ATI RN
ATI RN pharmacology 2023 Questions
Extract:
Question 1 of 5
A nurse is leading an in-service about legal issues. Which of the following examples should the nurse use to demonstrate an incidence of negligence?
Correct Answer: A
Rationale: The correct answer is A because administering the wrong medication is a clear example of negligence in nursing practice. Negligence involves failing to provide care that a reasonably prudent person would under similar circumstances. Administering the wrong medication can lead to harm or injury to the client.
Choice B involves a violation of policy but may not necessarily result in harm to the client.
Choice C refers to inappropriate behavior but is not a clear example of negligence.
Choice D is a breach of confidentiality but not negligence unless harm results.
Question 2 of 5
A charge nurse on an acute care unit is planning care for a client. Which of the following actions should the nurse take to promote the client's continuity of care?
Correct Answer: B
Rationale: The correct answer is B: Start discharge planning on the day of admission. This is important to promote continuity of care as it allows for early identification of the client's needs, coordination of services, and smooth transition post-discharge. By initiating discharge planning early, the nurse ensures that all necessary arrangements are in place and reduces the risk of gaps in care.
Choice A is incorrect because assigning a different nurse each shift can lead to inconsistencies in care delivery and disrupt continuity.
Choice C is incorrect as the focus should be on the client's actual care needs rather than a satisfaction survey.
Choice D is incorrect as limiting the number of interdisciplinary team members can hinder comprehensive care coordination.
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.
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 4 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 5 of 5
A nurse is caring for a client who recently lost a loved one. The client reports frequent headaches, indigestion, and heart palpitations. Which of the following types of grief is the client likely experiencing?
Correct Answer: B
Rationale: The correct answer is B: Masked grief. The client is likely experiencing masked grief because they are exhibiting physical symptoms such as headaches, indigestion, and heart palpitations instead of openly expressing their emotions related to the loss. This type of grief involves suppressing or avoiding grief, leading to physical manifestations.
A: Chronic grief is characterized by persistent grief over an extended period, not necessarily accompanied by physical symptoms.
C: Exaggerated grief involves an intense and prolonged grief reaction, but the client's reported symptoms are not indicative of this type of grief.
D: Delayed grief refers to a postponed or suppressed grief reaction that emerges later, which does not align with the client's current presentation.