ATI RN
ATI RN pharmacology 2023 Questions
Extract:
Question 1 of 5
A nurse is assessing an older adult client who reports pain. Which of the following should the nurse recognize about the client's perception of pain?
Correct Answer: D
Rationale: The correct answer is D because older adults may under-report their pain intensity due to various factors like fear of being a burden, fear of medication side effects, or cognitive impairments. This can lead to inadequate pain management.
Choice A is incorrect as pain perception varies individually and does not universally decrease with age.
Choice B is incorrect because older adults may respond differently to analgesics, but not necessarily less likely.
Choice C is incorrect as pain is not an expected finding for older adults, and it should never be dismissed without proper assessment.
Question 2 of 5
A nurse is caring for an adult client after a fall. Which of the following assessment findings indicates the client may be bleeding internally?
Correct Answer: C
Rationale: The correct answer is C: Heart rate of 112/min. An elevated heart rate can indicate internal bleeding as the body tries to compensate for decreased blood volume by increasing cardiac output. A temperature of 38°C may indicate infection, a respiratory rate of 10/min may suggest respiratory distress, and a blood pressure of 136/88 mm Hg is within normal range.
Therefore, choice C is the best indicator of potential internal bleeding.
Question 3 of 5
A nurse is teaching a client who is immunocompromised and requires a protective environment. Which of the following statements should the nurse make?
Correct Answer: D
Rationale: The correct answer is D: You will be placed in a positive-pressure airflow room. This is because a positive-pressure room helps prevent the entry of airborne pathogens, reducing the risk of infection for an immunocompromised individual.
A: Wearing a sterile gown outside the room is not necessary for protecting against airborne pathogens.
B: Sharing a room with another immunocompromised individual increases the risk of cross-infection.
C: While an N95 respirator mask is important for respiratory protection, it may not be sufficient in a protective environment with airborne pathogens.
In summary, the correct answer D is the most appropriate measure to ensure the safety and well-being of the immunocompromised client.
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 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.