ATI RN
ATI RN pharmacology 2023 Questions
Extract:
Question 1 of 5
A nurse is assessing a client who is receiving a blood transfusion. The nurse notes lung crackles, hypoxia, and distended neck veins. Which of the following actions should the nurse take?
Correct Answer: A,B,C,D
Rationale: The correct actions for the nurse to take are A, B, C, and D. A - Stopping the transfusion is crucial as the client is showing signs of fluid overload and a potential transfusion reaction. B - Placing the client in high-Fowler's position helps improve oxygenation. C - Obtaining a prescription for a diuretic can help manage fluid overload. D - Administering oxygen is essential to improve oxygen saturation.
Choices E and beyond are incorrect as epinephrine is not indicated for this situation and other interventions take precedence in managing the client's symptoms.
Question 2 of 5
A nurse is discussing community support services with an adult client who has cognitive disabilities and their guardian. The guardian reports that the client's need for help with activities of daily living has increased recently. Which of the following referrals is most important to promote the client's quality of life?
Correct Answer: D
Rationale: The correct answer is D: Occupational therapist. An occupational therapist can assess the client's abilities and living environment to provide tailored interventions to enhance independence in daily activities. This is crucial for improving the client's quality of life. Referral to a community health nurse (
A) may focus more on medical needs rather than functional abilities. Respite care provider (
B) offers temporary relief for caregivers but doesn't directly address the client's needs. While a dietician (
C) is important for overall health, it may not be the most pressing need in this situation.
Question 3 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 4 of 5
A nurse is caring for a female client who is postoperative and is having difficulty urinating after the removal of an indwelling urinary catheter. Which of the following techniques should the nurse teach the client to use to promote urination?
Correct Answer: C
Rationale:
Correct Answer: C - Pouring warm water over the perineum
Rationale: Warm water acts as a stimulant for the bladder, promoting relaxation of the pelvic floor muscles and facilitating urination. The warm water helps to increase blood flow to the area, which can aid in stimulating the urge to urinate. By pouring warm water over the perineum, the client can potentially overcome the difficulty in urination postoperatively. This technique is safe, non-invasive, and can be easily performed by the client without the need for medical intervention.
Summary of other choices:
A: Stroking the lower abdomen - This technique may not directly stimulate the bladder or promote urination.
B: Performing Kegel exercises prior to urination - Kegel exercises focus on strengthening the pelvic floor muscles but may not address the immediate need for urination.
D: Leaning backward when sitting and attempting to urinate - This position may not be conducive to promoting urination and can potentially hinder
Question 5 of 5
A charge nurse on an acute care unit is planning care for a client. Which of the following actions should the nurse take to promote the client's continuity of care?
Correct Answer: B
Rationale: The correct answer is B: Start discharge planning on the day of admission. This is important to promote continuity of care as it allows for early identification of the client's needs, coordination of services, and smooth transition post-discharge. By initiating discharge planning early, the nurse ensures that all necessary arrangements are in place and reduces the risk of gaps in care.
Choice A is incorrect because assigning a different nurse each shift can lead to inconsistencies in care delivery and disrupt continuity.
Choice C is incorrect as the focus should be on the client's actual care needs rather than a satisfaction survey.
Choice D is incorrect as limiting the number of interdisciplinary team members can hinder comprehensive care coordination.