ATI RN
ATI RN pharmacology 2023 Questions
Extract:
Question 1 of 5
A nurse is providing preoperative teaching about using an incentive spirometer for a client. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Hold your breath for 2 to 3 seconds when using the incentive spirometer. This instruction is vital as it allows the lungs to fully expand and helps in improving lung function. Holding the breath for a few seconds helps to recruit more alveoli and increase oxygenation.
A: Placing the head of the bed flat is incorrect as it may hinder the effectiveness of the incentive spirometer.
C: Using the incentive spirometer every 3 hours while awake is not accurate. It is recommended to use it every hour while awake.
D: Breathing in through the nose is incorrect as the incentive spirometer is designed to be used with a mouthpiece for optimal results.
Question 2 of 5
A nurse on a medical-surgical unit is caring for a newly admitted client. Which of the following should the nurse determine is a breach of client confidentiality?
Correct Answer: A
Rationale: The correct answer is A because disclosing the client's room number and diagnosis on a public communication board violates the client's confidentiality. Room number and diagnosis are private information that should not be displayed publicly. In contrast, choices B, C, and D are not breaches of client confidentiality as the information is either necessary for providing care (B,
C) or for ensuring the client's safety (
D). The nurse should always prioritize maintaining the client's privacy and confidentiality, which is why option A is the correct answer.
Question 3 of 5
A nurse is assessing the breath sounds of an adult client who has pneumonia. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B. Following a systematic pattern from side-to-side moving down the client's chest allows the nurse to thoroughly assess all lung fields for any abnormal breath sounds, which is crucial in detecting pneumonia. Placing the bell of the stethoscope on the client's chest (
A) may not provide a comprehensive assessment of all lung fields. Asking the client to breathe deeply through the nose (
C) may not be necessary for assessing breath sounds and could potentially disrupt the assessment process. Instructing the client to sit erect with their head tilted slightly backward (
D) is not directly related to assessing breath sounds and may not enhance the nurse's ability to detect abnormal breath sounds.
Question 4 of 5
A nurse is planning an in-service to teach families about self-care resources for caregivers. Which of the following programs should the nurse plan to include?
Correct Answer: D
Rationale: The correct answer is D: Respite care. Respite care provides temporary relief to caregivers by offering short-term care for their loved ones. This program allows caregivers to take a break and attend to their own needs, preventing burnout and promoting overall well-being. Tertiary care (
A) involves specialized medical services, not specifically focused on caregiver support. Restorative care (
B) focuses on rehabilitation services for patients, not caregivers. Telemedicine care (
C) involves remote healthcare delivery, not directly related to caregiver resources.
Therefore, respite care is the most suitable program to include in the in-service for caregiver self-care.
Question 5 of 5
A nurse has initiated an incident report for a missed dose of medication on a client that caused no harm to the client. Which of the following responses by the nurse manager indicates the use of just culture?
Correct Answer: B
Rationale:
Correct
Answer: B
Rationale: Choosing option B demonstrates the use of just culture by focusing on understanding the root cause of the error rather than assigning blame. This approach aligns with just culture principles, which aim to promote a transparent environment where errors are viewed as opportunities for learning and system improvement. By reviewing the incident report to determine the cause of the missed medication, the nurse manager is emphasizing a non-punitive approach that encourages open reporting and fosters a culture of safety.
Summary of Other
Choices:
A: This response is punitive and does not align with just culture principles, as it involves termination without considering the circumstances or systemic factors contributing to the error.
C: Reporting the incident to the state board of nursing may be required in certain situations but does not necessarily reflect a just culture approach focused on learning and improvement.
D: Involving the legal team immediately can create a culture of fear and blame rather than emphasizing a just culture that prioritizes understanding and addressing system issues.