ATI RN
ATI RN pharmacology 2023 Questions
Extract:
Question 1 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 2 of 5
A nurse is preparing to obtain a health history from a newly admitted client. Which of the following information should the nurse expect to include?
Correct Answer: C
Rationale: The correct answer is C: Health habits. When obtaining a health history, it is essential for the nurse to gather information about the client's health habits such as diet, exercise, smoking, alcohol consumption, and sleep patterns. This information helps in assessing the client's overall health status, identifying potential risk factors, and developing appropriate care plans. Laboratory results (
A) and physical examination findings (
B) are important components of the assessment but are typically obtained after the health history. Observed client behaviors (
D) are subjective and may not provide a comprehensive understanding of the client's health.
Question 3 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 4 of 5
A nurse is preparing to administer an infusion of packed RBCs through a peripheral IV catheter. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Ensure that the IV tubing has an in-line filter. When administering packed RBCs through a peripheral IV catheter, it is crucial to use IV tubing with an in-line filter to prevent any potential infusion-related complications such as embolism or filtering out any clots or debris present in the blood product. Priming the IV tubing with lactated Ringer's (choice
A) is unnecessary and does not directly relate to the safe administration of packed RBCs. Using a 24-gauge IV catheter (choice
B) may not be appropriate for blood transfusions as it can lead to hemolysis and increased risk of clotting. Changing the tubing every 2 hours (choice
D) is not a standard practice for packed RBC transfusions unless specified by institutional policy or manufacturer's guidelines.
Question 5 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.