ATI RN
ATI RN pharmacology 2023 Questions
Extract:
Vital Signs
Nurses' Notes
Provider Prescriptions
0900:
Temperature 38.0° C (100.4° F)
Heart rate 94/min
Respiratory rate 18/min
Blood pressure 110/88 mm Hg
Pulse oximetry 97% on room air
0915:
Temperature 38.0° C (100.4° F)
Heart rate 100/min Respiratory rate 20/min
Blood pressure 106/80 mm Hg
Pulse oximetry 94% on room air
0920:
Pulse oximetry 97% on room air
Question 1 of 5
Click to highlight the action that would be appropriate for the care of the client. Each body system may support more than 1 potential action.
| Inform client to achieve two to four breaths per session when using incentive spirometer. |
| Encourage deep-breathing exercises. |
| Check for pain. |
| Encourage the client to increase fiber in their diet. |
| Promote intake of oral fluids. |
| Apply barrier ointment after bowel movements. |
Correct Answer: B,C,D,E,F
Rationale:
To determine the appropriate actions for the care of the client, we need to consider the client's overall well-being and potential needs.
B: Encouraging deep-breathing exercises helps improve lung function and oxygenation, aiding in respiratory health.
C: Checking for pain is crucial to address any discomfort or underlying issues that may affect the client's well-being.
D: Encouraging the client to increase fiber in their diet promotes gastrointestinal health and aids in preventing constipation.
E: Promoting intake of oral fluids is essential for hydration and overall health maintenance.
F: Applying barrier ointment after bowel movements helps protect the skin and prevent irritation.
These actions encompass respiratory, pain assessment, nutrition, hydration, and skin care, covering a holistic approach to the client's care needs.
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 2 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:
Rationale:
- The correct sequence is to first lubricate the catheter tip (
A) before inserting it.
- This helps reduce discomfort and trauma to the patient during catheter insertion.
- After lubrication, the nurse should then insert the catheter until urine flows (
B) to ensure proper placement and functionality.
- It is crucial to follow this specific order to maintain aseptic technique and prevent complications like urinary tract infections.
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: [1, 1, 0]
The correct answer is A,B. Deep vein thrombosis is a condition where blood clots form in deep veins, often due to immobility. Immobility can lead to blood pooling and clot formation, increasing the risk of DVT.
Therefore, both choices A and B are correct as they are interlinked in causing DVT.
Choice C and other options are incorrect as they do not directly address the relationship between immobility and the risk of DVT development.
Extract:
Nurses' Notes
Diagnostic Results
0800:
Client 1 is admitted with right hip pain following a fall.
Client 2 has a history of hyperlipidemia.
Client 3 has a history of congestive heart failure.
Client 4 has hypertension and a new prescription for furosemide.
Client 5 has a stage 2 pressure injury on the sacrum.
Client 6 is admitted with a new diagnosis of diabetes mellitus.
Question 4 of 5
The first client the nurse should assess is ___ followed by ___
| Pulmonary edema |
| Glycemic control |
| Hypoalbuminemia |
| Hip fracture |
| Low potassium |
| Malnutrition |
Correct Answer: A,D
Rationale:
The correct answer is A,D. The rationale is to prioritize immediate life-threatening conditions. Pulmonary edema (
A) requires urgent assessment due to potential respiratory compromise. Hip fracture (
D) should be assessed next to prevent further injury. Other choices are not as urgent. Glycemic control (
B) and low potassium (E) are important but not immediate. Hypoalbuminemia (
C), malnutrition (F) can be assessed later unless there are specific concerns.
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.