ATI RN
ATI RN pharmacology 2023 Questions
Extract:
Question 1 of 5
A nurse is preparing to administer an infusion of packed RBCs through a peripheral IV catheter. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Ensure that the IV tubing has an in-line filter. When administering packed RBCs through a peripheral IV catheter, it is crucial to use IV tubing with an in-line filter to prevent any potential infusion-related complications such as embolism or filtering out any clots or debris present in the blood product. Priming the IV tubing with lactated Ringer's (choice
A) is unnecessary and does not directly relate to the safe administration of packed RBCs. Using a 24-gauge IV catheter (choice
B) may not be appropriate for blood transfusions as it can lead to hemolysis and increased risk of clotting. Changing the tubing every 2 hours (choice
D) is not a standard practice for packed RBC transfusions unless specified by institutional policy or manufacturer's guidelines.
Question 2 of 5
A nurse is creating a plan of care for a client who has left-sided hemiplegia. Which of the following interventions should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Apply an orthotic boot to the client's left foot. This intervention is important for preventing foot drop, a common complication of left-sided hemiplegia. An orthotic boot helps maintain the foot in a neutral position, preventing contractures and promoting proper alignment for ambulation. Resting the left arm over the chest (choice
A) does not address the issue of foot drop. Placing a pillow behind the head (choice
C) is not relevant to left-sided hemiplegia. Instructing the client to lean toward the left side (choice
D) is incorrect as it may increase the risk of falls.
Question 3 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.
Question 4 of 5
A nurse is caring for a client who has a prescription for parenteral therapy. Which of the following actions should the nurse take when initiating IV therapy?
Correct Answer: D
Rationale: The correct answer is D: Apply the tourniquet 5 to 10 cm (about 2 to 4 in) above the IV insertion site. This step is crucial in initiating IV therapy as it helps to visualize and access the veins more easily. By applying the tourniquet at the correct distance from the insertion site, the nurse can create venous congestion, making the veins more prominent and easier to puncture. This step also helps to slow down the blood flow, making it easier to insert the IV catheter. It is important to apply the tourniquet properly to avoid causing discomfort or compromising blood flow to the extremity.
Incorrect choices:
A: Insert the IV catheter using the Z-track technique - The Z-track technique is used for intramuscular injections, not IV therapy.
B: Insert the IV catheter with the bevel down - The bevel of the IV catheter should be facing up for proper insertion into the vein.
C:
Extract:
Nurses' Notes
Diagnostic Results
Day 1:
The client has left-sided weakness and is unable to ambulate without full assistance. 2+ pedal pulses present and equal bilaterally.
Day 2:
Area of swelling and tenderness noted to back of right calf. Pedal pulses present and equal bilaterally.
Question 5 of 5
The client is at risk for developing ___ due to their ___
| deep vein thrombosis (DVT) |
| immobility |
Correct Answer: A,B
Rationale: [1, 1, 0]
The correct answer is A,B. Deep vein thrombosis is a condition where blood clots form in deep veins, often due to immobility. Immobility can lead to blood pooling and clot formation, increasing the risk of DVT.
Therefore, both choices A and B are correct as they are interlinked in causing DVT.
Choice C and other options are incorrect as they do not directly address the relationship between immobility and the risk of DVT development.