ATI RN
ATI RN Pharmacology 2019 III Questions
Extract:
Question 1 of 5
A nurse is assessing a client who has asthma. Which of the following areas should the nurse evaluate as the most reliable indicator of central cyanosis?
Correct Answer: A
Rationale: The oral mucosa is the most reliable site for detecting central cyanosis, as it reflects arterial oxygen saturation and is less affected by peripheral factors.
Question 2 of 5
A nurse is caring for a client who has right sided acoustic neuroma resulting in impairment of cranial nerves IX and X. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Impairment of cranial nerves IX and X can cause swallowing difficulties, so suction equipment is needed to prevent aspiration.
Question 3 of 5
A nurse is caring for a client who has urinary leakage due to nerve damage following a spinal cord injury. The nurse should identify that the client is experiencing which of the following types of urinary incontinence?
Correct Answer: D
Rationale: Reflex incontinence occurs due to nerve damage causing uncontrolled bladder contractions, common in spinal cord injuries.
Question 4 of 5
A nurse is planning care for a client who has acute respiratory distress syndrome (ARDS). Which of the following interventions should the nurse include in the plan?
Correct Answer: D
Rationale: Prone positioning improves oxygenation in ARDS by enhancing lung volume and reducing gravitational effects.
Question 5 of 5
A nurse in a long-term care facility is caring for an older adult client who had a stroke 4 weeks ago and who is unable to move independently. The nurse should monitor for which of the following complications of immobility?
Correct Answer: C
Rationale: A reddened area over the sacrum indicates a pressure injury, a common complication of immobility.