ATI RN
ATI RN pharmacology 2023 Questions
Extract:
Nurses' Notes
Vital Signs
1000:
An older adult client admitted following a fall down approximately five steps. Client's partner reports client possibly hit their head and was a little disoriented for a minute or two. Client states, "I feel fine. I just slipped." Client has a history of falls and orthostatic hypotension per client's partner. Client uses a walker and wears rubber-soled slippers at home. Client ordered new glasses following an eye exam last week but has not received them yet. Partner states they both do exercises that focus on coordination, three times per week.
1400:
An assistive personnel found the client lying on the floor after coming back from the bathroom. Client states, "I'm so sorry. I had to get up to go to the bathroom, and I couldn't wait for someone to help me." Client is awake, alert, and oriented to person, place, and time. Client reports.no pain. Assessment reveals no injury. Client was provided call button and reminded to call for help when getting out of bed Bed alarm activated.
Question 1 of 5
Click to highlight the pieces of information that indicate the client is at risk for falls.
| admitted following a fall down approximately five steps |
| client possibly hit their head and was a little disoriented for a minute or two |
| history of falls and orthostatic hypotension per client's partner |
| uses a walker |
| Client ordered new glasses following an eye exam last week but has not received them yet |
| Lying: 130/90 mm Hg |
| Standing: 98/60 mm Hg |
Correct Answer: A,B,C,D,E,F,G
Rationale: A recent fall, possible head injury with disorientation, history of falls and orthostatic hypotension, use of a walker, uncorrected vision changes, and a significant drop in blood pressure on standing all indicate increased fall risk.
Extract:
Question 2 of 5
A nurse is caring for a client who has pneumonia. Which of the following actions should the nurse take to help promote adequate rest for the client?
Correct Answer: A
Rationale: Grouping tasks minimizes disruptions, promoting rest essential for recovery.
Question 3 of 5
A nurse is inspecting equipment safety in a client's home. The nurse should identify that which of the following findings requires an intervention?
Correct Answer: C
Rationale: Oxygen tanks should be stored upright and secured to prevent leaks or hazards.
Question 4 of 5
A nurse is creating a plan of care for a client who has left-sided hemiplegia. Which of the following interventions should the nurse include?
Correct Answer: B
Rationale: An orthotic boot prevents foot drop, supporting mobility in hemiplegia.
Extract:
Vital Signs
Medical History
Nurses' Notes
1000:
Temperature 36° C (96.8° F)
Blood pressure 118/56 mm Hg
Heart rate 92/min
Respiratory rate 18/min
Oxygen saturation 95% on room air
1200:
Temperature 37.2° C (99° F)
Blood pressure 104/56 mm Hg
Heart rate 62/min
Respiratory rate 12/min
Oxygen saturation 94% on room air
Question 5 of 5
The client is most at risk of developing ___ and ___
| urinary tract infection |
| delayed wound healing |
| deep vein thrombosis |
| atelectasis |
| paralytic ileus |
Correct Answer: D,E
Rationale: Atelectasis risk is high due to shallow breathing and morphine use suppressing respiratory effort post-surgery. Paralytic ileus is indicated by persistent hypoactive bowel sounds and opioid effects.