ATI RN
ATI RN pharmacology 2023 Questions
Extract:
Question 1 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: Granulation tissue is red or pink due to increased blood supply, indicating healing.
Extract:
Vital Signs
Nurses' Notes
Provider Prescriptions
0900:
Temperature 38.0° C (100.4° F)
Heart rate 94/min
Respiratory rate 18/min
Blood pressure 110/88 mm Hg
Pulse oximetry 97% on room air
0915:
Temperature 38.0° C (100.4° F)
Heart rate 100/min Respiratory rate 20/min
Blood pressure 106/80 mm Hg
Pulse oximetry 94% on room air
0920:
Pulse oximetry 97% on room air
Question 2 of 5
Click to highlight the action that would be appropriate for the care of the client. Each body system may support more than 1 potential action.
| Inform client to achieve two to four breaths per session when using incentive spirometer. |
| Encourage deep-breathing exercises. |
| Check for pain. |
| Encourage the client to increase fiber in their diet. |
| Promote intake of oral fluids. |
| Apply barrier ointment after bowel movements. |
Correct Answer: B,C,D,E,F
Rationale: Encouraging deep-breathing exercises helps improve oxygenation and prevent complications such as atelectasis, especially since the client's oxygen saturation initially dropped but improved with deep breathing. Checking for pain is essential as the client has been prescribed PRN morphine for pain management. Promoting oral fluid intake helps prevent dehydration and supports bowel function, especially since the client reports multiple loose stools and nausea/vomiting. Applying barrier ointment after bowel movements helps protect the skin from irritation and breakdown due to frequent loose stools.
Extract:
Question 3 of 5
A nurse is caring for a female client who is postoperative and is having difficulty urinating after the removal of an indwelling urinary catheter. Which of the following techniques should the nurse teach the client to use to promote urination?
Correct Answer: C
Rationale: Warm water stimulates sensory nerves, aiding urethral sphincter relaxation.
Question 4 of 5
A nurse is inspecting equipment safety in a client's home. The nurse should identify that which of the following findings requires an intervention?
Correct Answer: C
Rationale: Oxygen tanks should be stored upright and secured to prevent leaks or hazards.
Question 5 of 5
A nurse is reviewing a client's intake and output and notes the following: 0.9% sodium chloride 600 mL IV infusion, cefazolin 250 mg in dextrose 5% in water 100 mL intermittent IV bolus, 200 mL emesis, 40 mL voided urine, and 20 mL urine from straight catheterization. The nurse should record the difference between the intake and output as how many mL?
Correct Answer: B
Rationale:
Total intake: 600 + 100 = 700 mL;
Total output: 200 + 40 + 20 = 260 mL; Difference: 700 - 260 = 440 mL.