ATI RN
ATI RN pharmacology 2023 Questions
Extract:
Question 1 of 5
A nurse is assessing a client who has hypocalcemia. Which of the following findings should the nurse expect?
Correct Answer: A,B,C
Rationale: The correct answer is A, B, and C. Hypocalcemia is a condition characterized by low levels of calcium in the blood. Positive Trousseau's sign, muscle cramps, and tingling sensation around the lips are common findings in hypocalcemia. Trousseau's sign is a carpal spasm induced by inflating a blood pressure cuff above systolic pressure, indicating neuromuscular irritability due to hypocalcemia. Muscle cramps are a result of calcium's role in muscle contraction. Tingling sensation around the lips is a manifestation of hypocalcemia affecting the nervous system.
Choices D and E are incorrect. Negative Chvostek's sign is associated with hypocalcemia, not a negative sign. Abdominal distention is not a typical finding in hypocalcemia.
Question 2 of 5
A nurse is leading an in-service about legal issues. Which of the following examples should the nurse use to demonstrate an incidence of negligence?
Correct Answer: A
Rationale: The correct answer is A because administering the wrong medication is a clear example of negligence in nursing practice. Negligence involves failing to provide care that a reasonably prudent person would under similar circumstances. Administering the wrong medication can lead to harm or injury to the client.
Choice B involves a violation of policy but may not necessarily result in harm to the client.
Choice C refers to inappropriate behavior but is not a clear example of negligence.
Choice D is a breach of confidentiality but not negligence unless harm results.
Question 3 of 5
A nurse is preparing to administer intermittent tube feeding to a client who has a percutaneous gastrostomy tube. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Check the pH level of the client's gastric contents. This is important to assess tube placement in the stomach. A pH level of 1-5 indicates proper placement in the stomach, reducing the risk of aspiration.
Choice A is incorrect as flushing with water is not necessary for tube feeding.
Choice B is incorrect as a supine position is not needed for tube feeding.
Choice D is incorrect as tube patency should be checked before each feeding, not every 8 hours.
Question 4 of 5
A nurse is assessing a client who has posttraumatic stress disorder following the occurrence of a natural disaster. Which of the following questions should the nurse ask to identify the client's support systems?
Correct Answer: D
Rationale: The correct answer is D: Are you comfortable discussing the disaster with your family or friends? This question is important because it assesses the client's support systems. By asking about the client's comfort level in discussing the disaster with loved ones, the nurse can identify potential sources of support and coping mechanisms. This question helps the nurse understand if the client has a network of people they can rely on for emotional support and understanding.
Choices A, B, and C do not directly address the client's support systems and are more focused on symptoms and feelings. Asking about sleeping patterns, feelings about life, or eating patterns may provide valuable information but do not specifically target the client's support network.
Question 5 of 5
A home health nurse is planning care for an older adult client who has dementia and is starting to have difficulty performing activities of daily living (ADLs). Which of the following interventions should the nurse include in the plan of care?
Correct Answer: A
Rationale: The correct answer is A: Request a referral for an occupational therapist. This intervention is appropriate because an occupational therapist can assess the client's abilities and provide strategies and interventions to help the client maintain independence in performing ADLs despite their dementia-related challenges. The therapist can recommend adaptive equipment, modify the environment, and teach compensatory techniques to enhance the client's functional performance.
Choice B is incorrect because relying solely on a home health aide to perform the client's ADLs does not promote the client's independence or address their specific needs and abilities.
Choice C is inappropriate as it does not consider the client's preferences, autonomy, and quality of life.
Choice D is not directly related to addressing the client's difficulty with ADLs and should be discussed with the client's healthcare provider instead.