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: 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 2 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 3 of 5
A nurse is reviewing a medication prescription that reads, 'Morphine 5 mg IV bolus for pain'. Which of the following components should the nurse clarify with the provider?
Correct Answer: B
Rationale: The nurse should clarify the Time component with the provider. This is because the prescription only states 'Morphine 5 mg IV bolus for pain' but does not specify the timing of when the medication should be administered. Without a clear time frame, the nurse cannot ensure the medication is given at the appropriate time to effectively manage the patient's pain. Clarifying the time with the provider will help prevent medication errors and ensure optimal patient care. The other components (Dose, Medication, and Route) are already specified in the prescription, so they do not require clarification.
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.
Question 5 of 5
A nurse is teaching a group of nurses about client confidentiality. Which of the following statements made by a nurse indicates an understanding of the teaching?
Correct Answer: B
Rationale:
Correct
Answer: B
Rationale:
The correct answer is B because sharing health information with a relative without the client's permission would violate client confidentiality. Respecting a client's right to privacy and obtaining their consent before sharing sensitive information is crucial in maintaining confidentiality. This principle is in line with ethical standards and legal requirements, such as the Health Insurance Portability and Accountability Act (HIPA
A). It demonstrates a clear understanding of the importance of protecting client privacy.
Incorrect choices:
A: Sharing client information in public areas like hallways violates confidentiality.
C: Sharing a client's diagnosis with any health care team member may not be necessary for their care and could breach confidentiality.
D: While accessing medical records may require permission, written permission from the provider is not specifically needed for a client to access their own records.