ATI RN
ATI RN pharmacology 2023 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has had a stroke and is having difficulty with dressing and toileting. With which of the following therapists should the nurse schedule a referral for the client?
Correct Answer: B
Rationale: The correct answer is B: Occupational therapist. Occupational therapists specialize in helping individuals regain and improve their ability to perform activities of daily living, such as dressing and toileting, after a stroke. They focus on enhancing skills and providing adaptive strategies to promote independence. Speech therapists (
A) primarily address communication and swallowing difficulties. Physical therapists (
C) focus on mobility and strength training. Recreational therapists (
D) work on leisure activities and social participation. In this case, the best choice is the occupational therapist as they directly target the client's dressing and toileting challenges.
Question 2 of 5
A nurse is caring for a client who wants to stop receiving treatment for terminal cancer. The client's family asks the nurse if it is possible to continue the treatment without the client's knowledge. Which of the following responses should the nurse make?
Correct Answer: A
Rationale:
Correct Answer: A
Rationale:
1. The nurse must prioritize the client's autonomy and right to make decisions about their own care.
2. Continuing treatment without the client's knowledge violates their autonomy and ethical principles.
3. By respecting the client's wishes to stop treatment, the nurse upholds the principle of beneficence by promoting the client's well-being.
4. Informing the family of the client's right to refuse care educates them on the importance of respecting the client's autonomy.
Summary:
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Choice B: Involving a health care surrogate is only necessary if the client is incapacitated or unable to make decisions, not when they have capacity.
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Choice C: Discussing treatment options without the client's presence undermines their autonomy and does not respect their decision-making authority.
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Choice D: Involving the ethics committee is not necessary here; the nurse should first address the family's request directly with the client.
Question 3 of 5
A nurse is preparing a client who has a latex allergy for surgery. Which of the following actions should the nurse plan to take?
Correct Answer: A
Rationale: The correct answer is A: Use IV tube ports when injecting medications. This is crucial to avoid direct contact between the latex material and the client, reducing the risk of an allergic reaction. IV tube ports are latex-free, ensuring safety for the client with a latex allergy.
Incorrect choices:
B: Removing medication from multi-dose vials with the stopper in place can expose the client to latex from the vial's stopper.
C: Securing loose cords in stockinette with tape does not directly address the client's latex allergy.
D: Scheduling the surgery as the last procedure of the day does not specifically address the client's latex allergy and is not a standard practice for managing latex allergies.
Question 4 of 5
A charge nurse is teaching a group of newly licensed nurses about the health risks for family caregivers of clients who are chronically ill. Which of the following should the nurse include as placing a family caregiver at risk?
Correct Answer: D
Rationale: The correct answer is D: Providing care for greater than 1 year. Long-term caregiving can lead to physical and emotional strain, burnout, and increased risk of health problems for family caregivers.
Choice A (Previous caregiver experience) is not a risk factor on its own.
Choices B (25 to 50 years of age) and C (Lives in a different dwelling than the client) are not inherently risky factors for caregivers.
Question 5 of 5
A nurse is caring for a client who recently lost a loved one. The client reports frequent headaches, indigestion, and heart palpitations. Which of the following types of grief is the client likely experiencing?
Correct Answer: B
Rationale: The correct answer is B: Masked grief. The client is likely experiencing masked grief because they are exhibiting physical symptoms such as headaches, indigestion, and heart palpitations instead of openly expressing their emotions related to the loss. This type of grief involves suppressing or avoiding grief, leading to physical manifestations.
A: Chronic grief is characterized by persistent grief over an extended period, not necessarily accompanied by physical symptoms.
C: Exaggerated grief involves an intense and prolonged grief reaction, but the client's reported symptoms are not indicative of this type of grief.
D: Delayed grief refers to a postponed or suppressed grief reaction that emerges later, which does not align with the client's current presentation.