ATI RN
ATI RN pharmacology 2023 Questions
Extract:
Question 1 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.
Question 2 of 5
A nurse is caring for a client who has a prescription for parenteral therapy. Which of the following actions should the nurse take when initiating IV therapy?
Correct Answer: D
Rationale: The correct answer is D: Apply the tourniquet 5 to 10 cm (about 2 to 4 in) above the IV insertion site. This step is crucial in initiating IV therapy as it helps to visualize and access the veins more easily. By applying the tourniquet at the correct distance from the insertion site, the nurse can create venous congestion, making the veins more prominent and easier to puncture. This step also helps to slow down the blood flow, making it easier to insert the IV catheter. It is important to apply the tourniquet properly to avoid causing discomfort or compromising blood flow to the extremity.
Incorrect choices:
A: Insert the IV catheter using the Z-track technique - The Z-track technique is used for intramuscular injections, not IV therapy.
B: Insert the IV catheter with the bevel down - The bevel of the IV catheter should be facing up for proper insertion into the vein.
C:
Question 3 of 5
A nurse has initiated an incident report for a missed dose of medication on a client that caused no harm to the client. Which of the following responses by the nurse manager indicates the use of just culture?
Correct Answer: B
Rationale:
Correct Answer: B
Rationale: Choosing option B demonstrates the use of just culture by focusing on understanding the root cause of the error rather than assigning blame. This approach aligns with just culture principles, which aim to promote a transparent environment where errors are viewed as opportunities for learning and system improvement. By reviewing the incident report to determine the cause of the missed medication, the nurse manager is emphasizing a non-punitive approach that encourages open reporting and fosters a culture of safety.
Summary of Other
Choices:
A: This response is punitive and does not align with just culture principles, as it involves termination without considering the circumstances or systemic factors contributing to the error.
C: Reporting the incident to the state board of nursing may be required in certain situations but does not necessarily reflect a just culture approach focused on learning and improvement.
D: Involving the legal team immediately can create a culture of fear and blame rather than emphasizing a just culture that prioritizes understanding and addressing system issues.
Question 4 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
Extract:
Medication Administration Record
Nurses' Notes
Vital Signs
0830:
Morphine 10 mg subcutaneous every 3 hr PRN pain
Question 5 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:
To select the correct answer, , we must identify concerning signs that require immediate action.
B: A client being difficult to arouse indicates altered consciousness, necessitating urgent attention.
C: A respiratory rate of 10/min is abnormally low and indicates respiratory distress.
D: A pulse oximetry of 88% on room air is below the normal range, indicating hypoxemia.
Incorrect options:
A: Temperature of 37.5°C is within normal range.
E: Pupils being equal and reactive are normal findings.
F: Blood pressure of 99/46 mm Hg is slightly low but not critically concerning.
G: Heart rate of 61/min is within normal limits.