ATI RN
ATI RN pharmacology 2023 Questions
Extract:
Question 1 of 5
A nurse is preparing to administer intermittent tube feeding to a client who has a percutaneous gastrostomy tube. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Check the pH level of the client's gastric contents. This is important to assess tube placement in the stomach. A pH level of 1-5 indicates proper placement in the stomach, reducing the risk of aspiration.
Choice A is incorrect as flushing with water is not necessary for tube feeding.
Choice B is incorrect as a supine position is not needed for tube feeding.
Choice D is incorrect as tube patency should be checked before each feeding, not every 8 hours.
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:
To determine the appropriate actions for the care of the client, we need to consider the client's overall well-being and potential needs.
B: Encouraging deep-breathing exercises helps improve lung function and oxygenation, aiding in respiratory health.
C: Checking for pain is crucial to address any discomfort or underlying issues that may affect the client's well-being.
D: Encouraging the client to increase fiber in their diet promotes gastrointestinal health and aids in preventing constipation.
E: Promoting intake of oral fluids is essential for hydration and overall health maintenance.
F: Applying barrier ointment after bowel movements helps protect the skin and prevent irritation.
These actions encompass respiratory, pain assessment, nutrition, hydration, and skin care, covering a holistic approach to the client's care needs.
Extract:
Question 3 of 5
A nurse is preparing to obtain a health history from a newly admitted client. Which of the following information should the nurse expect to include?
Correct Answer: C
Rationale: The correct answer is C: Health habits. When obtaining a health history, it is essential for the nurse to gather information about the client's health habits such as diet, exercise, smoking, alcohol consumption, and sleep patterns. This information helps in assessing the client's overall health status, identifying potential risk factors, and developing appropriate care plans. Laboratory results (
A) and physical examination findings (
B) are important components of the assessment but are typically obtained after the health history. Observed client behaviors (
D) are subjective and may not provide a comprehensive understanding of the client's health.
Question 4 of 5
A community health nurse is developing a brochure about obstructive sleep apnea (OSA). Which of the following potential complications of OSA should the nurse include?
Correct Answer: D
Rationale: The correct answer is D: Heart failure. Obstructive sleep apnea can lead to complications such as heart failure due to the repeated episodes of oxygen deprivation and stress on the cardiovascular system during apnea episodes. This can result in increased risk of hypertension, arrhythmias, and ultimately heart failure. Enlarged adenoids (
A), diabetes mellitus (
B), and nasal polyps (
C) are not direct complications of OSA. Adenoid enlargement may contribute to OSA, but it is not a complication of the condition itself. Diabetes mellitus is not directly linked to OSA, although there may be a correlation. Nasal polyps are not a typical complication of OSA.
Extract:
Vital Signs
Medical History
Nurses' Notes
1000:
Temperature 36° C (96.8° F)
Blood pressure 118/56 mm Hg
Heart rate 92/min
Respiratory rate 18/min
Oxygen saturation 95% on room air
1200:
Temperature 37.2° C (99° F)
Blood pressure 104/56 mm Hg
Heart rate 62/min
Respiratory rate 12/min
Oxygen saturation 94% on room air
Question 5 of 5
The client is most at risk of developing ___ and ___
| urinary tract infection |
| delayed wound healing |
| deep vein thrombosis |
| atelectasis |
| paralytic ileus |
Correct Answer: D,E
Rationale: Parameters:
Correct Answer: (0, 0, 0, 1, 1, 0, 0)
Rationale:
- Atelectasis is a condition where the lungs do not expand fully, increasing the risk of respiratory complications.
- Paralytic ileus is a condition where the intestines stop working, leading to potential bowel obstruction.
- Urinary tract infection, delayed wound healing, and deep vein thrombosis are not directly related to the client's risk factors in this scenario.