ATI RN
ATI Custom T1 PM Summer 2023 Exam 5 Questions
Extract:
Question 1 of 5
A nurse is caring for a postoperative client who is receiving fentanyl. Which of the following medications should the nurse plan to administer to the client if manifestations of fentanyl toxicity occur?
Correct Answer: B
Rationale: The correct answer is B: Naloxone. Naloxone is an opioid antagonist that reverses the effects of opioids like fentanyl by blocking opioid receptors. If the client exhibits signs of fentanyl toxicity such as respiratory depression, sedation, or decreased level of consciousness, naloxone can be administered to counteract these effects and restore normal breathing and consciousness. Other options are incorrect: A (Atropine) is used for bradycardia, C (Protamine) for heparin overdose, and D (Flumazenil) for benzodiazepine overdose.
Question 2 of 5
A nurse is attempting to obtain information from a child who is hearing impaired. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Speak slowly while facing the child. This is the best approach as it allows the child to lip-read and see the nurse's facial expressions. Speaking slowly helps the child understand better. Option B is incorrect as talking directly into the impaired ear won't help if the child is hearing impaired. Option C is incorrect as speaking loudly may distort speech and not necessarily improve understanding. Option D is incorrect as standing above the child's eye level can be intimidating and may not facilitate effective communication.
Question 3 of 5
A nurse is preparing to administer Dofetilide 200 mcg PO to a client. Available is Dofetilide 50 mcg tablets. How many tablets should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: A
Rationale: The correct answer is A: 4 tabs.
To achieve a dose of 200 mcg, the nurse should administer 4 tablets of 50 mcg each (4 x 50 = 200 mcg). This calculation ensures the client receives the prescribed dose accurately. Other choices are incorrect because they do not add up to the required dose of 200 mcg: B (3 x 50 = 150 mcg), C (2 x 50 = 100 mcg), and D (1 x 50 = 50 mcg).
Therefore, administering 4 tablets is the correct and accurate dosage calculation in this scenario.
Question 4 of 5
A nurse on an inpatient mental health unit is caring for a group of clients. Which of the following actions by the nurse demonstrates the ethical concept of autonomy?
Correct Answer: D
Rationale: The correct answer is D because supporting a client's wishes to refuse prescribed treatments upholds the ethical principle of autonomy, which respects a person's right to make their own decisions about their care. This demonstrates the nurse's commitment to promoting the client's self-determination and independence. Describing medication side effects (
A) is important but doesn't directly relate to autonomy. Spending extra time to calm an agitated client (
B) is more about providing therapeutic communication and support. Ensuring client understanding of group participation expectations (
C) is about fostering informed consent.
Question 5 of 5
A nurse is caring for a postoperative client who is receiving fentanyl. Which of the following medications should the nurse plan to administer to the client if manifestations of fentanyl toxicity occur?
Correct Answer: B
Rationale: The correct answer is B: Naloxone. Naloxone is an opioid antagonist that reverses the effects of opioids like fentanyl by blocking opioid receptors. If the client exhibits signs of fentanyl toxicity such as respiratory depression, sedation, or decreased level of consciousness, naloxone can be administered to counteract these effects and restore normal breathing and consciousness. Other options are incorrect: A (Atropine) is used for bradycardia, C (Protamine) for heparin overdose, and D (Flumazenil) for benzodiazepine overdose.