening indicates that the client opens eyes only in response to voice. The other choices are incorrect because a GCS score of 5 for best verbal response and 5 for best motor response suggest that the client is not completely unresponsive or unable to make vocal sounds (
Choice
A), unconscious (
Choice
C), or unable to follow simple motor commands (
Choice
D). It's important to interpret the GCS score accurately to determine the client's level of consciousness and responsiveness.
Question 4 of 5
A nurse is planning care for a child who has cystic fibrosis and a prescription to receive chest physiotherapy (CPT). Which of the following actions should the nurse plan to take?
Correct Answer: C
Rationale:
Correct Answer: C. Administer albuterol prior to CPT.
Rationale: Administering albuterol prior to CPT helps open up the airways, making it easier for the mucus in the lungs to be cleared during the chest physiotherapy. This can improve the effectiveness of the CPT and help the child breathe more easily. Administering albuterol before CPT also helps prevent bronchospasm that may be triggered by the chest physiotherapy.
Summary of other choices:
A: Performing CPT immediately after eating can lead to discomfort or vomiting.
B: Percussing each lung segment for 15 minutes is excessive and not recommended.
D: Performing vibration during inspirations is incorrect as vibration is typically performed during expirations to help loosen and mobilize secretions.
Overall, administering albuterol prior to CPT is the most appropriate action to optimize the effectiveness and safety of chest physiotherapy for a child with cystic
Question 5 of 5
A nurse is caring for a client who has asthma and allergies. The nurse should inform the client to avoid which of the following?
Correct Answer: B
Rationale: The correct answer is B: Mold. Asthma and allergies can be triggered or worsened by exposure to mold spores. Mold can be found indoors and outdoors, and inhalation of mold spores can lead to respiratory symptoms. Radon (
A) is a colorless, odorless gas that can seep into homes and increase the risk of lung cancer but is not specifically related to asthma or allergies. Cockroaches (
C) can also trigger asthma symptoms, but mold is a more common allergen. Hepatitis B (
D) is a viral infection transmitted through blood and bodily fluids, not related to asthma or allergies.