ATI RN
ATI RN pharmacology 2023 Questions
Extract:
Question 1 of 5
A nurse on a medical-surgical unit is teaching a newly licensed nurse about tasks to delegate to assistive personnel (AP). Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?
Correct Answer: B
Rationale: The correct answer is B because counting respirations is within the scope of practice for assistive personnel (AP) and is a routine task that can be safely delegated. This task does not require nursing judgment or assessment skills. A is incorrect because monitoring an IV site involves assessing for complications which requires nursing assessment skills. C is incorrect as orthostatic blood pressure measurements require interpretation and prompt nursing intervention if abnormal. D is incorrect as changing a central line dressing is a complex procedure that should only be performed by a licensed nurse due to the risk of infection and complications.
Question 2 of 5
A nurse is caring for a client who has had a stroke and is having difficulty with dressing and toileting. With which of the following therapists should the nurse schedule a referral for the client?
Correct Answer: B
Rationale: The correct answer is B: Occupational therapist. Occupational therapists specialize in helping individuals regain and improve their ability to perform activities of daily living, such as dressing and toileting, after a stroke. They focus on enhancing skills and providing adaptive strategies to promote independence. Speech therapists (
A) primarily address communication and swallowing difficulties. Physical therapists (
C) focus on mobility and strength training. Recreational therapists (
D) work on leisure activities and social participation. In this case, the best choice is the occupational therapist as they directly target the client's dressing and toileting challenges.
Question 3 of 5
A nurse is preparing to perform nasotracheal suctioning for a client. Which of the following is an appropriate action for the nurse to take?
Correct Answer: D
Rationale: The correct answer is D: Use surgical asepsis when performing the procedure. This is essential to prevent introducing pathogens into the airway. Surgical asepsis involves sterile technique to minimize the risk of infection. The nasotracheal suctioning procedure involves inserting a sterile catheter into the trachea, which is a sterile area. The nurse must maintain aseptic technique to prevent contamination and potential infection.
Incorrect choices:
A: Applying intermittent suction for 20 to 30 seconds is a technique-related action, not related to infection control.
B: Placing the catheter in a clean and dry location for later use is incorrect as the catheter should be disposed of after use.
C: Holding the suction catheter with the clean, nondominant hand is not as critical as maintaining surgical asepsis.
Question 4 of 5
A charge nurse has reviewed fire safety procedures with staff members. Which of the following statements by a staff member indicates an understanding of the last action they should take?
Correct Answer: D
Rationale:
Correct
Answer: D. "I should extinguish small fires if it is safe to do so."
Rationale: The last action in a fire emergency should be to attempt to extinguish small fires if it is safe to do so. This is because the safety of the staff and clients is paramount, and trying to put out small fires can prevent them from escalating and causing more harm. However, safety should always come first, so it is crucial to ensure that the staff member evaluates the situation and only attempts to extinguish the fire if it can be done without putting themselves or others at risk.
Summary of Incorrect
Choices:
A: Closing doors and windows can help contain the fire, but it is not the last action to take.
B: Evacuating clients in immediate danger should be done before attempting to extinguish fires.
C: Activating the fire alarm is an important step to alert everyone, but it is not the last action to take.
Question 5 of 5
A staff nurse is teaching a newly hired nurse about alternatives to the use of restraints on clients who are confused. Which of the following instructions should the staff nurse include?
Correct Answer: C
Rationale: The correct answer is C: Encourage physical activity throughout the day to expend energy. This is the most appropriate instruction because physical activity can help reduce restlessness and agitation in confused clients, thus decreasing the need for restraints. Removing clocks (
A) may not address the underlying causes of confusion. Checking on the client frequently (
B) can be helpful but doesn't directly address alternative strategies to restraint. Using full-length side rails (
D) can be dangerous and increase the risk of injury.