ATI RN
ATI Custom T1 PM Summer 2023 Exam 5 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has a cloudy, opaque area over the lens of one eye. The nurse should identify that this is a manifestation of which of the following visual impairments?
Correct Answer: B
Rationale: The correct answer is B: Cataracts. Cataracts are characterized by a cloudy, opaque area over the lens of the eye, leading to blurred vision and decreased visual acuity. Glaucoma involves increased pressure in the eye damaging the optic nerve, not opacity of the lens (
A). Macular degeneration affects the macula in the retina causing central vision loss, not lens opacity (
C). Diabetic retinopathy involves damage to blood vessels in the retina, not lens opacity (
D). Thus, the cloudy, opaque area over the lens aligns with cataracts, making it the correct choice.
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 preparing to administer cefotaxime 100 mg IM to a client. How many grams (g) should the nurse plan to administer?
Correct Answer: C
Rationale: The correct answer is C (0.1 g).
To convert milligrams (mg) to grams (g), you need to divide the amount in mg by 1000 since there are 1000 mg in 1 g. In this case, 100 mg ÷ 1000 = 0.1 g.
Choice A (10 g) is incorrect as it is 100 times the correct answer.
Choice B (100 g) is incorrect as it is 1000 times the correct answer. The correct conversion is to divide by 1000, not multiply.
Question 4 of 5
A nurse is calculating the protein needs of a client who is a physical trainer. The client weighs 220 lb and requires an increase of protein by 2.0 g/kg/day. The client has taken 0.8 g of protein/kg/day in the past. How much total protein/day should the nurse recommend?
Correct Answer: C
Rationale:
To calculate the total protein/day for the client, we first convert their weight from pounds to kilograms by dividing 220 lb by 2.2 (1 kg = 2.2 lb) = 100 kg. The client's previous protein intake was 0.8 g/kg/day, so they were consuming 0.8 x 100 = 80 g/day. The client requires an increase of 2.0 g/kg/day, so the additional protein needed is 2.0 x 100 = 200 g/day. Adding this to the previous intake of 80 g, the total protein/day should be 80 + 200 = 280 g/day.
Therefore, choice C, 280 g of protein/day, is the correct answer.
Choices A, B, and D are incorrect because they do not consider the client's weight, previous protein intake, and the required increase in protein intake.
Question 5 of 5
A nurse is collecting data on a client who received an opioid narcotic for incisional pain. Which of the following findings is the priority?
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.