Pharmacology and the Nursing Process Test Bank

Questions 68

ATI RN

ATI RN Test Bank

Pharmacology and the Nursing Process Test Bank Questions

Question 1 of 5

Of the following information collected during a nursing assessment, which are subjective data?

Correct Answer: C

Rationale: Subjective data are information reported by the patient that cannot be measured or observed directly. In this case, nausea and abdominal pain are symptoms that can only be described by the patient, making them subjective data. Vomiting, pulse rate, respirations, blood pressure, pale skin, and thick toenails are all objective data, as they can be measured or observed directly by the healthcare provider. Therefore, choice C is the correct answer as it represents subjective data.

Question 2 of 5

The following data collection findings could indicate to the nurse that the patient has a hearing loss, EXCEPT:

Correct Answer: A

Rationale: Rationale: A relaxed face during conversation typically does not indicate a hearing loss, as the patient is likely able to hear and understand. B, speaking loudly, is a common sign of hearing loss. C, turning towards the speaker, suggests an effort to hear better. D, being withdrawn, could indicate difficulty in communication due to hearing loss. Therefore, A is the correct answer as it does not align with typical signs of hearing loss.

Question 3 of 5

Which of the following examples of client data needs to be validated?

Correct Answer: A

Rationale: The correct answer is A because validating the client's statement about not needing glasses is crucial for accurate data collection. This step ensures that the client's difficulty reading is not due to poor eyesight. - Choice B is about interpreting physical signs, not client data validation. - Choice C involves documenting objective findings, not validating client information. - Choice D pertains to a client's complaint, not necessarily requiring validation.

Question 4 of 5

A client diagnosed with hyperosmolar hyperglycemic nonketotic syndrome (HHNS) is stabilized and prepared for discharge. When preparing the client for discharge and home management, which of the following statements indicates that the client understands her condition and how to control it?

Correct Answer: A

Rationale: The correct answer is A because it demonstrates an understanding of the key factors in managing hyperosmolar hyperglycemic nonketotic syndrome (HHNS), which include avoiding dehydration and being aware of changes in urination, thirst, and hunger. This statement shows awareness of the importance of maintaining hydration and recognizing early signs of worsening symptoms. Choice B is incorrect as consuming sugary soda can exacerbate the condition by further increasing blood sugar levels. Choice C is incorrect because while monitoring blood glucose levels is important, it is not the primary method of preventing HHNS. Choice D is incorrect because consuming high-carbohydrate snacks can contribute to elevated blood glucose levels, which is counterproductive in managing HHNS.

Question 5 of 5

A client takes prednisone (Deltasone), as prescribed, for rheumatoid arthritis. During follow-up visits, the nurse should assess the client for common adverse reactions to this drug, such as:

Correct Answer: B

Rationale: The correct answer is B: Fluid retention and weight gain. Prednisone is a corticosteroid that can cause fluid retention and weight gain as common adverse reactions. Here's the rationale: Prednisone is known to increase sodium and water retention in the body, leading to fluid retention and subsequent weight gain. This occurs due to the drug's impact on the body's electrolyte balance. Tetany and tremors (Choice A) are not common adverse reactions associated with prednisone use. Anorexia and weight loss (Choice C) are also not typical reactions, as prednisone is more likely to cause weight gain. Choice D, "None of the above," is incorrect as prednisone commonly causes fluid retention and weight gain as adverse reactions.

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