ATI RN
ATI RN pharmacology 2023 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who speaks a different language and is having difficulty understanding them. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Find an available interpreter to help with communication. This is the best action because using a professional interpreter ensures accurate and clear communication between the nurse and the client, preventing misunderstandings and promoting effective care. Directing communication through the client's family (choice
A) may lead to misinterpretations or privacy concerns. Limiting instructions to short sentences (choice
B) may not effectively convey important information. Asking a coworker to translate (choice
C) may not guarantee accurate communication if the coworker is not a professional interpreter.
Question 2 of 5
A nurse is discussing community support services with an adult client who has cognitive disabilities and their guardian. The guardian reports that the client's need for help with activities of daily living has increased recently. Which of the following referrals is most important to promote the client's quality of life?
Correct Answer: D
Rationale: The correct answer is D: Occupational therapist. An occupational therapist can assess the client's abilities and living environment to provide tailored interventions to enhance independence in daily activities. This is crucial for improving the client's quality of life. Referral to a community health nurse (
A) may focus more on medical needs rather than functional abilities. Respite care provider (
B) offers temporary relief for caregivers but doesn't directly address the client's needs. While a dietician (
C) is important for overall health, it may not be the most pressing need in this situation.
Question 3 of 5
A home health nurse is planning care for an older adult client who has dementia and is starting to have difficulty performing activities of daily living (ADLs). Which of the following interventions should the nurse include in the plan of care?
Correct Answer: A
Rationale: The correct answer is A: Request a referral for an occupational therapist. This intervention is appropriate because an occupational therapist can assess the client's abilities and provide strategies and interventions to help the client maintain independence in performing ADLs despite their dementia-related challenges. The therapist can recommend adaptive equipment, modify the environment, and teach compensatory techniques to enhance the client's functional performance.
Choice B is incorrect because relying solely on a home health aide to perform the client's ADLs does not promote the client's independence or address their specific needs and abilities.
Choice C is inappropriate as it does not consider the client's preferences, autonomy, and quality of life.
Choice D is not directly related to addressing the client's difficulty with ADLs and should be discussed with the client's healthcare provider instead.
Question 4 of 5
A nurse is teaching a group of nurses about ways to advocate for clients. Which of the following suggestions should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct answer is D because advocating for clients involves promoting their best interests and well-being. Discussing alternative treatments that may harm the client goes against this principle.
Choice A is incorrect as it suggests passing off responsibility to another professional.
Choice B is incorrect as it prioritizes the nurse's opinions over the client's autonomy.
Choice C is incorrect as it does not actively advocate for the client but rather provides a passive solution.
Question 5 of 5
A nurse is caring for a client who was admitted for an exacerbation of their COPD. The client will be discharged with a new prescription for oxygen therapy and will need assistance with activities of daily living. Which of the following referrals should the nurse obtain for the client?
Correct Answer: A
Rationale: The correct answer is A: Case manager. A case manager can coordinate care and resources for the client, such as arranging oxygen therapy equipment, home health services for assistance with activities of daily living, and follow-up appointments. A case manager can ensure continuity of care and help the client navigate the healthcare system effectively.
Choice B: Hospice care facility is incorrect as hospice care is for end-of-life care and may not be appropriate for a client with an exacerbation of COPD.
Choice C: Long term care facility is incorrect as the client may not need long-term care if the exacerbation is managed effectively.
Choice D: Pharmacist is incorrect as while important for medication management, a pharmacist may not provide the comprehensive support and coordination of care needed for a client with COPD.