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 planning to provide discharge teaching to a client who speaks a different language than the nurse. Which of the following actions should the nurse take?
Correct Answer: A
Rationale:
Correct
Answer: A. The nurse should consider gender and age when selecting an interpreter. This is important as it can help establish rapport and ensure effective communication. Different cultures may have specific preferences regarding who should interpret. Directing comments to the interpreter (
B) may lead to miscommunication. Speaking loudly (
C) can be perceived as disrespectful. Asking a family member (
D) may compromise confidentiality and accuracy.
Question 3 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 4 of 5
A nurse is caring for an adult client after a fall. Which of the following assessment findings indicates the client may be bleeding internally?
Correct Answer: C
Rationale: The correct answer is C: Heart rate of 112/min. An elevated heart rate can indicate internal bleeding as the body tries to compensate for decreased blood volume by increasing cardiac output. A temperature of 38°C may indicate infection, a respiratory rate of 10/min may suggest respiratory distress, and a blood pressure of 136/88 mm Hg is within normal range.
Therefore, choice C is the best indicator of potential internal bleeding.
Question 5 of 5
A nurse is reviewing the records of several clients to determine cervical cancer screening recommendations. Which of the following clients should the nurse refer for a Papanicolaou (Pap) test?
Correct Answer: A
Rationale: The correct answer is A. A 21-year-old client who had a normal Pap test one year ago should be referred for a Pap test. The rationale is that for individuals with a normal Pap test, regular screening is recommended every 3 years starting at age 21. This client falls within the age group for routine screening and has had a normal result in the past, indicating the need for follow-up.
For the other choices:
B: A 32-year-old client who had a total vaginal hysterectomy last year does not have a cervix, so a Pap test is not necessary.
C: A 47-year-old client who had a negative combined Pap and HPV test 5 years ago should follow guidelines for repeat testing, which may not require a Pap test at this time.
D: A 15-year-old client who completed the HPV vaccine series does not need a Pap test at this time as screening typically starts at age 21.