ATI Custom T1 PM Summer 2023 Exam 5 | Nurselytic

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.

Correct Answer: A

Rationale: The correct answer is A: Pulse oximetry. Monitoring oxygen saturation is crucial in clients receiving opioid narcotics due to the risk of respiratory depression. Decreased oxygen saturation indicates inadequate ventilation, which can be life-threatening. Blood pressure (
B) and pain level (
D) are important but not as urgent as monitoring oxygen levels. Level of sedation (
C) is also important but can be assessed after ensuring adequate oxygenation. Other choices were not provided, but they would likely be less critical in this scenario compared to monitoring oxygen saturation.

Correct Answer: D

Rationale: The correct answer is D: Red macule with honey-colored crusts. Impetigo contagiosa is a bacterial skin infection commonly seen in children. The characteristic presentation includes red macules (flat, red spots) that progress to form honey-colored crusts. This is due to the bacterial infection causing the skin to exude a yellowish, honey-like substance as the lesions dry up. It is important to recognize this classic presentation to provide appropriate treatment, such as topical or oral antibiotics.
Other choices are incorrect because:
A: Firm brown papules with a roughened, finely papillomatous texture - This description is more suggestive of a viral wart.
B: Scaly patches that have clear centers - This description is more indicative of tinea corporis (ringworm) infection.
C: Reddened areas with white exudate - This description is more characteristic of a skin abscess or cellulitis.
In summary, recognizing the specific characteristics of impetigo contagiosa, such

Correct Answer: A

Rationale: The correct answer is A: Provide the information at a 10th-grade reading level. This is crucial to ensure effective communication with the client as it promotes understanding and helps prevent misinterpretation. Providing information at a 10th-grade reading level ensures that the content is clear, concise, and easily comprehensible for a wide range of individuals. In contrast, options B, C, and D are incorrect. Instructing the client to take pain medication only after the pain becomes severe (
B) can lead to unnecessary suffering. Providing written materials with a small font size (
C) may impede readability and comprehension. Instructing the client to keep a pain diary (
D) may not be the most appropriate action without first ensuring the client understands how to accurately document their pain experiences.

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.