ATI RN
ATI RN pharmacology 2023 Questions
Extract:
Question 1 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.
Question 2 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.
Question 3 of 5
A nurse is assessing a client who has hypocalcemia. Which of the following findings should the nurse expect?
Correct Answer: A,B,C
Rationale: The correct answer is A, B, and C. Hypocalcemia is a condition characterized by low levels of calcium in the blood. Positive Trousseau's sign, muscle cramps, and tingling sensation around the lips are common findings in hypocalcemia. Trousseau's sign is a carpal spasm induced by inflating a blood pressure cuff above systolic pressure, indicating neuromuscular irritability due to hypocalcemia. Muscle cramps are a result of calcium's role in muscle contraction. Tingling sensation around the lips is a manifestation of hypocalcemia affecting the nervous system.
Choices D and E are incorrect. Negative Chvostek's sign is associated with hypocalcemia, not a negative sign. Abdominal distention is not a typical finding in hypocalcemia.
Extract:
Nurses' Notes
Diagnostic Results
Vital Signs
0900:
Client is admitted to the unit with a diagnosis of pneumonia. IV of 0.9% sodium chloride infusing into 20-gauge peripheral IV located in the left hand at 90 mL/hr.
1300:
Client has not voided since admission. Bladder is distended and palpable. Provider notified.
1330:
Prescription obtained for intermittent catheterization.
Question 4 of 5
After providing perineal care and donning sterile gloves, the nurse should first ___ followed by ___
| lubricate the catheter tip |
| insert the catheter until urine flows |
Correct Answer: A,B
Rationale:
Rationale:
- The correct sequence is to first lubricate the catheter tip (
A) before inserting it.
- This helps reduce discomfort and trauma to the patient during catheter insertion.
- After lubrication, the nurse should then insert the catheter until urine flows (
B) to ensure proper placement and functionality.
- It is crucial to follow this specific order to maintain aseptic technique and prevent complications like urinary tract infections.
Extract:
Question 5 of 5
A nurse is assessing the breath sounds of an adult client who has pneumonia. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B. Following a systematic pattern from side-to-side moving down the client's chest allows the nurse to thoroughly assess all lung fields for any abnormal breath sounds, which is crucial in detecting pneumonia. Placing the bell of the stethoscope on the client's chest (
A) may not provide a comprehensive assessment of all lung fields. Asking the client to breathe deeply through the nose (
C) may not be necessary for assessing breath sounds and could potentially disrupt the assessment process. Instructing the client to sit erect with their head tilted slightly backward (
D) is not directly related to assessing breath sounds and may not enhance the nurse's ability to detect abnormal breath sounds.