ATI RN
ATI RN pharmacology 2023 Questions
Extract:
Question 1 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 2 of 5
A nurse on a medical unit is caring for a group of clients. For which of the following tasks should the nurse wear a face shield?
Correct Answer: A
Rationale: The correct answer is A: Suctioning a client's tracheostomy tube. When suctioning a tracheostomy tube, there is a risk of exposure to the client's respiratory secretions which may contain pathogens. Using a face shield provides protection against potential splashes or sprays of secretions, reducing the risk of contamination.
Choice B (Emptying an indwelling urinary catheter bag) does not require a face shield as it does not involve exposure to respiratory secretions.
Choice C (Inserting an IV catheter for a client who has peritonitis) involves a different type of procedure that does not necessitate a face shield.
Choice D (Changing the brief of an older adult client who has a Clostridium difficile infection) may require additional precautions such as gloves and gown due to the risk of contact transmission, but a face shield is not specifically indicated for this task.
Question 3 of 5
A nurse is performing a dressing change on a client and observes granulation tissue. Which of the following findings should the nurse document?
Correct Answer: A
Rationale: The correct answer is A: Translucent, red tissue. Granulation tissue is a sign of healing and is characterized by being translucent and red in color. The red color indicates good blood supply to the area, promoting healing. Soft, yellow tissue (choice
B) may indicate infection or necrosis. Stringy, white tissue (choice
C) may suggest fibrous tissue or pus. Thick, black tissue (choice
D) typically indicates necrotic tissue or dead tissue.
Therefore, the nurse should document the presence of translucent, red tissue as a positive sign of healing during the dressing change.
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.
Extract:
Medical History
Medication Administration Record
Diagnostic Results
Day 1:
0800:
The client is postoperative following a hip arthroplasty.
Question 5 of 5
The client is at risk for developing ___ due to ___
| Confusion |
| Pressure injuries |
| Hypoglycemia |
| Constipation |
| Dysrhythmias |
| Opioid use |
| Immobility |
Correct Answer: A,D
Rationale: [0, 0, 1, 1, 0, 0, 1]
To determine the correct answer, consider the client's risk factors. Confusion can result from constipation (
D) due to the impact of bowel issues on cognition.
Therefore, the correct choices are A and D. Pressure injuries (
B) are more related to immobility (G), hypoglycemia (
C) is linked to medication or dietary factors, dysrhythmias (E) are often cardiac-related, and opioid use (F) may lead to constipation but not confusion in this context.