ATI RN
ATI RN pharmacology 2023 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is receiving a first dose of amoxicillin. Which of the following findings should the nurse report to the provider immediately?
Correct Answer: A
Rationale: The correct answer is A: High-pitched wheezing. This finding indicates a potential severe allergic reaction, such as anaphylaxis, which requires immediate medical attention. Wheezing can be a sign of airway constriction and respiratory distress, which could lead to serious complications if not treated promptly. Urticaria (choice
B) and pruritis (choice
C) are common side effects of amoxicillin and can often be managed with antihistamines. Rhinitis with clear discharge (choice
D) is not typically a sign of a severe allergic reaction. Reporting high-pitched wheezing ensures timely intervention to prevent respiratory compromise.
Question 2 of 5
A nurse is teaching a group of students about the components of informed consent. Which of the following should the nurse include?
Correct Answer: B
Rationale: The correct answer is B because it is essential to include information about alternative treatments in informed consent to ensure that the patient is fully informed and can make a knowledgeable decision. This helps in promoting patient autonomy and shared decision-making. Providing information about alternative treatments also aligns with the ethical principle of beneficence by allowing patients to choose the most appropriate treatment for themselves.
Choice A is incorrect because clients have the right to change their mind even after signing consent.
Choice C is incorrect as the time of the procedure is not a component of informed consent.
Choice D is incorrect as the charge nurse's role in reviewing the form is not a standard component of informed consent.
Question 3 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 4 of 5
A nurse is inspecting equipment safety in a client's home. The nurse should identify that which of the following findings requires an intervention?
Correct Answer: C
Rationale: The correct answer is C: The client's oxygen tanks are stored on their side. This finding requires an intervention because oxygen tanks should always be stored in an upright position to prevent potential leaks and hazards. Storing them on their side increases the risk of leaks and accidents.
Incorrect options:
A: A fire extinguisher in the kitchen is a safety measure and does not require an intervention.
B: An electrical ground plug being present indicates proper electrical safety.
D: A walking cane with a rubber tip is a safety feature for the client and does not require an intervention.
Question 5 of 5
A nurse is caring for a group of clients. Which of the following actions by the nurse demonstrates client advocacy?
Correct Answer: D
Rationale: The correct answer is D because informing the family of a deceased client of the client's wish to be an organ donor is an example of client advocacy. This action respects the client's autonomy and ensures their wishes are honored even after death, demonstrating the nurse's commitment to advocating for the client's best interests.
Choice A is incorrect because submitting an incident report is a standard procedure for risk management and does not necessarily involve advocating for the client's rights or wishes.
Choice B is incorrect as documenting the effectiveness of pain medication is part of the nurse's routine duties and does not directly relate to advocating for the client.
Choice C is incorrect as asking another nurse to check a medication calculation is a safety measure to prevent errors but does not specifically demonstrate client advocacy.
Overall, choice D stands out as the most appropriate demonstration of client advocacy among the given options.