ATI RN
ATI RN pharmacology 2023 Questions
Extract:
Question 1 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 2 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.
Extract:
Vital Signs
Nurses' Notes
Provider Prescriptions
0900:
Temperature 38.0° C (100.4° F)
Heart rate 94/min
Respiratory rate 18/min
Blood pressure 110/88 mm Hg
Pulse oximetry 97% on room air
0915:
Temperature 38.0° C (100.4° F)
Heart rate 100/min Respiratory rate 20/min
Blood pressure 106/80 mm Hg
Pulse oximetry 94% on room air
0920:
Pulse oximetry 97% on room air
Question 3 of 5
Click to highlight the action that would be appropriate for the care of the client. Each body system may support more than 1 potential action.
| Inform client to achieve two to four breaths per session when using incentive spirometer. |
| Encourage deep-breathing exercises. |
| Check for pain. |
| Encourage the client to increase fiber in their diet. |
| Promote intake of oral fluids. |
| Apply barrier ointment after bowel movements. |
Correct Answer: B,C,D,E,F
Rationale:
To determine the appropriate actions for the care of the client, we need to consider the client's overall well-being and potential needs.
B: Encouraging deep-breathing exercises helps improve lung function and oxygenation, aiding in respiratory health.
C: Checking for pain is crucial to address any discomfort or underlying issues that may affect the client's well-being.
D: Encouraging the client to increase fiber in their diet promotes gastrointestinal health and aids in preventing constipation.
E: Promoting intake of oral fluids is essential for hydration and overall health maintenance.
F: Applying barrier ointment after bowel movements helps protect the skin and prevent irritation.
These actions encompass respiratory, pain assessment, nutrition, hydration, and skin care, covering a holistic approach to the client's care needs.
Extract:
Question 4 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 5 of 5
A nurse is using the faces, legs, activity, cry, consolability (FLACC) scale to assess the need for PRN pain medication for a client who has cognitive impairment. Which of the following findings should the nurse identify as an indication the client is experiencing pain?
Correct Answer: C
Rationale: The correct answer is C: Resisting care. This behavior on the FLACC scale indicates the client is experiencing pain. Resisting care suggests the client is trying to avoid potential painful movements or touch. This could be a sign that the client is in discomfort and requires pain medication.
A: Rhythmic respirations - This is a normal physiological response and does not specifically indicate pain.
B: Absent cry - The absence of crying does not always correlate with pain, especially in clients with cognitive impairment.
D: Relaxed posturing - While relaxed posturing could suggest the client is not in pain, it is not a definitive indication of pain.
In summary, the key to identifying pain in a client with cognitive impairment using the FLACC scale is observing behaviors such as resisting care, which indicates the need for pain management.