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 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 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 reviewing the records of several clients to determine cervical cancer screening recommendations. Which of the following clients should the nurse refer for a Papanicolaou (Pap) test?
Correct Answer: A
Rationale: The correct answer is A. A 21-year-old client who had a normal Pap test one year ago should be referred for a Pap test. The rationale is that for individuals with a normal Pap test, regular screening is recommended every 3 years starting at age 21. This client falls within the age group for routine screening and has had a normal result in the past, indicating the need for follow-up.
For the other choices:
B: A 32-year-old client who had a total vaginal hysterectomy last year does not have a cervix, so a Pap test is not necessary.
C: A 47-year-old client who had a negative combined Pap and HPV test 5 years ago should follow guidelines for repeat testing, which may not require a Pap test at this time.
D: A 15-year-old client who completed the HPV vaccine series does not need a Pap test at this time as screening typically starts at age 21.
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.