ATI RN Pharmacology 2023 -Nurselytic

Questions 70

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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.

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