ATI RN
ATI RN pharmacology 2023 Questions
Extract:
Medical History
Medication Administration Record
Diagnostic Results
Day 1:
0800:
The client is postoperative following a hip arthroplasty.
Question 1 of 5
The client is at risk for developing ___ due to ___
| Confusion |
| Pressure injuries |
| Hypoglycemia |
| Constipation |
| Dysrhythmias |
| Opioid use |
| Immobility |
Correct Answer: A,D
Rationale: Opioid use like oxycodone slows gastrointestinal motility, leading to constipation, a common postoperative concern especially with reduced mobility after hip arthroplasty.
Extract:
Nurses' Notes
Vital Signs
Laboratory Results
0950:
A male client transferred to room from PACU following abdominal surgery. Report received that estimated blood loss in the procedure was 1200 mL. Client is alert and talking. Lung sounds clear, heart regular rate and rhythm, hypoactive bowel sounds. Sequential compression devices in place and peripheral pulses palpable and equal bilaterally. Client can feel and wiggle toes.
1025:
Called to room. Client appears agitated. The client states, "I feel like something is wrong." Lung sounds clear, increased rate and depth of respirations noted. Client rates incisional pain as 5 on a scale of 0 to 10. Surgical dressing dry and intact. Hypoactive bowel sounds. Peripheral pulses palpable and strong capillary refill time (CRT) less than 3 seconds,
Question 2 of 5
The nurse should first follow up on the client's ___ and ___
| oxygen saturation |
| pain |
| WBC count |
| behavioral findings |
| bowel findings |
Correct Answer: A,D
Rationale: Oxygen saturation drop to 90% indicates potential hypoxia needing immediate follow-up. Behavioral findings like agitation and a sense of unease could signal early deterioration or hypovolemia post-surgery.
Extract:
Question 3 of 5
A nurse is leading an in-service about legal issues. Which of the following examples should the nurse use to demonstrate an incidence of negligence?
Correct Answer: A
Rationale: Administering the wrong medication is negligence, failing the standard of care and risking harm.
Question 4 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: Just culture focuses on identifying causes to improve systems, not punishing for non-harmful errors.
Question 5 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: Physical activity reduces restlessness, decreasing the need for restraints.