ATI RN
ATI Custom T1 PM Summer 2023 Exam 5 Questions
Extract:
Question 1 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 2 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 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 caring for a postoperative client who is receiving fentanyl. Which of the following medications should the nurse plan to administer to the client if manifestations of fentanyl toxicity occur?
Correct Answer: B
Rationale: The correct answer is B: Naloxone. Naloxone is an opioid antagonist that reverses the effects of opioids like fentanyl by blocking opioid receptors. If the client exhibits signs of fentanyl toxicity such as respiratory depression, sedation, or decreased level of consciousness, naloxone can be administered to counteract these effects and restore normal breathing and consciousness. Other options are incorrect: A (Atropine) is used for bradycardia, C (Protamine) for heparin overdose, and D (Flumazenil) for benzodiazepine overdose.
Question 5 of 5
A nurse is collecting data from a client who has an inadequate dietary intake of Vitamin A. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: The correct answer is C: Vision Changes. Vitamin A deficiency can lead to night blindness, dry eyes, and eventually vision loss. Vitamin A is essential for maintaining healthy vision and the integrity of the eye tissues. Memory loss (
A) is not typically associated with Vitamin A deficiency. Bleeding gums (
B) are more commonly linked to Vitamin C deficiency. Brittle hair (
D) is a symptom of biotin or protein deficiency, not Vitamin A. Overall, the nurse should expect vision changes as a result of inadequate dietary intake of Vitamin A.