Questions 9

ATI RN

ATI RN Test Bank

Pharmacology and the Nursing Process 9th Edition Test Bank Questions

Question 1 of 5

Which of the following is a discharge criterion from the PACU for a patient following surgery?

Correct Answer: A

Rationale: The correct answer is A: Oxygen saturation above 90%. This is a discharge criterion because adequate oxygen saturation indicates the patient is breathing well and there is no immediate respiratory compromise. Oxygen saturation below 90% (choice C) would indicate hypoxemia and would not be safe for discharge. IV narcotics given less than 15 minutes ago (choice B) can still be in effect and may impair the patient's ability to function post-surgery. IV narcotics given less than 30 minutes ago (choice D) is a longer timeframe but still not ideal for discharge as the effects of the narcotics may not have fully worn off.

Question 2 of 5

Nurse Dennis provides health promotion to a group of male adults. He is correct when he states that clients with cirrhosis should include which measure to adhere to a home?

Correct Answer: C

Rationale: The correct answer is C: limit daily alcohol intake. This is crucial for clients with cirrhosis as alcohol can exacerbate liver damage. Limiting alcohol intake helps prevent further harm to the liver and promotes overall health. Supplementation with multivitamins (choice A) can be beneficial, but not as essential as avoiding alcohol. Taking sleeping pills (choice B) may worsen liver function and is not recommended. Limiting contact at all times (choice D) is irrelevant to managing cirrhosis.

Question 3 of 5

Before, during and after seizure. The nurse knows that the patient is ALWAYS placed in what position?

Correct Answer: C

Rationale: The correct answer is C: Side lying position. This position helps prevent aspiration of secretions and promotes drainage from the mouth during and after a seizure. Placing the patient in a side lying position also helps prevent injury from falling and facilitates monitoring of the patient's airway. Incorrect choices: A: Low fowler's - This position does not provide optimal airway protection and may increase the risk of aspiration during a seizure. B: Modified trendelenburg - This position may worsen the patient's airway patency and does not facilitate drainage of secretions. D: Supine - Placing the patient in a supine position can lead to aspiration and compromise the airway, especially during a seizure. Summary: The side lying position is the most appropriate choice as it ensures airway protection, facilitates drainage, and reduces the risk of aspiration during and after a seizure.

Question 4 of 5

Several days before admission, a client reports finding a small lump in the left breast near the nipple. What should the nurse tell the client to do?

Correct Answer: A

Rationale: The correct answer is A: Inform the physician immediately. This is important because finding a lump in the breast could be a sign of breast cancer, so prompt medical evaluation is crucial. Checking after the next menstrual cycle (B) may delay diagnosis and treatment. Squeezing the nipple (C) can cause harm and is not a reliable method for assessing a lump. Using a heating pad (D) is not recommended as it may mask symptoms and delay proper evaluation. Early detection and intervention are key in improving outcomes for breast cancer.

Question 5 of 5

Which instruction about insulin administration should the nurse give to a client?

Correct Answer: A

Rationale: The correct answer is A because maintaining consistency in the order of drawing different types of insulin into the syringe helps prevent medication errors. When mixing insulins, drawing them in the same sequence ensures the correct dose and prevents contamination. Explanation: A: Following the same order ensures accurate dosing and minimizes the risk of mixing up insulins. B: Shaking the vial can cause air bubbles which can affect the accuracy of the dose. C: Storing insulin in the freezer can damage the medication and alter its effectiveness. D: Cloudiness in intermediate-acting insulin is normal and does not indicate it should be discarded.

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