ATI RN
ATI RN pharmacology 2023 Questions
Extract:
Question 1 of 5
A nurse is preparing a client who has a latex allergy for surgery. Which of the following actions should the nurse plan to take?
Correct Answer: A
Rationale: The correct answer is A: Use IV tube ports when injecting medications. This is crucial to avoid direct contact between the latex material and the client, reducing the risk of an allergic reaction. IV tube ports are latex-free, ensuring safety for the client with a latex allergy.
Incorrect choices:
B: Removing medication from multi-dose vials with the stopper in place can expose the client to latex from the vial's stopper.
C: Securing loose cords in stockinette with tape does not directly address the client's latex allergy.
D: Scheduling the surgery as the last procedure of the day does not specifically address the client's latex allergy and is not a standard practice for managing latex allergies.
Question 2 of 5
A nurse is caring for a group of clients. Which of the following actions by the nurse demonstrates client advocacy?
Correct Answer: D
Rationale: The correct answer is D because informing the family of a deceased client of the client's wish to be an organ donor is an example of client advocacy. This action respects the client's autonomy and ensures their wishes are honored even after death, demonstrating the nurse's commitment to advocating for the client's best interests.
Choice A is incorrect because submitting an incident report is a standard procedure for risk management and does not necessarily involve advocating for the client's rights or wishes.
Choice B is incorrect as documenting the effectiveness of pain medication is part of the nurse's routine duties and does not directly relate to advocating for the client.
Choice C is incorrect as asking another nurse to check a medication calculation is a safety measure to prevent errors but does not specifically demonstrate client advocacy.
Overall, choice D stands out as the most appropriate demonstration of client advocacy among the given options.
Question 3 of 5
A nurse is teaching a client about prevention of injury when lifting. Which of the following instructions should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct answer is D: Stand close to a heavy object before attempting to lift it. This instruction is important because standing close to the object helps reduce the strain on the back by keeping the load as close to the body's center of gravity as possible. This minimizes the risk of injury and allows for better control and balance while lifting.
Explanation for other choices:
A: A narrow base of support is not recommended as it can decrease stability and increase the risk of injury.
B: Bending at the waist when lifting heavy objects can strain the lower back and lead to injury.
C: Using a twisting motion while lifting can also strain the back and increase the risk of injury.
E, F, G: These choices are not relevant to proper lifting techniques and do not address injury prevention.
Question 4 of 5
A community health nurse is visiting an older adult client who recently moved into an assisted living apartment. Which of the following client statements indicates difficulty accepting their transition?
Correct Answer: C
Rationale: The correct answer is C because the client's statement indicates difficulty accepting their transition to the assisted living apartment. The client's reluctance to socialize in the activity room because of the other residents' hearing difficulties suggests a lack of interest in engaging with the community. This may indicate feelings of isolation or disconnection.
Choices A, B, and D demonstrate the client adjusting positively to the changes, such as appreciating not having to cook, finding alternative transportation, and accepting help with mobility aids.
Question 5 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.