ATI RN
ATI RN pharmacology 2023 Questions
Extract:
Question 1 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 2 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.
Question 3 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 4 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 5 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.