ATI RN
ATI Custom T1 PM Summer 2023 Exam 5 Questions
Extract:
Question 1 of 5
A nurse is assisting with teaching a client about how to instill eye drops. The nurse asks the client to explain the procedure in their own words. Which of the following types of teaching methods is the nurse using?
Correct Answer: C
Rationale: The correct answer is C: Teach-back. The nurse is using the teach-back method by asking the client to explain the procedure in their own words to assess their understanding. This method helps reinforce learning, identify gaps in knowledge, and improve retention. It is an interactive approach that ensures the client can correctly demonstrate understanding. Lecture (
A) is a one-way communication method and may not assess understanding. Role play (
B) involves acting out scenarios and may not assess the client's understanding of the procedure. The other choices (D, E, F, G) are not relevant to the scenario provided.
Question 2 of 5
A nurse is collecting data on a client who is nonverbal for acute pain. Which of the following findings is a manifestation of pain?
Correct Answer: C
Rationale: The correct answer is C: Elevated blood pressure. Pain activates the sympathetic nervous system, causing vasoconstriction and increased heart rate, leading to elevated blood pressure. Decreased heart rate (
A) is not typically associated with pain. Constricted pupils (
B) may indicate opioid use or bright light exposure, not necessarily pain. Reduced respiratory rate (
D) is not a consistent manifestation of pain.
Question 3 of 5
A nurse is assisting with teaching a newly licensed nurse about pain. Which of the following is an example of acute pain?
Correct Answer: B
Rationale: The correct answer is B: Surgical incision. Acute pain is sudden and short-term, typically resulting from tissue damage like a surgical incision. Fibromyalgia, peripheral neuropathy, and rheumatoid arthritis are chronic pain conditions with long-lasting or recurring pain. Acute pain is usually well-localized and has a clear cause, unlike the other conditions mentioned. It is important for the nurse to recognize the difference between acute and chronic pain to provide appropriate care and management.
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 caring for a client who has a prescription for morphine 1 to 2 mg subcut every 4 hr PRN for pain. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Administer up to 2 mg of morphine in 4 hr. The prescription allows for a range of 1 to 2 mg every 4 hr as needed. Administering up to 2 mg falls within this range, ensuring the client receives adequate pain relief without exceeding the prescribed dosage. This option aligns with safe medication administration practices and respects the client's individual pain management needs.
Other options are incorrect:
A: Clarifying the dosage is unnecessary as the prescription range is clearly stated.
C: Clarifying the route is not necessary as it is specified as subcutaneous.
D: Administering 2 mg every 2 hr would exceed the maximum recommended dose frequency and could lead to potential overdose or adverse effects.