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 an oxygen saturation of 88%. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Encourage the client to take deep breaths. This action will help improve oxygenation by increasing lung ventilation and oxygen exchange. Deep breathing helps to expand the lungs fully, allowing more oxygen to enter the bloodstream. Decreasing the head of the bed (
A) is typically done for clients with respiratory distress to improve oxygenation. Asking the client to cough (
B) every 4 hours may help with airway clearance but does not directly address oxygen saturation. Requesting an opioid analgesic (
D) is not indicated for improving oxygen saturation and may potentially depress the respiratory drive, worsening the situation.
Question 2 of 5
A nurse is assisting with teaching a newly licensed nurse about pain. Which of the following is an example of acute pain?
Correct Answer: B
Rationale: The correct answer is B: Surgical incision. Acute pain is sudden and usually short-term, resulting from tissue damage or injury like a surgical incision. It has a clear onset and identifiable cause. Fibromyalgia, peripheral neuropathy, and rheumatoid arthritis are chronic pain conditions characterized by long-lasting pain without a clear cause or sudden onset.
Therefore, they do not fit the definition of acute pain.
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 collecting data on a client following administration of an opioid narcotic. Which of the following findings indicates a decrease in the client's pain?
Correct Answer: A
Rationale: The correct answer is A: The client is asleep. When a client is asleep following the administration of an opioid narcotic, it indicates a decrease in pain because opioids can cause sedation as a side effect, leading to relief from pain. Sleep is a common response to decreased pain levels due to the central nervous system depression caused by opioids. Elevated blood pressure (
B) and increased respiratory rate (
C) are not indicative of decreased pain but could be signs of opioid overdose or inadequate pain management. Diaphoresis (
D) may indicate pain or withdrawal symptoms but does not directly indicate a decrease in pain.
Question 5 of 5
A nurse is discussing potential barriers to effective communication with a newly licensed nurse. Which of the following barriers should the nurse include?
Correct Answer: A,C,D
Rationale: The correct answer is A, C, and D. Noise from nearby monitoring equipment can hinder effective communication by making it difficult to hear and understand. Cultural differences may lead to misunderstandings, affecting communication. Using medical terminology with clients who may not understand can create barriers. Adequate lighting (
B) and facing the client (E) are important for communication but are not listed as potential barriers in this scenario.