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 caring for a child who has a suspected diagnosis of bacterial meningitis. Which of the following actions is the nurse's priority?
Correct Answer: B
Rationale: The correct answer is B: Administer antibiotics when available. Administering antibiotics promptly is crucial in bacterial meningitis to prevent further complications and improve the child's prognosis. Delay in antibiotic administration can lead to serious consequences such as brain damage or death. Documenting intake and output (
A) is important but not the priority in this acute situation. Maintaining seizure precautions (
C) is vital for a child with a seizure disorder but not the priority in bacterial meningitis. Reducing environmental stimuli (
D) may help in managing symptoms, but administering antibiotics takes precedence in treating the underlying infection.
Question 3 of 5
A nurse is contributing to the plan of care for a client who has a spinal cord injury and paralysis. Which of the following actions should the nurse include in the plan to decrease the client's risk of skin breakdown?
Correct Answer: B
Rationale: The correct answer is B: Minimize skin exposure to moisture. Moisture can lead to skin breakdown, especially in clients with limited mobility. Keeping the skin dry helps prevent breakdown. Turning the client every 4 hours (
A) helps with pressure relief but does not specifically address moisture. Massaging erythematous bony prominences (
C) can cause further damage to fragile skin. Environmental humidity less than 30% (
D) is not directly related to skin breakdown. Using pillows to keep heels off the bed surface (E) helps with pressure redistribution but does not address moisture.
Question 4 of 5
A nurse is discussing potential barriers to effective communication with a newly licensed nurse. Which of the following barriers should the nurse include?
Correct Answer: A,C,D
Rationale: The correct answer is A, C, and D. Noise from nearby monitoring equipment can hinder effective communication by making it difficult to hear and understand. Cultural differences may lead to misunderstandings, affecting communication. Using medical terminology with clients who may not understand can create barriers. Adequate lighting (
B) and facing the client (E) are important for communication but are not listed as potential barriers in this scenario.
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.