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 admitting a client who has been diagnosed with stage 4 cancer and is scheduled for surgery. Which of the following actions should the nurse take?
Correct Answer: C
Rationale:
Correct
Answer: C - Ensure the client has advance directives on file.
Rationale: Advance directives allow the client to specify their wishes regarding medical treatment if they become unable to communicate. In the case of a client with stage 4 cancer scheduled for surgery, having advance directives in place ensures their wishes are respected, including preferences for end-of-life care. This action promotes autonomy and patient-centered care.
Summary of Other
Choices:
A: Incorrect. The client has the right to refuse surgery even after signing a consent form. Coercion is unethical.
B: Incorrect. While it is important to explain risks, ensuring advance directives is a higher priority in this scenario.
D: Incorrect. This question pertains to surgery, not resuscitation preferences. Advance directives are more relevant in this context.
Question 3 of 5
A nurse on a medical unit is caring for a group of clients. For which of the following tasks should the nurse wear a face shield?
Correct Answer: A
Rationale: The correct answer is A: Suctioning a client's tracheostomy tube. When suctioning a tracheostomy tube, there is a risk of exposure to the client's respiratory secretions which may contain pathogens. Using a face shield provides protection against potential splashes or sprays of secretions, reducing the risk of contamination.
Choice B (Emptying an indwelling urinary catheter bag) does not require a face shield as it does not involve exposure to respiratory secretions.
Choice C (Inserting an IV catheter for a client who has peritonitis) involves a different type of procedure that does not necessitate a face shield.
Choice D (Changing the brief of an older adult client who has a Clostridium difficile infection) may require additional precautions such as gloves and gown due to the risk of contact transmission, but a face shield is not specifically indicated for this task.
Question 4 of 5
A nurse is providing discharge instructions to a client about proper use of a cane for maximum support. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: A
Rationale:
Correct
Answer: A. "I will hold my cane on my stronger side."
Rationale:
1. Holding the cane on the stronger side provides better support and balance.
2. It helps shift weight off the weaker side, reducing strain and risk of falls.
3. Distributes weight evenly, preventing muscle fatigue and improving stability.
Incorrect
Choices:
B. Holding the cane 12 inches from the side may lead to an improper gait pattern and instability.
C. Keeping the elbow flexed at a 90-degree angle is not necessary and may cause discomfort.
D. Moving the weaker leg before the cane can disrupt balance and increase the risk of falls.
Question 5 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.