ATI RN
ATI RN pharmacology 2023 Questions
Extract:
Vital Signs
Medical History
Nurses' Notes
1000:
Temperature 36° C (96.8° F)
Blood pressure 118/56 mm Hg
Heart rate 92/min
Respiratory rate 18/min
Oxygen saturation 95% on room air
1200:
Temperature 37.2° C (99° F)
Blood pressure 104/56 mm Hg
Heart rate 62/min
Respiratory rate 12/min
Oxygen saturation 94% on room air
Question 1 of 5
The client is most at risk of developing ___ and ___
| urinary tract infection |
| delayed wound healing |
| deep vein thrombosis |
| atelectasis |
| paralytic ileus |
Correct Answer: D,E
Rationale: Parameters:
Correct
Answer: (0, 0, 0, 1, 1, 0, 0)
Rationale:
- Atelectasis is a condition where the lungs do not expand fully, increasing the risk of respiratory complications.
- Paralytic ileus is a condition where the intestines stop working, leading to potential bowel obstruction.
- Urinary tract infection, delayed wound healing, and deep vein thrombosis are not directly related to the client's risk factors in this scenario.
Extract:
Question 2 of 5
A nurse is preparing to provide foot care for a client who is ambulatory. Identify the sequence of steps the nurse should follow when performing foot care.
Correct Answer: B,C,E,D,A
Rationale: The correct sequence for providing foot care to an ambulatory client is as follows:
B: Assist the client into a sitting position in a chair - Ensures client comfort and accessibility for foot care.
C: Soak the client's feet in warm water - Helps soften calluses and relaxes the client.
E: Rub callused areas of the client's feet using a washcloth - Allows for gentle exfoliation.
D: Apply lotion to the client's feet - Moisturizes and nourishes the skin.
A: Gently dry the client's feet and areas between the toes with a towel - Completes the foot care process.
Incorrect choices:
C: Soaking the feet first allows for better callus removal, so applying lotion before this step would be less effective.
E: Rubbing callused areas should be done after soaking to avoid harsh exfoliation on dry skin.
D: Applying lotion before exfoliation can hinder the removal of dead skin cells.
Question 3 of 5
A nurse is planning an in-service to teach families about self-care resources for caregivers. Which of the following programs should the nurse plan to include?
Correct Answer: D
Rationale: The correct answer is D: Respite care. Respite care provides temporary relief to caregivers by offering short-term care for their loved ones. This program allows caregivers to take a break and attend to their own needs, preventing burnout and promoting overall well-being. Tertiary care (
A) involves specialized medical services, not specifically focused on caregiver support. Restorative care (
B) focuses on rehabilitation services for patients, not caregivers. Telemedicine care (
C) involves remote healthcare delivery, not directly related to caregiver resources.
Therefore, respite care is the most suitable program to include in the in-service for caregiver self-care.
Question 4 of 5
A nurse is teaching a client about prevention of injury when lifting. Which of the following instructions should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct answer is D: Stand close to a heavy object before attempting to lift it. This instruction is important because standing close to the object helps reduce the strain on the back by keeping the load as close to the body's center of gravity as possible. This minimizes the risk of injury and allows for better control and balance while lifting.
Explanation for other choices:
A: A narrow base of support is not recommended as it can decrease stability and increase the risk of injury.
B: Bending at the waist when lifting heavy objects can strain the lower back and lead to injury.
C: Using a twisting motion while lifting can also strain the back and increase the risk of injury.
E, F, G: These choices are not relevant to proper lifting techniques and do not address injury prevention.
Extract:
Nurses' Notes
Diagnostic Results
0800:
Client 1 is admitted with right hip pain following a fall.
Client 2 has a history of hyperlipidemia.
Client 3 has a history of congestive heart failure.
Client 4 has hypertension and a new prescription for furosemide.
Client 5 has a stage 2 pressure injury on the sacrum.
Client 6 is admitted with a new diagnosis of diabetes mellitus.
Question 5 of 5
The first client the nurse should assess is ___ followed by ___
| Pulmonary edema |
| Glycemic control |
| Hypoalbuminemia |
| Hip fracture |
| Low potassium |
| Malnutrition |
Correct Answer: A,D
Rationale:
The correct answer is A,D. The rationale is to prioritize immediate life-threatening conditions. Pulmonary edema (
A) requires urgent assessment due to potential respiratory compromise. Hip fracture (
D) should be assessed next to prevent further injury. Other choices are not as urgent. Glycemic control (
B) and low potassium (E) are important but not immediate. Hypoalbuminemia (
C), malnutrition (F) can be assessed later unless there are specific concerns.