ATI RN
ATI RN pharmacology 2023 Questions
Extract:
Question 1 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 2 of 5
A nurse manager is evaluating a nurse who is performing a urinary catheterization on a male client. Which of the following actions by the nurse demonstrates correct aseptic technique?
Correct Answer: C
Rationale:
Correct
Answer: C - Cleanses the meatus from the center in a circular motion.
Rationale:
1. Cleansing the meatus from the center in a circular motion helps to prevent contamination by moving from the least contaminated area to the most contaminated area.
2. This technique minimizes the risk of introducing microorganisms into the urethra during the catheterization procedure.
3. By starting from the center and moving outward, the nurse ensures thorough cleaning of the meatus and reduces the chance of introducing infection.
Incorrect
Choices:
A: Grasping the catheter 10.16 to 12.7 cm (4 to 5 in) from the tip - Incorrect because holding the catheter too close to the tip can lead to contamination.
B: Cleansing the meatus using a clean cotton ball - Incorrect because a cotton ball may leave fibers behind, increasing the risk of infection.
D: Applying clean gloves before beginning the procedure - Incorrect because clean gloves are necessary but do not
Question 3 of 5
A nurse is caring for a client who is receiving a first dose of amoxicillin. Which of the following findings should the nurse report to the provider immediately?
Correct Answer: A
Rationale: The correct answer is A: High-pitched wheezing. This finding indicates a potential severe allergic reaction, such as anaphylaxis, which requires immediate medical attention. Wheezing can be a sign of airway constriction and respiratory distress, which could lead to serious complications if not treated promptly. Urticaria (choice
B) and pruritis (choice
C) are common side effects of amoxicillin and can often be managed with antihistamines. Rhinitis with clear discharge (choice
D) is not typically a sign of a severe allergic reaction. Reporting high-pitched wheezing ensures timely intervention to prevent respiratory compromise.
Question 4 of 5
A nurse is caring for a client who was admitted for an exacerbation of their COPD. The client will be discharged with a new prescription for oxygen therapy and will need assistance with activities of daily living. Which of the following referrals should the nurse obtain for the client?
Correct Answer: A
Rationale: The correct answer is A: Case manager. A case manager can coordinate care and resources for the client, such as arranging oxygen therapy equipment, home health services for assistance with activities of daily living, and follow-up appointments. A case manager can ensure continuity of care and help the client navigate the healthcare system effectively.
Choice B: Hospice care facility is incorrect as hospice care is for end-of-life care and may not be appropriate for a client with an exacerbation of COPD.
Choice C: Long term care facility is incorrect as the client may not need long-term care if the exacerbation is managed effectively.
Choice D: Pharmacist is incorrect as while important for medication management, a pharmacist may not provide the comprehensive support and coordination of care needed for a client with COPD.
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.