ATI RN
ATI RN pharmacology 2023 Questions
Extract:
Question 1 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.
Question 2 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.
Question 3 of 5
A nurse is reviewing a client's intake and output and notes the following: 0.9% sodium chloride 600 mL IV infusion, cefazolin 250 mg in dextrose 5% in water 100 mL intermittent IV bolus, 200 mL emesis, 40 mL voided urine, and 20 mL urine from straight catheterization. The nurse should record the difference between the intake and output as how many mL?
Correct Answer: B
Rationale: The correct answer is B: 440 mL.
To calculate the difference between intake and output, add up all the intake (600 mL + 100 mL = 700 mL) and subtract the total output (200 mL + 40 mL + 20 mL = 260 mL).
Therefore, the difference is 700 mL - 260 mL = 440 mL. This is the correct calculation because it considers all the fluid inputs (IV infusions) and outputs (emesis, voided urine, catheterized urine).
Choice A (430 mL) is incorrect because it does not consider all the fluid inputs and outputs.
Choice C (450 mL) is incorrect because it overestimates the difference by including additional fluid that was not accounted for.
Choice D (460 mL) is incorrect because it overestimates the difference by including additional fluid that was not accounted for.
Question 4 of 5
A nurse is preparing to obtain a health history from a newly admitted client. Which of the following information should the nurse expect to include?
Correct Answer: C
Rationale: The correct answer is C: Health habits. When obtaining a health history, it is essential for the nurse to gather information about the client's health habits such as diet, exercise, smoking, alcohol consumption, and sleep patterns. This information helps in assessing the client's overall health status, identifying potential risk factors, and developing appropriate care plans. Laboratory results (
A) and physical examination findings (
B) are important components of the assessment but are typically obtained after the health history. Observed client behaviors (
D) are subjective and may not provide a comprehensive understanding of the client's health.
Question 5 of 5
A nurse is preparing to administer an infusion of packed RBCs through a peripheral IV catheter. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Ensure that the IV tubing has an in-line filter. When administering packed RBCs through a peripheral IV catheter, it is crucial to use IV tubing with an in-line filter to prevent any potential infusion-related complications such as embolism or filtering out any clots or debris present in the blood product. Priming the IV tubing with lactated Ringer's (choice
A) is unnecessary and does not directly relate to the safe administration of packed RBCs. Using a 24-gauge IV catheter (choice
B) may not be appropriate for blood transfusions as it can lead to hemolysis and increased risk of clotting. Changing the tubing every 2 hours (choice
D) is not a standard practice for packed RBC transfusions unless specified by institutional policy or manufacturer's guidelines.