ATI RN
ATI Custom T1 PM Summer 2023 Exam 5 Questions
Question 1 of 5
A nurse is caring for a client who has an oxygen saturation of 88%. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Encourage the client to take deep breaths. This action will help improve oxygenation by increasing lung ventilation and oxygen exchange. Deep breathing helps to expand the lungs fully, allowing more oxygen to enter the bloodstream. Decreasing the head of the bed (
A) is typically done for clients with respiratory distress to improve oxygenation. Asking the client to cough (
B) every 4 hours may help with airway clearance but does not directly address oxygen saturation. Requesting an opioid analgesic (
D) is not indicated for improving oxygen saturation and may potentially depress the respiratory drive, worsening the situation.
Question 2 of 5
A nurse is assisting with teaching a class about the use of pain medications to clients who have an opioid addiction. Which of the following medications are nonopioid analgesics? Select all that apply.
Correct Answer: B,C
Rationale: The correct answer is B (Acetaminophen) and C (Ibuprofen). Acetaminophen and Ibuprofen are nonopioid analgesics commonly used for pain relief without the risk of addiction. Codeine, Fentanyl, and Oxycodone are opioids, which can be addictive and may exacerbate opioid addiction in clients. Choosing A, D, or E would not be appropriate for individuals with opioid addiction due to the potential for dependency and misuse.
Therefore, B and C are the suitable choices for pain management in clients with opioid addiction.
Question 3 of 5
A nurse is caring for a client who has a cloudy, opaque area over the lens of one eye. The nurse should identify that this is a manifestation of which of the following visual impairments?
Correct Answer: B
Rationale: The correct answer is B: Cataracts. Cataracts are characterized by a cloudy, opaque area over the lens of the eye, leading to blurred vision and decreased visual acuity. Glaucoma involves increased pressure in the eye damaging the optic nerve, not opacity of the lens (
A). Macular degeneration affects the macula in the retina causing central vision loss, not lens opacity (
C). Diabetic retinopathy involves damage to blood vessels in the retina, not lens opacity (
D). Thus, the cloudy, opaque area over the lens aligns with cataracts, making it the correct choice.
Question 4 of 5
A nurse is assessing a client following administration of an opioid narcotic. Which of the following findings indicates a decrease in the client's pain?
Correct Answer: A
Rationale: The correct answer is A: The client is asleep. When a client is asleep after receiving an opioid narcotic, it indicates a decrease in pain as opioids can cause sedation and relief from pain. This is a common side effect of opioids.
Choices B, C, and D are incorrect as they do not directly indicate a decrease in pain. Elevated blood pressure, increased respiratory rate, and diaphoresis are not typical indicators of pain relief following opioid administration.
Therefore, these choices are not relevant in determining a decrease in pain.
Question 5 of 5
A nurse is reinforcing teaching with a client who has diabetic neuropathy about foot care. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: The correct answer is C: Avoid walking barefoot. Walking barefoot can increase the risk of injury and infection for a client with diabetic neuropathy due to decreased sensation in the feet. This instruction helps prevent complications like foot ulcers.
Choice A is incorrect as open-toed shoes do not provide adequate protection.
Choice B is incorrect as hot water can cause burns or skin damage.
Choice D is incorrect as applying lotion between the toes can create a moist environment, promoting fungal growth.