ATI RN
ATI RN Pharmacology 2019 III Questions
Extract:
Question 1 of 5
A nurse in the emergency department is monitoring a client who has a cervical spinal cord injury from a fall. The nurse should monitor the client for which of the following complications? (Select all that apply.)
Correct Answer: B,D,E
Rationale: Cervical spinal cord injuries can cause absence of bowel sounds, weakened gag reflex, and hypotension due to autonomic nervous system disruption.
Question 2 of 5
A nurse is planning care for a female client who has a T4 spinal cord injury and is at risk for acquiring urinary tract infections. Which of the following actions should the nurse include in the client's plan of care?
Correct Answer: D
Rationale: Encouraging fluid intake helps flush bacteria from the urinary tract, reducing UTI risk. Back-to-front cleansing, indwelling catheters, and frequent bedpan use increase infection risk.
Question 3 of 5
A nurse is assessing a client who is 1 day postoperative following a lobectomy and has a chest tube drainage system in place. Which of the following findings by the nurse indicates a need for intervention?
Correct Answer: A
Rationale: Subcutaneous emphysema suggests an air leak or pneumothorax, requiring immediate intervention. Non-visible eyelets, suction chamber bubbling, and tidal fluctuations are normal findings.
Question 4 of 5
A nurse is caring for a client who has asthma and allergies. The nurse should inform the client to avoid which of the following?
Correct Answer: B
Rationale: Mold is a common allergen that exacerbates asthma and allergy symptoms by causing airway inflammation.
Question 5 of 5
A nurse is assessing a client's cranial nerves. Which of the following methods should the nurse use to assess cranial nerve II?
Correct Answer: A
Rationale: Cranial nerve II (optic) is assessed by testing visual acuity, such as with a Snellen chart.