ATI Custom T1 PM Summer 2023 Exam 5 | Nurselytic

Correct Answer: C

Rationale: The correct answer is C: Vision Changes. Vitamin A deficiency can lead to night blindness, dry eyes, and eventually vision loss. Vitamin A is essential for maintaining healthy vision and the integrity of the eye tissues. Memory loss (
A) is not typically associated with Vitamin A deficiency. Bleeding gums (
B) are more commonly linked to Vitamin C deficiency. Brittle hair (
D) is a symptom of biotin or protein deficiency, not Vitamin A. Overall, the nurse should expect vision changes as a result of inadequate dietary intake of Vitamin A.

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.

Correct Answer: A

Rationale: The correct answer is A: The client reports a burning sensation. This is a subjective indicator of pain because it is based on the client's personal experience and self-report. Pain is a subjective experience that can vary greatly among individuals, so the client's own description of their pain is the most reliable indicator.
Incorrect choices:
B: The client's pupils are dilated - This is a physiological response and not a direct indicator of pain.
C: The client is grimacing - While grimacing can be a sign of pain, it is still an observable behavior and not a direct indicator provided by the client.
D: The client is restless - Restlessness can indicate discomfort but is not specific to pain and can have various causes.

Correct Answer: B

Rationale: The correct answer is B: Surgical incision. Acute pain is sudden and short-term, typically resulting from tissue damage like a surgical incision. Fibromyalgia, peripheral neuropathy, and rheumatoid arthritis are chronic pain conditions with long-lasting or recurring pain. Acute pain is usually well-localized and has a clear cause, unlike the other conditions mentioned. It is important for the nurse to recognize the difference between acute and chronic pain to provide appropriate care and management.

Correct Answer: A

Rationale: The correct answer is A: Provide the information at a 10th-grade reading level. This is crucial to ensure effective communication with the client as it promotes understanding and helps prevent misinterpretation. Providing information at a 10th-grade reading level ensures that the content is clear, concise, and easily comprehensible for a wide range of individuals. In contrast, options B, C, and D are incorrect. Instructing the client to take pain medication only after the pain becomes severe (
B) can lead to unnecessary suffering. Providing written materials with a small font size (
C) may impede readability and comprehension. Instructing the client to keep a pain diary (
D) may not be the most appropriate action without first ensuring the client understands how to accurately document their pain experiences.