ATI RN
ATI RN pharmacology 2023 Questions
Extract:
Question 1 of 5
A nurse caring for a client who has a prescription for morphine 5 mg IM accidentally administers the whole 10 mg from the single-dose vial. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: The correct answer is C: Measure the client's respiratory rate. This is the first action the nurse should take because an overdose of morphine can lead to respiratory depression, which is a life-threatening complication. By assessing the client's respiratory rate, the nurse can quickly determine if the client is experiencing any respiratory distress and needs immediate intervention. Reporting the incident to the pharmacy (
A) or completing an incident report (
D) can be done after ensuring the client's safety. Notifying the client's provider (
B) can be important but assessing the respiratory rate takes precedence in this situation.
Question 2 of 5
A nurse is assessing an older adult client who reports pain. Which of the following should the nurse recognize about the client's perception of pain?
Correct Answer: D
Rationale: The correct answer is D because older adults may under-report their pain intensity due to various factors like fear of being a burden, fear of medication side effects, or cognitive impairments. This can lead to inadequate pain management.
Choice A is incorrect as pain perception varies individually and does not universally decrease with age.
Choice B is incorrect because older adults may respond differently to analgesics, but not necessarily less likely.
Choice C is incorrect as pain is not an expected finding for older adults, and it should never be dismissed without proper assessment.
Question 3 of 5
A nurse is caring for an adolescent client who is preparing for their first pelvic examination. Which of the following techniques should the nurse use to explain the procedure?
Correct Answer: C
Rationale: The correct answer is C because showing an online video that demonstrates what to expect allows for visual and auditory learning, which can help the adolescent better understand the procedure. It provides a clear and realistic depiction of what will happen during the pelvic examination, helping to alleviate any anxiety or uncertainty. This method is more direct and informative compared to the other options.
Option A (giving a short story pamphlet about puberty) may not directly address the specific procedure of a pelvic examination, leading to potential confusion for the adolescent. Option B (describing the steps to the adolescent's guardian) may not effectively involve the adolescent in understanding the procedure firsthand. Option D (using an anatomically correct puppet) may be too simplistic and may not accurately convey the seriousness of the examination.
Question 4 of 5
A nurse is caring for a client who recently lost a loved one. The client reports frequent headaches, indigestion, and heart palpitations. Which of the following types of grief is the client likely experiencing?
Correct Answer: B
Rationale: The correct answer is B: Masked grief. The client is likely experiencing masked grief because they are exhibiting physical symptoms such as headaches, indigestion, and heart palpitations instead of openly expressing their emotions related to the loss. This type of grief involves suppressing or avoiding grief, leading to physical manifestations.
A: Chronic grief is characterized by persistent grief over an extended period, not necessarily accompanied by physical symptoms.
C: Exaggerated grief involves an intense and prolonged grief reaction, but the client's reported symptoms are not indicative of this type of grief.
D: Delayed grief refers to a postponed or suppressed grief reaction that emerges later, which does not align with the client's current presentation.
Question 5 of 5
A nurse is teaching a client about fire safety at home. Which of the following information should the nurse include in the teaching?
Correct Answer: C
Rationale: The correct answer is C: Cover the nose and mouth with a damp cloth before exiting a smoke-filled area. This is important because it helps filter out some of the harmful smoke particles, reducing the risk of inhalation-related injuries. It is crucial to include this information in fire safety teaching as it can potentially save lives in emergency situations.
Explanation of why other choices are incorrect:
A: Placing multiple smoke detectors in the same area of the home does not provide additional coverage and may lead to false alarms.
B: Changing the batteries in smoke detectors every 2 years is not frequent enough; batteries should be changed at least once a year.
D: Opening a window to let smoke out before leaving the home can actually worsen the fire by providing more oxygen to fuel it.