ATI RN
Pharmacology and the Nursing Process Test Bank Free Questions
Question 1 of 9
Victorio is being managed for diarrhea. Which outcome indictes that fluid resuscitation is successful?
Correct Answer: C
Rationale: The correct answer is C because firm skin turgor indicates adequate hydration, a key goal of fluid resuscitation in diarrhea management. Firm skin turgor reflects the body's fluid balance and hydration status. When fluid resuscitation is successful, the patient's skin turgor improves due to replenished fluid levels. Choices A, B, and D are incorrect as they do not directly assess hydration status or the effectiveness of fluid resuscitation. Passing formed stools, decrease in stool frequency, and absence of perianal burning may be positive outcomes in diarrhea management, but they do not specifically indicate successful fluid resuscitation.
Question 2 of 9
Which of the following guidelines should a nursing instructor provide to nursing students who are now responsible for assessing their clients?
Correct Answer: A
Rationale: The correct answer is A because assessment data should be collected continuously to ensure timely detection of any changes in the client's condition. This allows for prompt interventions and prevents complications. Choice B is incorrect as assessment should be ongoing and not limited to specific times. Choice C is incorrect as the frequency of assessment should be based on client needs, not a fixed schedule. Choice D is incorrect as assessments should not be limited to certain times but should be ongoing to provide comprehensive care.
Question 3 of 9
Which of the following questions or statements would be an appropriate termination of the health history interview?
Correct Answer: B
Rationale: The correct answer is B because it encourages the patient to share any additional information they may have forgotten or overlooked, ensuring a thorough health history interview. Choice A is incorrect as it implies the interviewer is unprepared or disinterested. Choice C is inappropriate as it may make the patient feel guilty or inadequate. Choice D is incorrect as it does not address the possibility of gathering more relevant information from the patient.
Question 4 of 9
A nurse identifies Fatigue as a health problem and nursing diagnosis for a client receiving home care for metastatic cancer. What statement or question would be best to validate this client problem?
Correct Answer: D
Rationale: The correct answer is D because it involves collaboration with the client to validate their experience. It shows respect for the client's perspective and promotes open communication. Choice A is incorrect as it lacks client involvement. Choice B is incorrect as it focuses on the nurse's interpretation rather than the client's experience. Choice C is incorrect as it may come off as accusatory or judgmental, lacking empathy.
Question 5 of 9
A nurse identifies a fall risk when assessing a patient upon admission. The nurse and the patient agree that the goal is for the patient to remain free from falls. However, the patient fell just before shift change. Which action is the nurse’s priority when evaluating the patient?
Correct Answer: A
Rationale: The correct answer is A: Identify factors interfering with goal achievement. This is the priority action because it focuses on understanding what caused the patient to fall despite the goal of preventing falls. By identifying the factors interfering with goal achievement, the nurse can make necessary adjustments to the care plan to prevent future falls. Choice B is incorrect because counseling the nursing assistive personnel and removing the fall risk sign does not address the root cause of the fall. Choice C is incorrect because shifting responsibility to the charge nurse for documentation does not address the immediate need to assess and address the factors contributing to the fall. Choice D is incorrect because documenting the fall is important but not the priority when the immediate concern is understanding why the fall occurred.
Question 6 of 9
The client is taking phenyton (Dilantin) for seizure control. A sample is drawn to determine the serum drug level, and the nurse reviews the results. Which of the following would indicate a therapeutic serum drug range?
Correct Answer: A
Rationale: The correct answer is A (5 to 10 mcg/ml) because this range is typically considered therapeutic for phenytoin (Dilantin) for seizure control. Levels below 5 mcg/ml may be subtherapeutic, leading to inadequate seizure control. Levels above 10 mcg/ml can increase the risk of toxicity. Choices B, C, and D are incorrect because they are outside the optimal therapeutic range, leading to either ineffective treatment (B, C) or an increased risk of adverse effects (D). Monitoring drug levels helps ensure the medication's effectiveness while minimizing side effects.
Question 7 of 9
The nurse is intervening for a patient that has a risk for a urinary infection. Which direct care nursing intervention is most appropriate?
Correct Answer: A
Rationale: The correct answer is A: Teaches proper handwashing technique. This is the most appropriate intervention because proper handwashing can help prevent the spread of infection, including urinary infections. Teaching the patient about handwashing empowers them to take control of their own hygiene, reducing the risk of infection. Summary of why other choices are incorrect: B: Properly cleans the patient's toilet - While important for maintaining cleanliness, this does not directly address the patient's risk for a urinary infection. C: Transports urine specimen to the lab - This is not a direct care intervention for preventing urinary infections. D: Informs the oncoming nurse during hand-off - Hand-off communication is important for continuity of care but does not directly address the patient's risk for a urinary infection.
Question 8 of 9
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 9 of 9
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.