ATI RN
ATI RN pharmacology 2023 Questions
Extract:
Question 1 of 5
A nurse is preparing to assess a client's thyroid gland. Which of the following actions should the nurse plan to take?
Correct Answer: A
Rationale: The correct answer is A: Instruct the client to take small sips of water. This action helps the nurse assess the thyroid gland's size, shape, and movement as the client swallows. Asking the client to take small sips of water facilitates the palpation of the thyroid gland and helps identify any abnormalities.
Choices B, C, and D are incorrect.
Choice B, asking the client to hyperextend their neck, can distort the thyroid gland's position and make it difficult to assess accurately.
Choice C, inspecting the isthmus as the client holds their breath, is not a standard technique for assessing the thyroid gland.
Choice D, assisting the client to a supine position, is not necessary for a thyroid assessment and may not provide optimal access to the gland.
Question 2 of 5
A nurse is caring for a group of uninsured clients in the emergency department of a private hospital. Which of the following actions should the nurse identify as a violation of a client's rights according to the Emergency Medical Treatment and Active Labor Act (EMTALA)?
Correct Answer: C
Rationale: The correct answer is C because the Emergency Medical Treatment and Active Labor Act (EMTAL
A) prohibits the transfer of unstable patients to another facility for financial reasons. Referring a client to a county hospital for medical screening evaluation can be seen as a violation of their rights under EMTALA because it involves transferring the patient to another facility for financial considerations rather than providing necessary emergency care. This action could potentially delay or deny essential treatment for the client.
A, B, and D are incorrect because placing a client in the waiting room based on triage assessment, transferring a client to the antepartum unit for further evaluation, and transferring a stable client to a public hospital for reduced-cost care do not explicitly violate EMTALA regulations, as long as the care provided is appropriate and necessary for the client's condition.
Question 3 of 5
A nurse is assessing an older adult client who reports pain. Which of the following should the nurse recognize about the client's perception of pain?
Correct Answer: D
Rationale: The correct answer is D because older adults may under-report their pain intensity due to various factors like fear of being a burden, fear of medication side effects, or cognitive impairments. This can lead to inadequate pain management.
Choice A is incorrect as pain perception varies individually and does not universally decrease with age.
Choice B is incorrect because older adults may respond differently to analgesics, but not necessarily less likely.
Choice C is incorrect as pain is not an expected finding for older adults, and it should never be dismissed without proper assessment.
Question 4 of 5
A nurse on a medical-surgical unit is teaching a newly licensed nurse about tasks to delegate to assistive personnel (AP). Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?
Correct Answer: B
Rationale: The correct answer is B because counting respirations is within the scope of practice for assistive personnel (AP) and is a routine task that can be safely delegated. This task does not require nursing judgment or assessment skills. A is incorrect because monitoring an IV site involves assessing for complications which requires nursing assessment skills. C is incorrect as orthostatic blood pressure measurements require interpretation and prompt nursing intervention if abnormal. D is incorrect as changing a central line dressing is a complex procedure that should only be performed by a licensed nurse due to the risk of infection and complications.
Question 5 of 5
A nurse is caring for a client who has had a stroke and is having difficulty with dressing and toileting. With which of the following therapists should the nurse schedule a referral for the client?
Correct Answer: B
Rationale: The correct answer is B: Occupational therapist. Occupational therapists specialize in helping individuals regain and improve their ability to perform activities of daily living, such as dressing and toileting, after a stroke. They focus on enhancing skills and providing adaptive strategies to promote independence. Speech therapists (
A) primarily address communication and swallowing difficulties. Physical therapists (
C) focus on mobility and strength training. Recreational therapists (
D) work on leisure activities and social participation. In this case, the best choice is the occupational therapist as they directly target the client's dressing and toileting challenges.