ATI RN
ATI Custom T1 PM Summer 2023 Exam 5 Questions
Extract:
Question 1 of 5
A nurse is collecting data from an infant who has otitis media. The nurse should expect which of the following findings?
Correct Answer: B
Rationale: The correct answer is B: Tugging on the affected ear lobe. In otitis media, infants may tug or rub the affected ear due to pain or discomfort. This behavior is a common sign of ear discomfort in infants. Erythema and edema of the affected auricle (choice
A) may be seen in external ear infections, not otitis media. Bluish-green discharge from the ear canal (choice
C) is not a typical finding in otitis media. An increase in appetite (choice
D) is not a common symptom of otitis media. Thus, choice B is the most appropriate finding in an infant with otitis media.
Question 2 of 5
A nurse is assisting with teaching a newly licensed nurse about ethical principles. The nurse should include that working to not cause harm to a client, while trying to achieve the best possible outcome, is an example of which of the following ethical principles?
Correct Answer: D
Rationale: The correct answer is D: Nonmaleficence. Nonmaleficence is the ethical principle of "do no harm." In healthcare, it means that the primary goal is to avoid causing harm to the patient. By working to not cause harm to a client while trying to achieve the best possible outcome, the nurse is adhering to the principle of nonmaleficence.
Why the other choices are incorrect:
A: Kindness - While kindness is important in nursing practice, it is not specifically related to the ethical principle of nonmaleficence.
B: Good manners - Good manners are about politeness and etiquette, not directly related to the ethical principle of nonmaleficence.
C: Common courtesy - Common courtesy is about being polite and considerate, but it does not encompass the ethical principle of nonmaleficence.
Question 3 of 5
A nurse in a pediatric clinic is collecting data from a preschool-age child who has suspected impetigo contagiosa. Which of the following manifestations should the nurse expect to find with this skin infection?
Correct Answer: D
Rationale: The correct answer is D: Red macule with honey-colored crusts. Impetigo contagiosa is a bacterial skin infection commonly seen in children. The characteristic presentation includes red macules (flat, red spots) that progress to form honey-colored crusts. This is due to the bacterial infection causing the skin to exude a yellowish, honey-like substance as the lesions dry up. It is important to recognize this classic presentation to provide appropriate treatment, such as topical or oral antibiotics.
Other choices are incorrect because:
A: Firm brown papules with a roughened, finely papillomatous texture - This description is more suggestive of a viral wart.
B: Scaly patches that have clear centers - This description is more indicative of tinea corporis (ringworm) infection.
C: Reddened areas with white exudate - This description is more characteristic of a skin abscess or cellulitis.
In summary, recognizing the specific characteristics of impetigo contagiosa, such
Question 4 of 5
A nurse is assisting with teaching a class about the use of pain medications to clients who have an opioid addiction. Which of the following medications are nonopioid analgesics? Select all that apply.
Correct Answer: B,C
Rationale: The correct answer is B (Acetaminophen) and C (Ibuprofen). Acetaminophen and Ibuprofen are nonopioid analgesics commonly used for pain relief without the risk of addiction. Codeine, Fentanyl, and Oxycodone are opioids, which can be addictive and may exacerbate opioid addiction in clients. Choosing A, D, or E would not be appropriate for individuals with opioid addiction due to the potential for dependency and misuse.
Therefore, B and C are the suitable choices for pain management in clients with opioid addiction.
Question 5 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.