ATI RN
ATI Custom T1 PM Summer 2023 Exam 5 Questions
Extract:
Question 1 of 5
A nurse is assisting with the food tray for a client who is partially blind following a left-sided stroke. Which of the following nursing interventions promotes client independence?
Correct Answer: D
Rationale:
Correct
Answer: D. Describing to the client the location of the food on the tray promotes client independence by empowering them to locate and feed themselves. By providing specific instructions, the client can use their remaining senses to identify and consume the food. This intervention encourages self-reliance and fosters a sense of control over their own care.
Incorrect
Choices:
A: Placing the client's hands on the tray does not promote independence as it involves physical assistance rather than empowering the client to do it themselves.
B: Assigning assistive personnel to feed the client removes the client's autonomy and does not encourage self-care.
C: Asking if the client prefers a liquid diet addresses dietary preferences but does not directly promote independence in feeding.
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 reinforcing teaching with a client who has diabetic neuropathy about foot care. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: The correct answer is C: Avoid walking barefoot. Walking barefoot can increase the risk of injury and infection for a client with diabetic neuropathy due to decreased sensation in the feet. This instruction helps prevent complications like foot ulcers.
Choice A is incorrect as open-toed shoes do not provide adequate protection.
Choice B is incorrect as hot water can cause burns or skin damage.
Choice D is incorrect as applying lotion between the toes can create a moist environment, promoting fungal growth.
Question 4 of 5
A nurse is collecting data regarding the pain level of a 3-year-old child on the second postoperative day following an appendectomy. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Use the FACES Scale to assess the child's pain level. The FACES Scale is a reliable and valid pain assessment tool for children, including those as young as 3 years old. It uses facial expressions to represent different levels of pain, making it easier for young children to understand and communicate their pain level. Using a numeric scale (
Choice
B) may be difficult for a 3-year-old to comprehend and accurately express their pain level. The Visual Analog Scale (
Choice
C) may also be challenging for young children to use effectively. Using a color tool (
Choice
D) is not a standard pain assessment method for children and may not provide accurate results. Overall, the FACES Scale is the most appropriate choice for assessing pain in a 3-year-old child postoperatively.
Question 5 of 5
A nurse is reinforcing discharge teaching with a client about medications. Which of the following client statements indicate an understanding?
Correct Answer: B
Rationale: The correct answer is B. Storing narcotic medications in the original package helps ensure proper identification, dosage, and expiration dates. It also prevents confusion with other medications.
Choice A is incorrect because unused narcotic medications should be disposed of properly, not in a trash container.
Choice C is incorrect as obtaining medications from different pharmacies can lead to drug interactions and duplicate therapy.
Choice D is incorrect as over-the-counter medications should be stored in a secure, locked cabinet to prevent accidental ingestion, especially by children.