ATI RN
ATI Custom T1 PM Summer 2023 Exam 5 Questions
Extract:
Question 1 of 5
A nurse is assisting in preparing an in-service program about preventing medication errors when transcribing a prescription. The nurse is using a dosage example of four tenths of a milligram. Which of the following transcription examples should the nurse use?
Correct Answer: B
Rationale: The correct answer is B: 0.4 mg. When transcribing a dosage of four tenths of a milligram, it should be written as 0.4 mg to ensure clarity and accuracy. Using 4.0 mg (
Choice
A) would imply 4 milligrams, which is significantly different. 4 mg (
Choice
C) would indicate 4 milligrams as well. 0.40 mg (
Choice
D) is not necessary as it adds unnecessary zeros after the decimal point, making it less clear.
Therefore, B is the most accurate and appropriate transcription example for four tenths of a milligram.
Question 2 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 3 of 5
A nurse is reinforcing teaching with a client who has diabetes mellitus about diabetic retinopathy. Which of the following statements should the nurse make?
Correct Answer: B
Rationale: The correct answer is B. Seeing spots is a manifestation of diabetic retinopathy because it is a common symptom caused by damage to the blood vessels in the retina due to prolonged high blood sugar levels. This results in the leaking of fluid and blood into the eye, leading to vision problems such as seeing spots.
Choice A is incorrect because an increase in intraocular pressure is associated with conditions like glaucoma, not diabetic retinopathy.
Choice C is incorrect because individuals with diabetes should have an eye exam annually, not every 2 years, to detect retinopathy early.
Choice D is incorrect because clouding of the lens is a sign of cataracts, not diabetic retinopathy.
Question 4 of 5
A nurse is collecting data on 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 following the administration of an opioid narcotic, it indicates a decrease in pain because opioids can cause sedation as a side effect, leading to relief from pain. Sleep is a common response to decreased pain levels due to the central nervous system depression caused by opioids. Elevated blood pressure (
B) and increased respiratory rate (
C) are not indicative of decreased pain but could be signs of opioid overdose or inadequate pain management. Diaphoresis (
D) may indicate pain or withdrawal symptoms but does not directly indicate a decrease in pain.
Question 5 of 5
A nurse is attempting to obtain information from a child who is hearing impaired. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Speak slowly while facing the child. This is the best approach as it allows the child to lip-read and see the nurse's facial expressions. Speaking slowly helps the child understand better. Option B is incorrect as talking directly into the impaired ear won't help if the child is hearing impaired. Option C is incorrect as speaking loudly may distort speech and not necessarily improve understanding. Option D is incorrect as standing above the child's eye level can be intimidating and may not facilitate effective communication.