ATI RN PHARMACOLOGY PROCTORED EXAM TEST BANK
2022-2023 (Complete)
The nurse should be aware of signs of physical, sexual, and emotional abuse and comply
with state or provincial mandatory reporting. Signs of abuse may include:
• Shaken baby syndrome (ie, irritability or lethargy, poor feeding, emesis, seizures)
• Burns in the shape of household items (eg, iron, spatula), from cigarettes, or from
immersion in scalding liquid
• Repeated injuries in varied stages of healing (eg, bruises, burns, fractures) (Option 4)
• Injuries to genitalia
• Lapsed time between the injury and the time when care is sought
• Inconsistency between the injury and the caregiver's explanation of the injury
(eg, client's developmental age, mechanism of injury)
(Options 1, 2, and 3) Toddlers and young children are prone to many accidental injuries
(eg, aspiration or poisoning from foreign objects in the mouth, climbs onto and falls from
furniture, pulling of objects from the table). The injuries and caregivers' explanations are
reasonable for these clients. Prior to discharge, the nurse should instruct caregivers on
child safety measures within the home to prevent future injury.
Educational objective:
The nurse should be aware of signs of physical, sexual, and emotional abuse, including
repeated injuries in varied stages of healing, shaken baby syndrome, and injuries to
1
,ATI RN PHARMACOLOGY PROCTORED EXAM TEST BANK
2022-2023 (Complete)
genitalia. Suspicion of abuse necessitates mandatory reporting according to state or
provincial laws.
Paranoia is the belief that others desire or are attempting to persecute or harm (eg, spy
on, cheat, follow, poison) the individual. Clients with paranoid delusions often are
suspicious of other people, including health care professionals, and may refuse treatment
or aid out of fear of being harmed.
Management of paranoia focuses on building trust with and grounding the client in
reality. When the client believes food has been poisoned, the nurse can build trust and
promote adequate nutrition by offering unopened, individually packaged food (Option
4).
Educational objective:
Nurses caring for clients who have paranoid delusions must work to build a trusting
relationship and ground the client while ensuring basic needs are met (eg, nutritional
intake). When clients believe food is poisoned, the nurse should offer unopened,
individually packaged food to promote adequate intake without reinforcing delusions.
Steps for indwelling urinary catheter insertion for the male client include:
• Perform hand hygiene and open sterile catheterization kit (Option 3).
• Apply sterile gloves and place sterile fenestrated drape with opening centered over
penis (Option 2).
2
,ATI RN PHARMACOLOGY PROCTORED EXAM TEST BANK
2022-2023 (Complete)
• Maintaining sterility of gloves, arrange remaining kit supplies on sterile field.
Remove protective covering from catheter, lubricate catheter tip, and pour
antiseptic solution over cotton balls or swab sticks.
• Firmly grasp penis with nondominant hand, retracting foreskin if
present. Nondominant hand is now considered contaminated and
remains in this position for duration of procedure (Option 6).
• Use dominant (sterile) hand to cleanse in a circular motion from the meatus to
the glans with antiseptic solution using cotton balls or swab sticks. Use new
cotton ball/swab stick with each swipe (Option 4).
• Use dominant hand to pick up catheter and insert it until urine return is visualized in
catheter tubing (Option 5).
• Advance to bifurcation of catheter tubing. Hold in place and inflate balloon
(Option 1). Urine return in catheter tubing may be from urethra and does not
indicate that balloon tip is fully inside bladder. Because male urethra
varies in length, balloon should not be inflated until catheter is fully advanced.
Educational objective:
To insert an indwelling urinary catheter in a male client, perform hand hygiene, apply
sterile gloves and place sterile fenestrated drape, arrange supplies on sterile field, grasp
penis with nondominant hand, cleanse from meatus to glans using dominant hand, insert
3
, ATI RN PHARMACOLOGY PROCTORED EXAM TEST BANK
2022-2023 (Complete)
catheter until urine return is visualized, advance catheter to tubing bifurcation, and
inflate balloon.
Allowing family to be present during resuscitative efforts and invasive procedures can help
the family process
and cope with the client's condition, alleviate fears and anxiety, and facilitate the
grieving process if the expected outcome is poor. The nurse should permit the client's
spouse to enter the room and provide a location to observe (out of the care team's way)
and another nurse should explain the treatment measures that are occurring (Option 1).
4
2022-2023 (Complete)
The nurse should be aware of signs of physical, sexual, and emotional abuse and comply
with state or provincial mandatory reporting. Signs of abuse may include:
• Shaken baby syndrome (ie, irritability or lethargy, poor feeding, emesis, seizures)
• Burns in the shape of household items (eg, iron, spatula), from cigarettes, or from
immersion in scalding liquid
• Repeated injuries in varied stages of healing (eg, bruises, burns, fractures) (Option 4)
• Injuries to genitalia
• Lapsed time between the injury and the time when care is sought
• Inconsistency between the injury and the caregiver's explanation of the injury
(eg, client's developmental age, mechanism of injury)
(Options 1, 2, and 3) Toddlers and young children are prone to many accidental injuries
(eg, aspiration or poisoning from foreign objects in the mouth, climbs onto and falls from
furniture, pulling of objects from the table). The injuries and caregivers' explanations are
reasonable for these clients. Prior to discharge, the nurse should instruct caregivers on
child safety measures within the home to prevent future injury.
Educational objective:
The nurse should be aware of signs of physical, sexual, and emotional abuse, including
repeated injuries in varied stages of healing, shaken baby syndrome, and injuries to
1
,ATI RN PHARMACOLOGY PROCTORED EXAM TEST BANK
2022-2023 (Complete)
genitalia. Suspicion of abuse necessitates mandatory reporting according to state or
provincial laws.
Paranoia is the belief that others desire or are attempting to persecute or harm (eg, spy
on, cheat, follow, poison) the individual. Clients with paranoid delusions often are
suspicious of other people, including health care professionals, and may refuse treatment
or aid out of fear of being harmed.
Management of paranoia focuses on building trust with and grounding the client in
reality. When the client believes food has been poisoned, the nurse can build trust and
promote adequate nutrition by offering unopened, individually packaged food (Option
4).
Educational objective:
Nurses caring for clients who have paranoid delusions must work to build a trusting
relationship and ground the client while ensuring basic needs are met (eg, nutritional
intake). When clients believe food is poisoned, the nurse should offer unopened,
individually packaged food to promote adequate intake without reinforcing delusions.
Steps for indwelling urinary catheter insertion for the male client include:
• Perform hand hygiene and open sterile catheterization kit (Option 3).
• Apply sterile gloves and place sterile fenestrated drape with opening centered over
penis (Option 2).
2
,ATI RN PHARMACOLOGY PROCTORED EXAM TEST BANK
2022-2023 (Complete)
• Maintaining sterility of gloves, arrange remaining kit supplies on sterile field.
Remove protective covering from catheter, lubricate catheter tip, and pour
antiseptic solution over cotton balls or swab sticks.
• Firmly grasp penis with nondominant hand, retracting foreskin if
present. Nondominant hand is now considered contaminated and
remains in this position for duration of procedure (Option 6).
• Use dominant (sterile) hand to cleanse in a circular motion from the meatus to
the glans with antiseptic solution using cotton balls or swab sticks. Use new
cotton ball/swab stick with each swipe (Option 4).
• Use dominant hand to pick up catheter and insert it until urine return is visualized in
catheter tubing (Option 5).
• Advance to bifurcation of catheter tubing. Hold in place and inflate balloon
(Option 1). Urine return in catheter tubing may be from urethra and does not
indicate that balloon tip is fully inside bladder. Because male urethra
varies in length, balloon should not be inflated until catheter is fully advanced.
Educational objective:
To insert an indwelling urinary catheter in a male client, perform hand hygiene, apply
sterile gloves and place sterile fenestrated drape, arrange supplies on sterile field, grasp
penis with nondominant hand, cleanse from meatus to glans using dominant hand, insert
3
, ATI RN PHARMACOLOGY PROCTORED EXAM TEST BANK
2022-2023 (Complete)
catheter until urine return is visualized, advance catheter to tubing bifurcation, and
inflate balloon.
Allowing family to be present during resuscitative efforts and invasive procedures can help
the family process
and cope with the client's condition, alleviate fears and anxiety, and facilitate the
grieving process if the expected outcome is poor. The nurse should permit the client's
spouse to enter the room and provide a location to observe (out of the care team's way)
and another nurse should explain the treatment measures that are occurring (Option 1).
4
