ATI RN
ATI RN pharmacology 2023 Questions
Extract:
Question 1 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: Publicly displaying PHI on a hallway board violates HIPAA confidentiality rules.
Question 2 of 5
A nurse is teaching a client who is immunocompromised and requires a protective environment. Which of the following statements should the nurse make?
Correct Answer: D
Rationale: Positive-pressure rooms keep pathogens out, protecting immunocompromised clients.
Question 3 of 5
A nurse is using the faces, legs, activity, cry, consolability (FLACC) scale to assess the need for PRN pain medication for a client who has cognitive impairment. Which of the following findings should the nurse identify as an indication the client is experiencing pain?
Correct Answer: C
Rationale: Resisting care indicates discomfort or distress, a pain sign on the FLACC scale.
Extract:
Medication Administration Record
Nurses' Notes
Vital Signs
0830:
Morphine 10 mg subcutaneous every 3 hr PRN pain
Question 4 of 5
Click to highlight the documentation in the client's medical record that requires further action by the nurse.
Temperature 37.5° C (99.5° F) |
Client is difficult to arouse. |
Respiratory rate 10/min |
Pulse oximetry 88% on room air (95% to 100%) |
Pupils are 3 mm, equal, and reactive to light. |
Blood pressure 99/46 mm Hg |
Heart rate 61/min |
Correct Answer: B,C,D
Rationale: Client is difficult to arouse may indicate opioid overdose or sedation due to morphine, requiring assessment and possible naloxone. Respiratory rate 10/min is below normal and could indicate respiratory depression, a morphine side effect. Pulse oximetry 88% suggests hypoxemia, necessitating supplemental oxygen and provider notification.
Extract:
Question 5 of 5
A nurse is teaching a client about fire safety at home. Which of the following information should the nurse include in the teaching?
Correct Answer: C
Rationale: A damp cloth filters smoke and toxins, aiding safe evacuation.