ATI RN
ATI RN pharmacology 2023 Questions
Extract:
Question 1 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 2 of 5
A nurse is using the faces, legs, activity, cry, consolability (FLACC) scale to assess the need for PRN pain medication for a client who has cognitive impairment. Which of the following findings should the nurse identify as an indication the client is experiencing pain?
Correct Answer: C
Rationale: The correct answer is C: Resisting care. This behavior on the FLACC scale indicates the client is experiencing pain. Resisting care suggests the client is trying to avoid potential painful movements or touch. This could be a sign that the client is in discomfort and requires pain medication.
A: Rhythmic respirations - This is a normal physiological response and does not specifically indicate pain.
B: Absent cry - The absence of crying does not always correlate with pain, especially in clients with cognitive impairment.
D: Relaxed posturing - While relaxed posturing could suggest the client is not in pain, it is not a definitive indication of pain.
In summary, the key to identifying pain in a client with cognitive impairment using the FLACC scale is observing behaviors such as resisting care, which indicates the need for pain management.
Extract:
Nurses' Notes
Diagnostic Results
Vital Signs
0900:
Client is admitted to the unit with a diagnosis of pneumonia. IV of 0.9% sodium chloride infusing into 20-gauge peripheral IV located in the left hand at 90 mL/hr.
1300:
Client has not voided since admission. Bladder is distended and palpable. Provider notified.
1330:
Prescription obtained for intermittent catheterization.
Question 3 of 5
After providing perineal care and donning sterile gloves, the nurse should first ___ followed by ___
| lubricate the catheter tip |
| insert the catheter until urine flows |
Correct Answer: A,B
Rationale:
Rationale:
- The correct sequence is to first lubricate the catheter tip (
A) before inserting it.
- This helps reduce discomfort and trauma to the patient during catheter insertion.
- After lubrication, the nurse should then insert the catheter until urine flows (
B) to ensure proper placement and functionality.
- It is crucial to follow this specific order to maintain aseptic technique and prevent complications like urinary tract infections.
Extract:
Question 4 of 5
A charge nurse has reviewed fire safety procedures with staff members. Which of the following statements by a staff member indicates an understanding of the last action they should take?
Correct Answer: D
Rationale:
Correct Answer: D. "I should extinguish small fires if it is safe to do so."
Rationale: The last action in a fire emergency should be to attempt to extinguish small fires if it is safe to do so. This is because the safety of the staff and clients is paramount, and trying to put out small fires can prevent them from escalating and causing more harm. However, safety should always come first, so it is crucial to ensure that the staff member evaluates the situation and only attempts to extinguish the fire if it can be done without putting themselves or others at risk.
Summary of Incorrect
Choices:
A: Closing doors and windows can help contain the fire, but it is not the last action to take.
B: Evacuating clients in immediate danger should be done before attempting to extinguish fires.
C: Activating the fire alarm is an important step to alert everyone, but it is not the last action to take.
Question 5 of 5
A nurse manager is evaluating a nurse who is performing a urinary catheterization on a male client. Which of the following actions by the nurse demonstrates correct aseptic technique?
Correct Answer: C
Rationale:
Correct Answer: C - Cleanses the meatus from the center in a circular motion.
Rationale:
1. Cleansing the meatus from the center in a circular motion helps to prevent contamination by moving from the least contaminated area to the most contaminated area.
2. This technique minimizes the risk of introducing microorganisms into the urethra during the catheterization procedure.
3. By starting from the center and moving outward, the nurse ensures thorough cleaning of the meatus and reduces the chance of introducing infection.
Incorrect
Choices:
A: Grasping the catheter 10.16 to 12.7 cm (4 to 5 in) from the tip - Incorrect because holding the catheter too close to the tip can lead to contamination.
B: Cleansing the meatus using a clean cotton ball - Incorrect because a cotton ball may leave fibers behind, increasing the risk of infection.
D: Applying clean gloves before beginning the procedure - Incorrect because clean gloves are necessary but do not