ATI RN
ATI RN pharmacology 2023 Questions
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 1 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 2 of 5
A nurse is providing teaching to an older adult client about factors that increase the risk of urinary tract infection. Which of the following information should the nurse include?
Correct Answer: C
Rationale: The correct answer is C: Decreased bladder tone can cause urinary retention. In older adults, decreased bladder tone can lead to incomplete emptying of the bladder, increasing the risk of urinary tract infection. Bladder capacity decreasing (
A) is a normal part of aging but does not directly increase the risk of UTI. The urethral sphincter functioning less efficiently (
B) may contribute to urinary incontinence but not directly to UTI. The ability to concentrate urine decreasing (
D) is a normal part of aging but does not directly impact UTI risk.
Question 3 of 5
A charge nurse is teaching a group of newly licensed nurses about the health risks for family caregivers of clients who are chronically ill. Which of the following should the nurse include as placing a family caregiver at risk?
Correct Answer: D
Rationale: The correct answer is D: Providing care for greater than 1 year. Long-term caregiving can lead to physical and emotional strain, burnout, and increased risk of health problems for family caregivers.
Choice A (Previous caregiver experience) is not a risk factor on its own.
Choices B (25 to 50 years of age) and C (Lives in a different dwelling than the client) are not inherently risky factors for caregivers.
Question 4 of 5
A nurse is preparing a client who has a latex allergy for surgery. Which of the following actions should the nurse plan to take?
Correct Answer: A
Rationale: The correct answer is A: Use IV tube ports when injecting medications. This is crucial to avoid direct contact between the latex material and the client, reducing the risk of an allergic reaction. IV tube ports are latex-free, ensuring safety for the client with a latex allergy.
Incorrect choices:
B: Removing medication from multi-dose vials with the stopper in place can expose the client to latex from the vial's stopper.
C: Securing loose cords in stockinette with tape does not directly address the client's latex allergy.
D: Scheduling the surgery as the last procedure of the day does not specifically address the client's latex allergy and is not a standard practice for managing latex allergies.
Question 5 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.