ATI RN
ATI RN pharmacology 2023 Questions
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 1 of 5
The client is at risk for developing ___ due to their ___
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:
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 2 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: Parameters:
Correct Answer: (0, 0, 0, 1, 1, 0, 0)
Rationale:
- Atelectasis is a condition where the lungs do not expand fully, increasing the risk of respiratory complications.
- Paralytic ileus is a condition where the intestines stop working, leading to potential bowel obstruction.
- Urinary tract infection, delayed wound healing, and deep vein thrombosis are not directly related to the client's risk factors in this scenario.
Extract:
Question 3 of 5
A nurse is caring for a client who recently lost a loved one. The client reports frequent headaches, indigestion, and heart palpitations. Which of the following types of grief is the client likely experiencing?
Correct Answer: B
Rationale: The correct answer is B: Masked grief. The client is likely experiencing masked grief because they are exhibiting physical symptoms such as headaches, indigestion, and heart palpitations instead of openly expressing their emotions related to the loss. This type of grief involves suppressing or avoiding grief, leading to physical manifestations.
A: Chronic grief is characterized by persistent grief over an extended period, not necessarily accompanied by physical symptoms.
C: Exaggerated grief involves an intense and prolonged grief reaction, but the client's reported symptoms are not indicative of this type of grief.
D: Delayed grief refers to a postponed or suppressed grief reaction that emerges later, which does not align with the client's current presentation.
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:
Correct Answer: B
Rationale: Choosing option B demonstrates the use of just culture by focusing on understanding the root cause of the error rather than assigning blame. This approach aligns with just culture principles, which aim to promote a transparent environment where errors are viewed as opportunities for learning and system improvement. By reviewing the incident report to determine the cause of the missed medication, the nurse manager is emphasizing a non-punitive approach that encourages open reporting and fosters a culture of safety.
Summary of Other
Choices:
A: This response is punitive and does not align with just culture principles, as it involves termination without considering the circumstances or systemic factors contributing to the error.
C: Reporting the incident to the state board of nursing may be required in certain situations but does not necessarily reflect a just culture approach focused on learning and improvement.
D: Involving the legal team immediately can create a culture of fear and blame rather than emphasizing a just culture that prioritizes understanding and addressing system issues.
Question 5 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: The correct answer is A because administering the wrong medication is a clear example of negligence in nursing practice. Negligence involves failing to provide care that a reasonably prudent person would under similar circumstances. Administering the wrong medication can lead to harm or injury to the client.
Choice B involves a violation of policy but may not necessarily result in harm to the client.
Choice C refers to inappropriate behavior but is not a clear example of negligence.
Choice D is a breach of confidentiality but not negligence unless harm results.