Ati Cms Pharmacology Newest 2024/2025 Complete
100 Questions And Correct Detailed Answers A+
Graded By Experts
An older male client comes to the geriatric screening clinic complaining of pain in
his left calf. The nurse notices a reddened area on the calf of his right leg that is
warm to touch and the nurse suspects that the client may have thrombophlebitis.
Which addition assessment is most important for the nurse to perform?
A. Measure calf circumference.
B. Auscultate the client's breath sounds.
C. Observe for ecchymosis and petechial.
D. Obtain the client's blood pressure. - CORRECT ANSWER B. Since the client
may have a pulmonary embolus secondary to the thrombophlebitis.
A. Would support the nurse’s assessment.
C. Least helpful since bruising is not associated with thrombophlebitis.
D. Less important than auscultation.
The nurse knows that a client taking diuretics must be assessed for the
development of hypokalemia, and that hypokalemia will create changes in the
client's normal ECG tracing. Which ECG change would be an expected finding in
the client with hypokalemia?
,A. Tall, spiked T waves
B. A prolonged QT interval
C. A widening QRS complex
D. Presence of a U wave - CORRECT ANSWER D. A U wave is a positive
deflection following the T wave and is often present with hypokalemia. A, B, C
indicate hyperkalemia.
An older client is admitted with a diagnosis of bacterial pneumonia. The nurse's
assessment of the client will most likely reveal which S/SX?
A. Leukocytosis and febrile.
B. Polycythemia and crackles.
C. Pharyngitis and sputum production.
D. Confusion and tachycardia. - CORRECT ANSWER D. The onset of
pneumonia is the older may be signaled by general deterioration, confusion,
increased heart rate or increased respiratory rate.
(A, B, C) are often absent in the older with bacterial pneumonia.
The nurse observes ventricular fibrillation on telemetry and upon entering the
client’s bathroom finds the client unconscious on the floor. What intervention
should the nurse implement first?
A. Administer an ant dysrhythmic medication.
,B. Start cardiopulmonary resuscitation.
C. Defibrillate the client at 200 joules.
D. Assess the client's pulse oximetry. - CORRECT ANSWER B. Ventricular
fibrillation is a life-threatening dysrhythmia and CPR should be started
immediately. A & C are appropriate but B is the priority. D does not address the
seriousness of the situation.
An older female client with dementia is transferred from a long term care unit to
an acute care unit. The client's children express concern that their mother's
confusion is worsening. How should the nurse respond?
A. "It is to be expected that older people will experience progressive confusion."
B. "Confusion in an older person often follows relocation to new surroundings."
C. "The dementia is progressing rapidly, but we will do everything we can to keep
your mother safe."
D. "The acute care staff is not as experienced as the long-term care staff at
dealing with dementia." - CORRECT ANSWER B. Relocation often results in
confusion among older clients and is stressful to clients of all ages. (A) is an
inaccurate stereotype. (C) is most likely false there are many factors that cause
increased temporary confusion. (D) may be true but does not offer the family a
sense of security about the care.
, The nurse plans to help an 18-year-old developmentally disabled female client
ambulate on the first postoperative day. When the nurse tells her it is time to get
out of bed, the client becomes angry and yells at the nurse. "Get out of here! I'll
get up when I'm ready." Which response should the nurse provide?
A. "Your healthcare provider has prescribed ambulation on the first postoperative
day."
B. "You must ambulate to avoid serious complications that are much more
painful."
C. "I know how you feel; you're angry about having to do this, but it is required."
D. "I'll be back in 30 minutes to help you get out of bed and walk around the
room." - CORRECT ANSWER D. Returning in 30 minutes provides a cooling off
period, is firm, direct, nonthreatening, and avoids argument with the client. B is
threatening. C. assumes what the client is feeling. A. avoids the nurse's
responsibility to ambulate the client.
The nurse is performing hourly neurological check for a client with a head injury.
Which new assessment finding warrants the most immediate intervention by the
nurse?
A. A unilateral pupil that is dilated and nonreactive to light.
B. Client cries out when awakened by a verbal stimulus.
C. Client demonstrates a loss of memory to the events leading up to the injury.
100 Questions And Correct Detailed Answers A+
Graded By Experts
An older male client comes to the geriatric screening clinic complaining of pain in
his left calf. The nurse notices a reddened area on the calf of his right leg that is
warm to touch and the nurse suspects that the client may have thrombophlebitis.
Which addition assessment is most important for the nurse to perform?
A. Measure calf circumference.
B. Auscultate the client's breath sounds.
C. Observe for ecchymosis and petechial.
D. Obtain the client's blood pressure. - CORRECT ANSWER B. Since the client
may have a pulmonary embolus secondary to the thrombophlebitis.
A. Would support the nurse’s assessment.
C. Least helpful since bruising is not associated with thrombophlebitis.
D. Less important than auscultation.
The nurse knows that a client taking diuretics must be assessed for the
development of hypokalemia, and that hypokalemia will create changes in the
client's normal ECG tracing. Which ECG change would be an expected finding in
the client with hypokalemia?
,A. Tall, spiked T waves
B. A prolonged QT interval
C. A widening QRS complex
D. Presence of a U wave - CORRECT ANSWER D. A U wave is a positive
deflection following the T wave and is often present with hypokalemia. A, B, C
indicate hyperkalemia.
An older client is admitted with a diagnosis of bacterial pneumonia. The nurse's
assessment of the client will most likely reveal which S/SX?
A. Leukocytosis and febrile.
B. Polycythemia and crackles.
C. Pharyngitis and sputum production.
D. Confusion and tachycardia. - CORRECT ANSWER D. The onset of
pneumonia is the older may be signaled by general deterioration, confusion,
increased heart rate or increased respiratory rate.
(A, B, C) are often absent in the older with bacterial pneumonia.
The nurse observes ventricular fibrillation on telemetry and upon entering the
client’s bathroom finds the client unconscious on the floor. What intervention
should the nurse implement first?
A. Administer an ant dysrhythmic medication.
,B. Start cardiopulmonary resuscitation.
C. Defibrillate the client at 200 joules.
D. Assess the client's pulse oximetry. - CORRECT ANSWER B. Ventricular
fibrillation is a life-threatening dysrhythmia and CPR should be started
immediately. A & C are appropriate but B is the priority. D does not address the
seriousness of the situation.
An older female client with dementia is transferred from a long term care unit to
an acute care unit. The client's children express concern that their mother's
confusion is worsening. How should the nurse respond?
A. "It is to be expected that older people will experience progressive confusion."
B. "Confusion in an older person often follows relocation to new surroundings."
C. "The dementia is progressing rapidly, but we will do everything we can to keep
your mother safe."
D. "The acute care staff is not as experienced as the long-term care staff at
dealing with dementia." - CORRECT ANSWER B. Relocation often results in
confusion among older clients and is stressful to clients of all ages. (A) is an
inaccurate stereotype. (C) is most likely false there are many factors that cause
increased temporary confusion. (D) may be true but does not offer the family a
sense of security about the care.
, The nurse plans to help an 18-year-old developmentally disabled female client
ambulate on the first postoperative day. When the nurse tells her it is time to get
out of bed, the client becomes angry and yells at the nurse. "Get out of here! I'll
get up when I'm ready." Which response should the nurse provide?
A. "Your healthcare provider has prescribed ambulation on the first postoperative
day."
B. "You must ambulate to avoid serious complications that are much more
painful."
C. "I know how you feel; you're angry about having to do this, but it is required."
D. "I'll be back in 30 minutes to help you get out of bed and walk around the
room." - CORRECT ANSWER D. Returning in 30 minutes provides a cooling off
period, is firm, direct, nonthreatening, and avoids argument with the client. B is
threatening. C. assumes what the client is feeling. A. avoids the nurse's
responsibility to ambulate the client.
The nurse is performing hourly neurological check for a client with a head injury.
Which new assessment finding warrants the most immediate intervention by the
nurse?
A. A unilateral pupil that is dilated and nonreactive to light.
B. Client cries out when awakened by a verbal stimulus.
C. Client demonstrates a loss of memory to the events leading up to the injury.
