ATI RN
ATI Custom T1 PM Summer 2023 Exam 5 Questions
Extract:
Question 1 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 2 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 3 of 5
A nurse is reinforcing discharge teaching with a client about medications. Which of the following client statements indicate an understanding?
Correct Answer: B
Rationale: The correct answer is B. Storing narcotic medications in the original package helps ensure proper identification, dosage, and expiration dates. It also prevents confusion with other medications.
Choice A is incorrect because unused narcotic medications should be disposed of properly, not in a trash container.
Choice C is incorrect as obtaining medications from different pharmacies can lead to drug interactions and duplicate therapy.
Choice D is incorrect as over-the-counter medications should be stored in a secure, locked cabinet to prevent accidental ingestion, especially by children.
Question 4 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 5 of 5
A nurse is obtaining an oxygen saturation on a client. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Choose a finger with a capillary refill less than 2 sec. This is crucial as a capillary refill time longer than 2 seconds can indicate poor peripheral perfusion, affecting the accuracy of the oxygen saturation reading. Placing the sensor on a finger with good capillary refill ensures reliable results. Waiting 10 seconds after placing the probe (choice
A) is unnecessary and may delay care. Placing the sensor on the same extremity as an electronic blood pressure cuff (choice
B) can lead to inaccurate readings due to interference. Relocating the sensor every 8 hours (choice
C) is not a standard practice and may disrupt continuous monitoring.