ATI RN
ATI Custom T1 PM Summer 2023 Exam 5 Questions
Extract:
Question 1 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 2 of 5
A nurse is reinforcing teaching with a client about maintaining taste and smell. Which of the following statements should the nurse make?
Correct Answer: C
Rationale: The correct answer is C, "Brush your teeth twice per day." Maintaining good oral hygiene by brushing teeth helps to prevent the buildup of bacteria that can lead to bad breath and affect taste and smell. Chewing foods quickly (
A) does not have a direct impact on taste and smell. Avoiding spices (
B) is not recommended as they can enhance flavor. Seeing a dentist every 2 years (
D) is important for oral health but not specifically related to taste and smell maintenance.
Question 3 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 4 of 5
A nurse is caring for a postoperative client who is receiving fentanyl. Which of the following medications should the nurse plan to administer to the client if manifestations of fentanyl toxicity occur?
Correct Answer: B
Rationale: The correct answer is B: Naloxone. Naloxone is an opioid antagonist that reverses the effects of opioids like fentanyl by blocking opioid receptors. If the client exhibits signs of fentanyl toxicity such as respiratory depression, sedation, or decreased level of consciousness, naloxone can be administered to counteract these effects and restore normal breathing and consciousness. Other options are incorrect: A (Atropine) is used for bradycardia, C (Protamine) for heparin overdose, and D (Flumazenil) for benzodiazepine overdose.
Question 5 of 5
A nurse is collecting data on a client who has opioid toxicity. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: The correct answer is A: Respiratory rate 10/min. In opioid toxicity, respiratory depression is a common effect due to the suppression of the brainstem respiratory center. A low respiratory rate of 10/min indicates hypoventilation, which is a critical sign of opioid toxicity. This can lead to hypoxia and respiratory arrest. The other options are incorrect because: B: A heart rate of 112/min is not a typical finding in opioid toxicity; C: A blood pressure of 168/90 mm Hg is not specifically associated with opioid toxicity; D: A temperature of 38.2°C (100.8°F) is within normal range and not directly related to opioid toxicity.