ATI RN
ATI RN pharmacology 2023 Questions
Extract:
Medication Administration Record
Nurses' Notes
Vital Signs
0830:
Morphine 10 mg subcutaneous every 3 hr PRN pain
Question 1 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 2 of 5
A nurse is caring for an adolescent client who is preparing for their first pelvic examination. Which of the following techniques should the nurse use to explain the procedure?
Correct Answer: C
Rationale: A video visually prepares the adolescent, reducing anxiety effectively.
Question 3 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 4 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:
Tourniquet placement 5-10 cm above the site distends the vein for easier access.
Question 5 of 5
A nurse is caring for a group of uninsured clients in the emergency department of a private hospital. Which of the following actions should the nurse identify as a violation of a client's rights according to the Emergency Medical Treatment and Active Labor Act (EMTALA)?
Correct Answer: C
Rationale: EMTALA mandates screening and stabilization before referral, violated by sending for evaluation elsewhere.