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 ___
| deep vein thrombosis (DVT) |
| immobility |
Correct Answer: A,B
Rationale: Swelling and tenderness in the calf are key signs of DVT, which is a common complication of immobility after a stroke. Immobility leads to venous stasis, increasing the risk of clot formation.
Extract:
Question 2 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 3 of 5
A nurse is assessing a client who is receiving a blood transfusion. The nurse notes lung crackles, hypoxia, and distended neck veins. Which of the following actions should the nurse take?
Correct Answer: A,B,C,D
Rationale: Stopping the transfusion prevents further overload; high-Fowler's aids breathing; diuretics relieve fluid buildup; oxygen treats hypoxia.
Question 4 of 5
A nurse is preparing to administer intermittent tube feeding to a client who has a percutaneous gastrostomy tube. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Checking gastric pH (≤5.5) confirms tube placement, reducing aspiration risk.
Question 5 of 5
A nurse is assessing a client who has posttraumatic stress disorder following the occurrence of a natural disaster. Which of the following questions should the nurse ask to identify the client's support systems?
Correct Answer: D
Rationale: Asking about comfort discussing the disaster assesses available emotional support.