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 new diagnosis of diabetes mellitus. The client states they will never be able to follow the prescribed diet. Which of the following statements should the nurse make?
Correct Answer: B
Rationale: The correct answer is B: "Let's see what foods you like that we can include in your new diet." This response demonstrates client-centered care by involving the client in the decision-making process. By identifying foods the client likes, the nurse can tailor the diet plan to be more acceptable and achievable for the client, increasing the likelihood of adherence. This approach empowers the client and promotes a positive relationship between the client and the healthcare provider.
Other choices are incorrect:
A: "Most people get used to the new diet quickly." This statement generalizes and may not address the client's specific concerns or barriers to dietary changes.
C: "You will feel better once you start the new diet." This statement assumes the client's feelings without acknowledging their current concerns.
D: "Your old diet probably caused your diabetes." Blaming the client's previous diet may induce guilt or shame, hindering the client's motivation to make positive changes.
Question 2 of 5
A nurse is caring for a client who reports back pain. The nurse asks the client to rate the pain on a scale of 0 to 10. The nurse is using which of the following to assess the pain?
Correct Answer: A
Rationale: The correct answer is A: Severity. By asking the client to rate the pain on a scale of 0 to 10, the nurse is assessing the severity of the pain. This helps the nurse understand the intensity of the pain the client is experiencing, which is crucial for determining appropriate interventions. Assessing the severity of pain is a fundamental aspect of pain assessment. Other choices are incorrect because: B (Quality) focuses on the characteristics of the pain, C (Region) identifies the location of the pain, and D (Precipitating cause) seeks to determine what triggers the pain. These options are important aspects of pain assessment but do not directly address the intensity or severity of the pain, making them less relevant in this context.
Question 3 of 5
Which of the following findings is a subjective indicator of pain?
Correct Answer: A
Rationale: The correct answer is A: The client reports a burning sensation. This is a subjective indicator of pain because it is based on the client's personal experience and self-report. Pain is a subjective experience that can vary greatly among individuals, so the client's own description of their pain is the most reliable indicator.
Incorrect choices:
B: The client's pupils are dilated - This is a physiological response and not a direct indicator of pain.
C: The client is grimacing - While grimacing can be a sign of pain, it is still an observable behavior and not a direct indicator provided by the client.
D: The client is restless - Restlessness can indicate discomfort but is not specific to pain and can have various causes.
Question 4 of 5
Which of the following actions should the nurse take?
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.
Question 5 of 5
A nurse is collecting data from an infant who has otitis media. The nurse should expect which of the following findings?
Correct Answer: B
Rationale: The correct answer is B: Tugging on the affected ear lobe. In otitis media, infants may tug or rub the affected ear due to pain or discomfort. This behavior is a common sign of ear discomfort in infants. Erythema and edema of the affected auricle (choice
A) may be seen in external ear infections, not otitis media. Bluish-green discharge from the ear canal (choice
C) is not a typical finding in otitis media. An increase in appetite (choice
D) is not a common symptom of otitis media. Thus, choice B is the most appropriate finding in an infant with otitis media.