ATI RN
ATI RN pharmacology 2023 Questions
Extract:
Question 1 of 5
A community health nurse is visiting an older adult client who recently moved into an assisted living apartment. Which of the following client statements indicates difficulty accepting their transition?
Correct Answer: C
Rationale: The correct answer is C because the client's statement indicates difficulty accepting their transition to the assisted living apartment. The client's reluctance to socialize in the activity room because of the other residents' hearing difficulties suggests a lack of interest in engaging with the community. This may indicate feelings of isolation or disconnection.
Choices A, B, and D demonstrate the client adjusting positively to the changes, such as appreciating not having to cook, finding alternative transportation, and accepting help with mobility aids.
Question 2 of 5
A nurse is teaching a group of nurses about client confidentiality. Which of the following statements made by a nurse indicates an understanding of the teaching?
Correct Answer: B
Rationale:
Correct Answer: B
Rationale:
The correct answer is B because sharing health information with a relative without the client's permission would violate client confidentiality. Respecting a client's right to privacy and obtaining their consent before sharing sensitive information is crucial in maintaining confidentiality. This principle is in line with ethical standards and legal requirements, such as the Health Insurance Portability and Accountability Act (HIPA
A). It demonstrates a clear understanding of the importance of protecting client privacy.
Incorrect choices:
A: Sharing client information in public areas like hallways violates confidentiality.
C: Sharing a client's diagnosis with any health care team member may not be necessary for their care and could breach confidentiality.
D: While accessing medical records may require permission, written permission from the provider is not specifically needed for a client to access their own records.
Question 3 of 5
A nurse is providing preoperative teaching about using an incentive spirometer for a client. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Hold your breath for 2 to 3 seconds when using the incentive spirometer. This instruction is vital as it allows the lungs to fully expand and helps in improving lung function. Holding the breath for a few seconds helps to recruit more alveoli and increase oxygenation.
A: Placing the head of the bed flat is incorrect as it may hinder the effectiveness of the incentive spirometer.
C: Using the incentive spirometer every 3 hours while awake is not accurate. It is recommended to use it every hour while awake.
D: Breathing in through the nose is incorrect as the incentive spirometer is designed to be used with a mouthpiece for optimal results.
Question 4 of 5
A charge nurse is teaching a group of newly licensed nurses about the health risks for family caregivers of clients who are chronically ill. Which of the following should the nurse include as placing a family caregiver at risk?
Correct Answer: D
Rationale: The correct answer is D: Providing care for greater than 1 year. Long-term caregiving can lead to physical and emotional strain, burnout, and increased risk of health problems for family caregivers.
Choice A (Previous caregiver experience) is not a risk factor on its own.
Choices B (25 to 50 years of age) and C (Lives in a different dwelling than the client) are not inherently risky factors for caregivers.
Question 5 of 5
A nurse is discussing community support services with an adult client who has cognitive disabilities and their guardian. The guardian reports that the client's need for help with activities of daily living has increased recently. Which of the following referrals is most important to promote the client's quality of life?
Correct Answer: D
Rationale: The correct answer is D: Occupational therapist. An occupational therapist can assess the client's abilities and living environment to provide tailored interventions to enhance independence in daily activities. This is crucial for improving the client's quality of life. Referral to a community health nurse (
A) may focus more on medical needs rather than functional abilities. Respite care provider (
B) offers temporary relief for caregivers but doesn't directly address the client's needs. While a dietician (
C) is important for overall health, it may not be the most pressing need in this situation.