ATI RN
ATI Custom T1 PM Summer 2023 Exam 5 Questions
Question 1 of 5
A nurse is reinforcing teaching with a client about maintaining taste and smell. Which of the following statements should the nurse make?
Correct Answer: C
Rationale: The correct answer is C, "Brush your teeth twice per day." Maintaining good oral hygiene by brushing teeth helps to prevent the buildup of bacteria that can lead to bad breath and affect taste and smell. Chewing foods quickly (
A) does not have a direct impact on taste and smell. Avoiding spices (
B) is not recommended as they can enhance flavor. Seeing a dentist every 2 years (
D) is important for oral health but not specifically related to taste and smell maintenance.
Question 2 of 5
A nurse on an inpatient mental health unit is caring for a group of clients. Which of the following actions by the nurse demonstrates the ethical concept of autonomy?
Correct Answer: D
Rationale: The correct answer is D because supporting a client's wishes to refuse prescribed treatments upholds the ethical principle of autonomy, which respects a person's right to make their own decisions about their care. This demonstrates the nurse's commitment to promoting the client's self-determination and independence. Describing medication side effects (
A) is important but doesn't directly relate to autonomy. Spending extra time to calm an agitated client (
B) is more about providing therapeutic communication and support. Ensuring client understanding of group participation expectations (
C) is about fostering informed consent.
Question 3 of 5
A nurse is preparing to administer hydrochlorothiazide 75 mg PO. The amount available is hydrochlorothiazide 50 mg/tablet. How many tablets should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies.)
Correct Answer: A
Rationale:
To calculate the number of tablets to administer, divide the desired dose by the dose strength per tablet. In this case, 75 mg ÷ 50 mg = 1.5 tablets. This means the nurse should administer 1.5 tablets of hydrochlorothiazide. Since the tablets cannot be divided, rounding to the nearest whole tablet is necessary, making the correct answer A: 1.5 tablet(s). Other choices are incorrect because they do not accurately reflect the calculation. B: 1.4 tablet(s), C: 1.6 tablet(s), and D: 1.7 tablet(s) do not match the calculated dose of 1.5 tablets.
Question 4 of 5
A nurse is collecting data on a client who received an opioid narcotic for incisional pain. Which of the following findings is the priority?
Correct Answer: A
Rationale: The correct answer is A: Pulse oximetry. Monitoring oxygen saturation is crucial in clients receiving opioid narcotics due to the risk of respiratory depression. Decreased oxygen saturation indicates inadequate ventilation, which can be life-threatening. Blood pressure (
B) and pain level (
D) are important but not as urgent as monitoring oxygen levels. Level of sedation (
C) is also important but can be assessed after ensuring adequate oxygenation. Other choices were not provided, but they would likely be less critical in this scenario compared to monitoring oxygen saturation.
Question 5 of 5
A nurse is contributing to the plan of care for a client who has a spinal cord injury and paralysis. Which of the following actions should the nurse include in the plan to decrease the client's risk of skin breakdown?
Correct Answer: B
Rationale: The correct answer is B: Minimize skin exposure to moisture. Moisture can lead to skin breakdown, especially in clients with limited mobility. Keeping the skin dry helps prevent breakdown. Turning the client every 4 hours (
A) helps with pressure relief but does not specifically address moisture. Massaging erythematous bony prominences (
C) can cause further damage to fragile skin. Environmental humidity less than 30% (
D) is not directly related to skin breakdown. Using pillows to keep heels off the bed surface (E) helps with pressure redistribution but does not address moisture.