ATI RN
ATI Custom T1 PM Summer 2023 Exam 5 Questions
Extract:
Question 1 of 5
A nurse in a pediatric clinic is collecting data from a preschool-age child who has suspected impetigo contagiosa. Which of the following manifestations should the nurse expect to find with this skin infection?
Correct Answer: D
Rationale: The correct answer is D: Red macule with honey-colored crusts. Impetigo contagiosa is a bacterial skin infection commonly seen in children. The characteristic presentation includes red macules (flat, red spots) that progress to form honey-colored crusts. This is due to the bacterial infection causing the skin to exude a yellowish, honey-like substance as the lesions dry up. It is important to recognize this classic presentation to provide appropriate treatment, such as topical or oral antibiotics.
Other choices are incorrect because:
A: Firm brown papules with a roughened, finely papillomatous texture - This description is more suggestive of a viral wart.
B: Scaly patches that have clear centers - This description is more indicative of tinea corporis (ringworm) infection.
C: Reddened areas with white exudate - This description is more characteristic of a skin abscess or cellulitis.
In summary, recognizing the specific characteristics of impetigo contagiosa, such
Question 2 of 5
A nurse is collecting data on a client who is nonverbal for acute pain. Which of the following findings is a manifestation of pain?
Correct Answer: C
Rationale: The correct answer is C: Elevated blood pressure. Pain activates the sympathetic nervous system, causing vasoconstriction and increased heart rate, leading to elevated blood pressure. Decreased heart rate (
A) is not typically associated with pain. Constricted pupils (
B) may indicate opioid use or bright light exposure, not necessarily pain. Reduced respiratory rate (
D) is not a consistent manifestation of pain.
Question 3 of 5
A nurse in a pediatric clinic is collecting data from a preschool-age child who has suspected impetigo contagiosa. Which of the following manifestations should the nurse expect to find with this skin infection?
Correct Answer: D
Rationale: The correct answer is D: Red macule with honey-colored crusts. Impetigo contagiosa is a bacterial skin infection commonly seen in children. The characteristic presentation includes red macules (flat, red spots) that progress to form honey-colored crusts. This is due to the bacterial infection causing the skin to exude a yellowish, honey-like substance as the lesions dry up. It is important to recognize this classic presentation to provide appropriate treatment, such as topical or oral antibiotics.
Other choices are incorrect because:
A: Firm brown papules with a roughened, finely papillomatous texture - This description is more suggestive of a viral wart.
B: Scaly patches that have clear centers - This description is more indicative of tinea corporis (ringworm) infection.
C: Reddened areas with white exudate - This description is more characteristic of a skin abscess or cellulitis.
In summary, recognizing the specific characteristics of impetigo contagiosa, such
Question 4 of 5
A nurse is preparing to administer cefotaxime 100 mg IM to a client. How many grams (g) should the nurse plan to administer?
Correct Answer: C
Rationale: The correct answer is C: 0.1 g. Cefotaxime is typically dosed in milligrams (mg), not grams (g).
To convert mg to g, divide the dose by 1000 since 1 g = 1000 mg.
Therefore, 100 mg of cefotaxime is equal to 0.1 g.
Choice A (10 g) is way too high and would be toxic.
Choice B (100 g) is even higher and would be extremely dangerous.
Choice D and the subsequent choices are not provided, so they are not applicable.
Question 5 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.