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 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 caring for a client who has a prescription for morphine 1 to 2 mg subcut every 4 hr PRN for pain. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Administer up to 2 mg of morphine in 4 hr. The prescription allows for a range of 1 to 2 mg every 4 hr as needed. Administering up to 2 mg falls within this range, ensuring the client receives adequate pain relief without exceeding the prescribed dosage. This option aligns with safe medication administration practices and respects the client's individual pain management needs.
Other options are incorrect:
A: Clarifying the dosage is unnecessary as the prescription range is clearly stated.
C: Clarifying the route is not necessary as it is specified as subcutaneous.
D: Administering 2 mg every 2 hr would exceed the maximum recommended dose frequency and could lead to potential overdose or adverse effects.
Question 4 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 5 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. Cefotaxime is typically dosed in milligrams (mg), not grams (g).
To convert mg to g, divide the dose by 1000 since 1 g = 1000 mg.
Therefore, 100 mg of cefotaxime is equal to 0.1 g.
Choice A (10 g) is way too high and would be toxic.
Choice B (100 g) is even higher and would be extremely dangerous.
Choice D and the subsequent choices are not provided, so they are not applicable.