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 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 2 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 3 of 5
A nurse is preparing to administer hydrochlorothiazide 75 mg PO. The amount available is hydrochlorothiazide 50 mg/tablet. How many tablets should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies.)
Correct Answer: A
Rationale:
To calculate the number of tablets to administer, divide the desired dose by the dose strength per tablet. In this case, 75 mg ÷ 50 mg = 1.5 tablets. This means the nurse should administer 1.5 tablets of hydrochlorothiazide. Since the tablets cannot be divided, rounding to the nearest whole tablet is necessary, making the correct answer A: 1.5 tablet(s). Other choices are incorrect because they do not accurately reflect the calculation. B: 1.4 tablet(s), C: 1.6 tablet(s), and D: 1.7 tablet(s) do not match the calculated dose of 1.5 tablets.
Question 4 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 5 of 5
A nurse calculates a client's fluid intake over the past 8 hours. The client had one 4-oz cup of coffee, 3 oz of juice, and 12 oz of soda. How many mL should the nurse document as the client's total intake for the shift?
Correct Answer: C
Rationale: The correct answer is C: 570 mL.
To calculate the total intake, convert the volume of each drink to mL: 4 oz = 120 mL, 3 oz = 90 mL, 12 oz = 360 mL. Add these together: 120 + 90 + 360 = 570 mL. This is the total fluid intake for the client over the past 8 hours.
Choice A (120 mL) is incorrect as it only accounts for the coffee.
Choice B (90 mL) is incorrect as it only accounts for the juice.
Choice D (360 mL) is incorrect as it only accounts for the soda.