ATI RN
ATI RN pharmacology 2023 Questions
Extract:
Nurses' Notes
Diagnostic Results
Vital Signs
0900:
Client is admitted to the unit with a diagnosis of pneumonia. IV of 0.9% sodium chloride infusing into 20-gauge peripheral IV located in the left hand at 90 mL/hr.
1300:
Client has not voided since admission. Bladder is distended and palpable. Provider notified.
1330:
Prescription obtained for intermittent catheterization.
Question 1 of 5
After providing perineal care and donning sterile gloves, the nurse should first ___ followed by ___
| lubricate the catheter tip |
| insert the catheter until urine flows |
Correct Answer: A,B
Rationale: Lubricating the catheter tip ensures smooth insertion and minimizes discomfort or trauma to the urethra. Inserting the catheter until urine flows confirms proper placement before advancing slightly more to ensure complete drainage.
Extract:
Question 2 of 5
A nurse is performing a dressing change on a client and observes granulation tissue. Which of the following findings should the nurse document?
Correct Answer: A
Rationale: Granulation tissue is red or pink due to increased blood supply, indicating healing.
Extract:
Nurses' Notes
Diagnostic Results
Day 1:
The client has left-sided weakness and is unable to ambulate without full assistance. 2+ pedal pulses present and equal bilaterally.
Day 2:
Area of swelling and tenderness noted to back of right calf. Pedal pulses present and equal bilaterally.
Question 3 of 5
The client is at risk for developing ___ due to their ___
| deep vein thrombosis (DVT) |
| immobility |
Correct Answer: A,B
Rationale: Swelling and tenderness in the calf are key signs of DVT, which is a common complication of immobility after a stroke. Immobility leads to venous stasis, increasing the risk of clot formation.
Extract:
Question 4 of 5
A charge nurse on an acute care unit is planning care for a client. Which of the following actions should the nurse take to promote the client's continuity of care?
Correct Answer: B
Rationale: Starting discharge planning on admission ensures a smooth care transition.
Question 5 of 5
A nurse is teaching a group of nurses about client confidentiality. Which of the following statements made by a nurse indicates an understanding of the teaching?
Correct Answer: B
Rationale: HIPAA requires client permission to share health information with relatives, showing understanding of confidentiality.