ATI RN
ATI RN Pharmacology 2019 III Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has a head injury. The client states they fell off a ladder while painting approximately 2 hours ago and lost consciousness for 45 minutes according to their partner. The nurse should determine that the client is experiencing which of the following classifications of traumatic brain injury?
Correct Answer: A
Rationale: A loss of consciousness for 45 minutes indicates a moderate traumatic brain injury, as it falls between 30 minutes and 6 hours, per standard classification.
Question 2 of 5
A nurse is caring for a client who had a stroke involving the right cerebral hemisphere. The nurse should monitor for which of the following findings?
Correct Answer: A
Rationale: A stroke in the right cerebral hemisphere often affects emotional regulation and impulse control, leading to risky behaviors. Visual deficits typically occur in the left field, and language issues are more associated with left-hemisphere strokes.
Question 3 of 5
A nurse is caring for a client who has dementia. Which of the following actions should the nurse take to reduce the client's risk of aspiration pneumonia?
Correct Answer: C
Rationale: Elevating the head to 45 degrees during meals reduces aspiration risk by aiding swallowing.
Question 4 of 5
A nurse is providing discharge teaching to a client who has pulmonary tuberculosis and a new prescription for rifampin. Which of the following information should the nurse provide?
Correct Answer: D
Rationale: Rifampin causes harmless orange discoloration of body fluids, which patients should expect. It's taken on an empty stomach, treatment lasts longer than a month, and it doesn't typically cause insomnia.
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.