ATI RN
ATI RN pharmacology 2023 Questions
Extract:
Question 1 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:
Nurses' Notes
Vital Signs
1000:
An older adult client admitted following a fall down approximately five steps. Client's partner reports client possibly hit their head and was a little disoriented for a minute or two. Client states, "I feel fine. I just slipped." Client has a history of falls and orthostatic hypotension per client's partner. Client uses a walker and wears rubber-soled slippers at home. Client ordered new glasses following an eye exam last week but has not received them yet. Partner states they both do exercises that focus on coordination, three times per week.
1400:
An assistive personnel found the client lying on the floor after coming back from the bathroom. Client states, "I'm so sorry. I had to get up to go to the bathroom, and I couldn't wait for someone to help me." Client is awake, alert, and oriented to person, place, and time. Client reports.no pain. Assessment reveals no injury. Client was provided call button and reminded to call for help when getting out of bed Bed alarm activated.
Question 2 of 5
Click to highlight the pieces of information that indicate the client is at risk for falls.
| admitted following a fall down approximately five steps |
| client possibly hit their head and was a little disoriented for a minute or two |
| history of falls and orthostatic hypotension per client's partner |
| uses a walker |
| Client ordered new glasses following an eye exam last week but has not received them yet |
| Lying: 130/90 mm Hg |
| Standing: 98/60 mm Hg |
Correct Answer: A,B,C,D,E,F,G
Rationale:
To determine if a client is at risk for falls, we need to assess various factors that indicate an increased likelihood of falling.
A: Admitted following a fall down approximately five steps - Indicates a recent fall.
B: Client possibly hit their head and was a little disoriented for a minute or two - Suggests potential head injury and disorientation.
C: History of falls and orthostatic hypotension per client's partner - Previous falls and low blood pressure upon standing increase fall risk.
D: Uses a walker - Indicates mobility issues.
E: Client ordered new glasses but has not received them yet - Vision impairment can contribute to falls.
F: Lying: 130/90 mm Hg - High blood pressure can lead to dizziness and falls.
G: Standing: 98/60 mm Hg - Low blood pressure when standing is a risk factor for falls.
Selecting all options A to G provides a comprehensive assessment of fall risk factors for the client.
Extract:
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 teaching a group of students about the components of informed consent. Which of the following should the nurse include?
Correct Answer: B
Rationale: The correct answer is B because it is essential to include information about alternative treatments in informed consent to ensure that the patient is fully informed and can make a knowledgeable decision. This helps in promoting patient autonomy and shared decision-making. Providing information about alternative treatments also aligns with the ethical principle of beneficence by allowing patients to choose the most appropriate treatment for themselves.
Choice A is incorrect because clients have the right to change their mind even after signing consent.
Choice C is incorrect as the time of the procedure is not a component of informed consent.
Choice D is incorrect as the charge nurse's role in reviewing the form is not a standard component of informed consent.
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.