ATI RN
Pharmacology and the Nursing Process 9th Edition Test Bank Questions
Question 1 of 5
How does nosocomial pneumonia occur?
Correct Answer: A
Rationale: The correct answer is A because nosocomial pneumonia occurs in a healthcare setting, such as hospitals or long-term care facilities, where patients are at increased risk due to exposure to pathogens and weakened immune systems. Choice B is incorrect as the timeframe of onset is not limited to within 48 hours of admission. Choice C is incorrect as nosocomial pneumonia can occur in both immunocompromised and immunocompetent hosts. Choice D is incorrect as it refers to pneumonia acquired outside of a healthcare setting.
Question 2 of 5
Which laboratory test value is elevated in clients who smoke and can�t be used as a general indicator of cancer?
Correct Answer: C
Rationale: The correct answer is C: Serum calcitonin level. Smoking can elevate serum calcitonin levels due to the effect of nicotine. However, an elevated serum calcitonin level is not a general indicator of cancer. Step 1: Understand that smoking can increase serum calcitonin levels. Step 2: Recognize that elevated serum calcitonin levels are not specific to cancer and can be influenced by other factors. Step 3: Differentiate between a marker that is specific to cancer (such as carcinoembryonic antigen) and one that can be affected by smoking but not necessarily indicative of cancer (serum calcitonin). Thus, while smoking can elevate serum calcitonin levels, it is not a reliable indicator of cancer.
Question 3 of 5
The nurse should include which of the following in preprocedure teaching for a patient scheduled for carotid angiography?
Correct Answer: C
Rationale: The correct answer is C: "You may feel a burning sensation when the dye is injected." This is important preprocedure teaching for carotid angiography because it prepares the patient for a common sensation during the procedure, helping to manage their expectations and reduce anxiety. This information is crucial for informed consent. Choice A is incorrect because carotid angiography is usually done under local anesthesia, not general anesthesia. Choice B is incorrect as carotid angiography typically takes about 1-2 hours, not several hours. Choice D is incorrect because all medical procedures, including carotid angiography, carry potential risks and complications, which should be discussed with the patient.
Question 4 of 5
Which instruction about insulin administration should the nurse give to a client?
Correct Answer: A
Rationale: The correct answer is A because maintaining consistency in the order of drawing different types of insulin into the syringe helps prevent medication errors. When mixing insulins, drawing them in the same sequence ensures the correct dose and prevents contamination. Explanation: A: Following the same order ensures accurate dosing and minimizes the risk of mixing up insulins. B: Shaking the vial can cause air bubbles which can affect the accuracy of the dose. C: Storing insulin in the freezer can damage the medication and alter its effectiveness. D: Cloudiness in intermediate-acting insulin is normal and does not indicate it should be discarded.
Question 5 of 5
The nurse has entered a client�s room to find the client diaphoretic (sweat-covered) and shivering, inferring that the client has a fever. How should the nurse best follow up this cue and inference?
Correct Answer: A
Rationale: Step 1: Assess the client's vital signs to confirm presence of fever. Step 2: Measure client's oral temperature to obtain accurate reading. Step 3: Document temperature and report findings to healthcare provider. Step 4: Initiate appropriate interventions based on temperature reading. Step 5: Reassess client's condition to evaluate effectiveness of interventions. Summary: Option A is correct as it directly addresses the cue of fever by confirming the temperature. Options B, C, and D are incorrect as they do not directly address the need to assess the client's temperature for accurate evaluation and intervention.
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