ATI RN
ATI RN pharmacology 2023 Questions
Extract:
Question 1 of 5
A nurse is creating a plan of care for a client who has left-sided hemiplegia. Which of the following interventions should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Apply an orthotic boot to the client's left foot. This intervention is important for preventing foot drop, a common complication of left-sided hemiplegia. An orthotic boot helps maintain the foot in a neutral position, preventing contractures and promoting proper alignment for ambulation. Resting the left arm over the chest (choice
A) does not address the issue of foot drop. Placing a pillow behind the head (choice
C) is not relevant to left-sided hemiplegia. Instructing the client to lean toward the left side (choice
D) is incorrect as it may increase the risk of falls.
Question 2 of 5
A nurse is caring for a client who speaks a different language and is having difficulty understanding them. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Find an available interpreter to help with communication. This is the best action because using a professional interpreter ensures accurate and clear communication between the nurse and the client, preventing misunderstandings and promoting effective care. Directing communication through the client's family (choice
A) may lead to misinterpretations or privacy concerns. Limiting instructions to short sentences (choice
B) may not effectively convey important information. Asking a coworker to translate (choice
C) may not guarantee accurate communication if the coworker is not a professional interpreter.
Question 3 of 5
A nurse is caring for a client who has pneumonia. Which of the following actions should the nurse take to help promote adequate rest for the client?
Correct Answer: A
Rationale: The correct answer is A: Arrange to perform all nonessential tasks for the client at one time. By consolidating nonessential tasks, the nurse minimizes disruptions to the client's rest, allowing for longer periods of uninterrupted sleep. This promotes rest and aids in the client's recovery from pneumonia. Encouraging the client to sleep as much as possible during the day (
B) may disrupt the client's circadian rhythm, making it difficult to sleep at night. Performing routine hygiene for the client during the night (
C) may disturb the client's rest. Removing limits on visiting hours for the client (
D) may lead to increased activity and noise, hindering the client's ability to rest.
Question 4 of 5
A nurse is preparing to assess a client's thyroid gland. Which of the following actions should the nurse plan to take?
Correct Answer: A
Rationale: The correct answer is A: Instruct the client to take small sips of water. This action helps the nurse assess the thyroid gland's size, shape, and movement as the client swallows. Asking the client to take small sips of water facilitates the palpation of the thyroid gland and helps identify any abnormalities.
Choices B, C, and D are incorrect.
Choice B, asking the client to hyperextend their neck, can distort the thyroid gland's position and make it difficult to assess accurately.
Choice C, inspecting the isthmus as the client holds their breath, is not a standard technique for assessing the thyroid gland.
Choice D, assisting the client to a supine position, is not necessary for a thyroid assessment and may not provide optimal access to the gland.
Question 5 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.