ATI RN
ATI RN pharmacology 2023 Questions
Extract:
Question 1 of 5
A nurse is caring for a female client who is postoperative and is having difficulty urinating after the removal of an indwelling urinary catheter. Which of the following techniques should the nurse teach the client to use to promote urination?
Correct Answer: C
Rationale:
Correct Answer: C - Pouring warm water over the perineum
Rationale: Warm water acts as a stimulant for the bladder, promoting relaxation of the pelvic floor muscles and facilitating urination. The warm water helps to increase blood flow to the area, which can aid in stimulating the urge to urinate. By pouring warm water over the perineum, the client can potentially overcome the difficulty in urination postoperatively. This technique is safe, non-invasive, and can be easily performed by the client without the need for medical intervention.
Summary of other choices:
A: Stroking the lower abdomen - This technique may not directly stimulate the bladder or promote urination.
B: Performing Kegel exercises prior to urination - Kegel exercises focus on strengthening the pelvic floor muscles but may not address the immediate need for urination.
D: Leaning backward when sitting and attempting to urinate - This position may not be conducive to promoting urination and can potentially hinder
Question 2 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.
Question 3 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.
Question 4 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 5 of 5
A nurse on a medical-surgical unit is caring for a newly admitted client. Which of the following should the nurse determine is a breach of client confidentiality?
Correct Answer: A
Rationale: The correct answer is A because disclosing the client's room number and diagnosis on a public communication board violates the client's confidentiality. Room number and diagnosis are private information that should not be displayed publicly. In contrast, choices B, C, and D are not breaches of client confidentiality as the information is either necessary for providing care (B,
C) or for ensuring the client's safety (
D). The nurse should always prioritize maintaining the client's privacy and confidentiality, which is why option A is the correct answer.