ATI RN
ATI Custom T1 PM Summer 2023 Exam 5 Questions
Extract:
Question 1 of 5
A nurse is assisting with teaching a class about the use of pain medications to clients who have an opioid addiction. Which of the following medications are nonopioid analgesics? Select all that apply.
Correct Answer: B,C
Rationale: The correct answer is B (Acetaminophen) and C (Ibuprofen). Acetaminophen and Ibuprofen are nonopioid analgesics commonly used for pain relief without the risk of addiction. Codeine, Fentanyl, and Oxycodone are opioids, which can be addictive and may exacerbate opioid addiction in clients. Choosing A, D, or E would not be appropriate for individuals with opioid addiction due to the potential for dependency and misuse.
Therefore, B and C are the suitable choices for pain management in clients with opioid addiction.
Question 2 of 5
A nurse is preparing a 4-year-old child for discharge following a bilateral myringotomy with tympanostomy tube placement. The mother asks what to do if the tubes fall out. The nurse should give the parent which of the following instructions?
Correct Answer: A
Rationale: The correct answer is A. It is important for the parent to call the health care clinic to report that the tubes have fallen out. This is because healthcare professionals need to assess the situation, determine if the tubes need to be replaced, and provide further instructions. Taking the child to an emergency department (
B) may not be necessary unless there are complications. Reassuring the mother that the tubes will not fall out (
C) is not accurate as tubes can indeed fall out. Gently reinserting the tubes (
D) should never be done by a parent as this can cause harm. It is crucial to involve the healthcare provider in managing the situation.
Question 3 of 5
A nurse is collecting data on a client who has a heart rate of 56/min. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: The correct answer is C: Report of dizziness. A heart rate of 56/min is lower than normal (60-100/min) and can lead to decreased blood flow to the brain, causing dizziness.
Choice A is incorrect as cigarette smoking does not directly correlate with a low heart rate.
Choice B is incorrect as an elevated temperature does not directly impact heart rate.
Choice D is incorrect as hypoglycemia typically causes tachycardia, not bradycardia.
Question 4 of 5
A nurse is preparing to administer liquid famotidine 20 mg PO every 6 hr for GERD. Available is famotidine 40 mg/5 mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: A
Rationale: The correct answer is A: 2.5 mL.
To determine this, first calculate the total daily dose needed (20 mg every 6 hr = 80 mg/day).
Then, calculate the amount of medication per mL (40 mg/5 mL = 8 mg/mL). Finally, divide the total daily dose by the amount of medication per mL to get the mL per dose (80 mg ÷ 8 mg/mL = 10 mL/day, 10 mL ÷ 4 doses = 2.5 mL). This ensures the correct dose is administered.
Choices B-G are incorrect as they do not follow the correct calculation process or do not result in the accurate dosage required.
Question 5 of 5
A nurse is collecting data on a client for manifestations of pain. Which of the following findings is an objective indicator of pain?
Correct Answer: C
Rationale:
Correct
Answer: C - The client grimaces when they move.
Rationale:
1. Grimacing is a physical expression that can be observed by the nurse.
2. It is an objective indicator, not influenced by individual interpretation.
3. Grimacing indicates non-verbal signs of pain, enhancing assessment accuracy.
Summary:
A. Reporting a burning sensation is subjective, based on client's perception.
B. Locating pain in the abdomen is subjective and lacks direct observation.
D. Rating pain on a scale is subjective, influenced by personal pain tolerance.