ATI RN
ATI Custom T1 PM Summer 2023 Exam 5 Questions
Extract:
Question 1 of 5
A nurse calculates a client's fluid intake over the past 8 hours. The client had one 4-oz cup of coffee, 3 oz of juice, and 12 oz of soda. How many mL should the nurse document as the client's total intake for the shift?
Correct Answer: C
Rationale: The correct answer is C: 570 mL.
To calculate the total intake, convert the volume of each drink to mL: 4 oz = 120 mL, 3 oz = 90 mL, 12 oz = 360 mL. Add these together: 120 + 90 + 360 = 570 mL. This is the total fluid intake for the client over the past 8 hours.
Choice A (120 mL) is incorrect as it only accounts for the coffee.
Choice B (90 mL) is incorrect as it only accounts for the juice.
Choice D (360 mL) is incorrect as it only accounts for the soda.
Question 2 of 5
A nurse is caring for a client who reports back pain. The nurse asks the client to rate the pain on a scale of 0 to 10. The nurse is using which of the following to assess the pain?
Correct Answer: A
Rationale: The correct answer is A: Severity. By asking the client to rate the pain on a scale of 0 to 10, the nurse is assessing the severity of the pain. This helps the nurse understand the intensity of the pain the client is experiencing, which is crucial for determining appropriate interventions. Assessing the severity of pain is a fundamental aspect of pain assessment. Other choices are incorrect because: B (Quality) focuses on the characteristics of the pain, C (Region) identifies the location of the pain, and D (Precipitating cause) seeks to determine what triggers the pain. These options are important aspects of pain assessment but do not directly address the intensity or severity of the pain, making them less relevant in this context.
Question 3 of 5
A nurse is preparing to administer Dofetilide 200 mcg PO to a client. Available is Dofetilide 50 mcg tablets. How many tablets should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: A
Rationale: The correct answer is A: 4 tabs.
To achieve a dose of 200 mcg, the nurse should administer 4 tablets of 50 mcg each (4 x 50 = 200 mcg). This calculation ensures the client receives the prescribed dose accurately. Other choices are incorrect because they do not add up to the required dose of 200 mcg: B (3 x 50 = 150 mcg), C (2 x 50 = 100 mcg), and D (1 x 50 = 50 mcg).
Therefore, administering 4 tablets is the correct and accurate dosage calculation in this scenario.
Question 4 of 5
A nurse is assisting with the food tray for a client who is partially blind following a left-sided stroke. Which of the following nursing interventions promotes client independence?
Correct Answer: D
Rationale:
Correct Answer: D. Describing to the client the location of the food on the tray promotes client independence by empowering them to locate and feed themselves. By providing specific instructions, the client can use their remaining senses to identify and consume the food. This intervention encourages self-reliance and fosters a sense of control over their own care.
Incorrect
Choices:
A: Placing the client's hands on the tray does not promote independence as it involves physical assistance rather than empowering the client to do it themselves.
B: Assigning assistive personnel to feed the client removes the client's autonomy and does not encourage self-care.
C: Asking if the client prefers a liquid diet addresses dietary preferences but does not directly promote independence in feeding.
Question 5 of 5
A nurse is caring for a toddler who is scheduled to have a lumbar puncture. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Place the toddler in a side-lying, knee-chest position. This position helps open the spaces between the vertebrae, making it easier to perform a lumbar puncture safely and effectively. Restraint (
A) is unnecessary and can cause distress. Asking another nurse to assist with a prone position (
C) can be challenging and not recommended. Swaddling (
D) may hinder the procedure.