ATI RN
ATI RN pharmacology 2023 Questions
Extract:
Question 1 of 5
A nurse is providing discharge instructions to a client about proper use of a cane for maximum support. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: A
Rationale:
Correct Answer: A. "I will hold my cane on my stronger side."
Rationale:
1. Holding the cane on the stronger side provides better support and balance.
2. It helps shift weight off the weaker side, reducing strain and risk of falls.
3. Distributes weight evenly, preventing muscle fatigue and improving stability.
Incorrect
Choices:
B. Holding the cane 12 inches from the side may lead to an improper gait pattern and instability.
C. Keeping the elbow flexed at a 90-degree angle is not necessary and may cause discomfort.
D. Moving the weaker leg before the cane can disrupt balance and increase the risk of falls.
Question 2 of 5
A nurse is caring for a client who wants to stop receiving treatment for terminal cancer. The client's family asks the nurse if it is possible to continue the treatment without the client's knowledge. Which of the following responses should the nurse make?
Correct Answer: A
Rationale:
Correct Answer: A
Rationale:
1. The nurse must prioritize the client's autonomy and right to make decisions about their own care.
2. Continuing treatment without the client's knowledge violates their autonomy and ethical principles.
3. By respecting the client's wishes to stop treatment, the nurse upholds the principle of beneficence by promoting the client's well-being.
4. Informing the family of the client's right to refuse care educates them on the importance of respecting the client's autonomy.
Summary:
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Choice B: Involving a health care surrogate is only necessary if the client is incapacitated or unable to make decisions, not when they have capacity.
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Choice C: Discussing treatment options without the client's presence undermines their autonomy and does not respect their decision-making authority.
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Choice D: Involving the ethics committee is not necessary here; the nurse should first address the family's request directly with the client.
Question 3 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 4 of 5
A charge nurse is teaching a group of newly licensed nurses about the health risks for family caregivers of clients who are chronically ill. Which of the following should the nurse include as placing a family caregiver at risk?
Correct Answer: D
Rationale: The correct answer is D: Providing care for greater than 1 year. Long-term caregiving can lead to physical and emotional strain, burnout, and increased risk of health problems for family caregivers.
Choice A (Previous caregiver experience) is not a risk factor on its own.
Choices B (25 to 50 years of age) and C (Lives in a different dwelling than the client) are not inherently risky factors for caregivers.
Question 5 of 5
A nurse caring for a client who has a prescription for morphine 5 mg IM accidentally administers the whole 10 mg from the single-dose vial. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: The correct answer is C: Measure the client's respiratory rate. This is the first action the nurse should take because an overdose of morphine can lead to respiratory depression, which is a life-threatening complication. By assessing the client's respiratory rate, the nurse can quickly determine if the client is experiencing any respiratory distress and needs immediate intervention. Reporting the incident to the pharmacy (
A) or completing an incident report (
D) can be done after ensuring the client's safety. Notifying the client's provider (
B) can be important but assessing the respiratory rate takes precedence in this situation.