ATI RN
ATI RN pharmacology 2023 Questions
Extract:
Question 1 of 5
A nurse is preparing to perform nasotracheal suctioning for a client. Which of the following is an appropriate action for the nurse to take?
Correct Answer: D
Rationale: The correct answer is D: Use surgical asepsis when performing the procedure. This is essential to prevent introducing pathogens into the airway. Surgical asepsis involves sterile technique to minimize the risk of infection. The nasotracheal suctioning procedure involves inserting a sterile catheter into the trachea, which is a sterile area. The nurse must maintain aseptic technique to prevent contamination and potential infection.
Incorrect choices:
A: Applying intermittent suction for 20 to 30 seconds is a technique-related action, not related to infection control.
B: Placing the catheter in a clean and dry location for later use is incorrect as the catheter should be disposed of after use.
C: Holding the suction catheter with the clean, nondominant hand is not as critical as maintaining surgical asepsis.
Question 2 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:
Nurses' Notes
Vital Signs
Laboratory Results
0950:
A male client transferred to room from PACU following abdominal surgery. Report received that estimated blood loss in the procedure was 1200 mL. Client is alert and talking. Lung sounds clear, heart regular rate and rhythm, hypoactive bowel sounds. Sequential compression devices in place and peripheral pulses palpable and equal bilaterally. Client can feel and wiggle toes.
1025:
Called to room. Client appears agitated. The client states, "I feel like something is wrong." Lung sounds clear, increased rate and depth of respirations noted. Client rates incisional pain as 5 on a scale of 0 to 10. Surgical dressing dry and intact. Hypoactive bowel sounds. Peripheral pulses palpable and strong capillary refill time (CRT) less than 3 seconds,
Question 3 of 5
The nurse should first follow up on the client's ___ and ___
| oxygen saturation |
| pain |
| WBC count |
| behavioral findings |
| bowel findings |
Correct Answer: A,D
Rationale:
Step-by-step rationale for selecting A and D as the correct answers:
1. Oxygen saturation : This is crucial to assess the client's respiratory status and ensure adequate oxygenation, which is a priority in any healthcare setting.
2. Behavioral findings (
D): Changes in behavior can indicate pain, distress, or other underlying issues that may require immediate attention.
3. Pain (
B): While pain is important to assess, oxygen saturation and behavioral findings (
D) take precedence as they are more directly related to the client's immediate well-being.
4. WBC count (
C): While WBC count can indicate infection, it is not typically the first assessment to be done unless there are specific signs or symptoms suggesting an infection.
5. Bowel findings (E): While bowel findings are important, they are not typically the first assessments to be done unless the client is presenting with specific gastrointestinal complaints.
Therefore, the correct answers are A and D because they are the most critical assessments
Extract:
Nurses' Notes
Diagnostic Results
0800:
Client 1 is admitted with right hip pain following a fall.
Client 2 has a history of hyperlipidemia.
Client 3 has a history of congestive heart failure.
Client 4 has hypertension and a new prescription for furosemide.
Client 5 has a stage 2 pressure injury on the sacrum.
Client 6 is admitted with a new diagnosis of diabetes mellitus.
Question 4 of 5
The first client the nurse should assess is ___ followed by ___
| Pulmonary edema |
| Glycemic control |
| Hypoalbuminemia |
| Hip fracture |
| Low potassium |
| Malnutrition |
Correct Answer: A,D
Rationale:
The correct answer is A,D. The rationale is to prioritize immediate life-threatening conditions. Pulmonary edema (
A) requires urgent assessment due to potential respiratory compromise. Hip fracture (
D) should be assessed next to prevent further injury. Other choices are not as urgent. Glycemic control (
B) and low potassium (E) are important but not immediate. Hypoalbuminemia (
C), malnutrition (F) can be assessed later unless there are specific concerns.
Extract:
Question 5 of 5
A nurse is planning to provide discharge teaching to a client who speaks a different language than the nurse. Which of the following actions should the nurse take?
Correct Answer: A
Rationale:
Correct Answer: A. The nurse should consider gender and age when selecting an interpreter. This is important as it can help establish rapport and ensure effective communication. Different cultures may have specific preferences regarding who should interpret. Directing comments to the interpreter (
B) may lead to miscommunication. Speaking loudly (
C) can be perceived as disrespectful. Asking a family member (
D) may compromise confidentiality and accuracy.