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 ___
Correct Answer: A,D
Rationale: [0, 0, 1, 1, 0, 0, 1]
To determine the correct answer, consider the client's risk factors. Confusion can result from constipation (
D) due to the impact of bowel issues on cognition.
Therefore, the correct choices are A and D. Pressure injuries (
B) are more related to immobility (G), hypoglycemia (
C) is linked to medication or dietary factors, dysrhythmias (E) are often cardiac-related, and opioid use (F) may lead to constipation but not confusion in this context.
Extract:
Question 2 of 5
A nurse is caring for a group of clients. Which of the following actions by the nurse demonstrates client advocacy?
Correct Answer: D
Rationale: The correct answer is D because informing the family of a deceased client of the client's wish to be an organ donor is an example of client advocacy. This action respects the client's autonomy and ensures their wishes are honored even after death, demonstrating the nurse's commitment to advocating for the client's best interests.
Choice A is incorrect because submitting an incident report is a standard procedure for risk management and does not necessarily involve advocating for the client's rights or wishes.
Choice B is incorrect as documenting the effectiveness of pain medication is part of the nurse's routine duties and does not directly relate to advocating for the client.
Choice C is incorrect as asking another nurse to check a medication calculation is a safety measure to prevent errors but does not specifically demonstrate client advocacy.
Overall, choice D stands out as the most appropriate demonstration of client advocacy among the given options.
Question 3 of 5
A nurse is caring for a client who has had a stroke and is having difficulty with dressing and toileting. With which of the following therapists should the nurse schedule a referral for the client?
Correct Answer: B
Rationale: The correct answer is B: Occupational therapist. Occupational therapists specialize in helping individuals regain and improve their ability to perform activities of daily living, such as dressing and toileting, after a stroke. They focus on enhancing skills and providing adaptive strategies to promote independence. Speech therapists (
A) primarily address communication and swallowing difficulties. Physical therapists (
C) focus on mobility and strength training. Recreational therapists (
D) work on leisure activities and social participation. In this case, the best choice is the occupational therapist as they directly target the client's dressing and toileting challenges.
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 4 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:
To determine if a client is at risk for falls, we need to assess various factors that indicate an increased likelihood of falling.
A: Admitted following a fall down approximately five steps - Indicates a recent fall.
B: Client possibly hit their head and was a little disoriented for a minute or two - Suggests potential head injury and disorientation.
C: History of falls and orthostatic hypotension per client's partner - Previous falls and low blood pressure upon standing increase fall risk.
D: Uses a walker - Indicates mobility issues.
E: Client ordered new glasses but has not received them yet - Vision impairment can contribute to falls.
F: Lying: 130/90 mm Hg - High blood pressure can lead to dizziness and falls.
G: Standing: 98/60 mm Hg - Low blood pressure when standing is a risk factor for falls.
Selecting all options A to G provides a comprehensive assessment of fall risk factors for the client.
Extract:
Question 5 of 5
A nurse is preparing to administer phenobarbital 30 mg PO to a client. Available is phenobarbital 20 mg/5 mL. How many mL should the nurse administer?
Correct Answer: B
Rationale: The correct answer is B: 7.5 mL.
To calculate this, we first determine how many 20 mg doses are in 30 mg (30 mg ÷ 20 mg = 1.5 doses).
Then, since the medication is 20 mg/5 mL, each dose is 5 mL (20 mg ÷ 5 mL = 4 mL).
Therefore, 1.5 doses x 4 mL/dose = 6 mL. However, since we need to round up to ensure the full dosage is administered, the nurse should administer 7.5 mL.
Choice A (7 mL) is incorrect as it does not provide the full dosage.
Choices C (8 mL) and D (8.5 mL) are incorrect as they exceed the necessary dosage, leading to potential overdose risks.