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 caring for a client who has a moderate vision impairment. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Face the client when speaking to them. This is important because by facing the client, the nurse allows the client to see their facial expressions and lip movements, which can aid in understanding the conversation. This non-verbal cue can help bridge the communication gap caused by the vision impairment. Opening shades (choice
A) may create glare or shadows that could further hinder the client's vision. Using gestures (choice
C) may not be effective if the client cannot see them clearly. Speaking loudly (choice
D) is not necessary and may come off as intimidating or patronizing.
Question 3 of 5
A nurse on an inpatient mental health unit is caring for a group of clients. Which of the following actions by the nurse demonstrates the ethical concept of autonomy?
Correct Answer: D
Rationale: The correct answer is D because supporting a client's wishes to refuse prescribed treatments upholds the ethical principle of autonomy, which respects a person's right to make their own decisions about their care. This demonstrates the nurse's commitment to promoting the client's self-determination and independence. Describing medication side effects (
A) is important but doesn't directly relate to autonomy. Spending extra time to calm an agitated client (
B) is more about providing therapeutic communication and support. Ensuring client understanding of group participation expectations (
C) is about fostering informed consent.
Question 4 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.
Question 5 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.