ATI RN
ATI RN pharmacology 2023 Questions
Extract:
Question 1 of 5
A nurse is caring for a group of uninsured clients in the emergency department of a private hospital. Which of the following actions should the nurse identify as a violation of a client's rights according to the Emergency Medical Treatment and Active Labor Act (EMTALA)?
Correct Answer: C
Rationale: The correct answer is C because the Emergency Medical Treatment and Active Labor Act (EMTAL
A) prohibits the transfer of unstable patients to another facility for financial reasons. Referring a client to a county hospital for medical screening evaluation can be seen as a violation of their rights under EMTALA because it involves transferring the patient to another facility for financial considerations rather than providing necessary emergency care. This action could potentially delay or deny essential treatment for the client.
A, B, and D are incorrect because placing a client in the waiting room based on triage assessment, transferring a client to the antepartum unit for further evaluation, and transferring a stable client to a public hospital for reduced-cost care do not explicitly violate EMTALA regulations, as long as the care provided is appropriate and necessary for the client's condition.
Extract:
Nurses' Notes
Diagnostic Results
0800:
Client 1 is admitted with right hip pain following a fall.
Client 2 has a history of hyperlipidemia.
Client 3 has a history of congestive heart failure.
Client 4 has hypertension and a new prescription for furosemide.
Client 5 has a stage 2 pressure injury on the sacrum.
Client 6 is admitted with a new diagnosis of diabetes mellitus.
Question 2 of 5
The first client the nurse should assess is ___ followed by ___
| Pulmonary edema |
| Glycemic control |
| Hypoalbuminemia |
| Hip fracture |
| Low potassium |
| Malnutrition |
Correct Answer: A,D
Rationale:
The correct answer is A,D. The rationale is to prioritize immediate life-threatening conditions. Pulmonary edema (
A) requires urgent assessment due to potential respiratory compromise. Hip fracture (
D) should be assessed next to prevent further injury. Other choices are not as urgent. Glycemic control (
B) and low potassium (E) are important but not immediate. Hypoalbuminemia (
C), malnutrition (F) can be assessed later unless there are specific concerns.
Extract:
Question 3 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.
Extract:
Medication Administration Record
Nurses' Notes
Vital Signs
0830:
Morphine 10 mg subcutaneous every 3 hr PRN pain
Question 4 of 5
Click to highlight the documentation in the client's medical record that requires further action by the nurse.
| Temperature 37.5° C (99.5° F) |
| Client is difficult to arouse. |
| Respiratory rate 10/min |
| Pulse oximetry 88% on room air (95% to 100%) |
| Pupils are 3 mm, equal, and reactive to light. |
| Blood pressure 99/46 mm Hg |
| Heart rate 61/min |
Correct Answer: B,C,D
Rationale:
To select the correct answer, , we must identify concerning signs that require immediate action.
B: A client being difficult to arouse indicates altered consciousness, necessitating urgent attention.
C: A respiratory rate of 10/min is abnormally low and indicates respiratory distress.
D: A pulse oximetry of 88% on room air is below the normal range, indicating hypoxemia.
Incorrect options:
A: Temperature of 37.5°C is within normal range.
E: Pupils being equal and reactive are normal findings.
F: Blood pressure of 99/46 mm Hg is slightly low but not critically concerning.
G: Heart rate of 61/min is within normal limits.
Extract:
Question 5 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.