ATI RN
ATI RN pharmacology 2023 Questions
Extract:
Question 1 of 5
A nurse is witnessing the informed consent for a client who is scheduled for surgery. Which of the following actions should the nurse take?
Correct Answer: A
Rationale:
Correct Answer: A. Asking the client if they understand the procedure is crucial in ensuring informed consent. This step confirms the client's comprehension and ability to make a decision. It promotes autonomy and ensures the client is making an informed choice.
Summary of Other
Choices:
B. Describing the procedure is important but does not ensure the client's understanding.
C. Informing about alternative treatments is valuable but may not be directly related to confirming understanding.
D. Explaining risks is essential, but understanding them doesn't guarantee comprehension of the overall procedure.
Question 2 of 5
A nurse is assessing a client who is receiving a blood transfusion. The nurse notes lung crackles, hypoxia, and distended neck veins. Which of the following actions should the nurse take?
Correct Answer: A,B,C,D
Rationale: The correct actions for the nurse to take are A, B, C, and D. A - Stopping the transfusion is crucial as the client is showing signs of fluid overload and a potential transfusion reaction. B - Placing the client in high-Fowler's position helps improve oxygenation. C - Obtaining a prescription for a diuretic can help manage fluid overload. D - Administering oxygen is essential to improve oxygen saturation.
Choices E and beyond are incorrect as epinephrine is not indicated for this situation and other interventions take precedence in managing the client's symptoms.
Question 3 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 4 of 5
A nurse is caring for a female client who is postoperative and is having difficulty urinating after the removal of an indwelling urinary catheter. Which of the following techniques should the nurse teach the client to use to promote urination?
Correct Answer: C
Rationale:
Correct Answer: C - Pouring warm water over the perineum
Rationale: Warm water acts as a stimulant for the bladder, promoting relaxation of the pelvic floor muscles and facilitating urination. The warm water helps to increase blood flow to the area, which can aid in stimulating the urge to urinate. By pouring warm water over the perineum, the client can potentially overcome the difficulty in urination postoperatively. This technique is safe, non-invasive, and can be easily performed by the client without the need for medical intervention.
Summary of other choices:
A: Stroking the lower abdomen - This technique may not directly stimulate the bladder or promote urination.
B: Performing Kegel exercises prior to urination - Kegel exercises focus on strengthening the pelvic floor muscles but may not address the immediate need for urination.
D: Leaning backward when sitting and attempting to urinate - This position may not be conducive to promoting urination and can potentially hinder
Question 5 of 5
A nurse is reviewing a medication prescription that reads, 'Morphine 5 mg IV bolus for pain'. Which of the following components should the nurse clarify with the provider?
Correct Answer: B
Rationale: The nurse should clarify the Time component with the provider. This is because the prescription only states 'Morphine 5 mg IV bolus for pain' but does not specify the timing of when the medication should be administered. Without a clear time frame, the nurse cannot ensure the medication is given at the appropriate time to effectively manage the patient's pain. Clarifying the time with the provider will help prevent medication errors and ensure optimal patient care. The other components (Dose, Medication, and Route) are already specified in the prescription, so they do not require clarification.