ATI RN
ATI Custom T1 PM Summer 2023 Exam 5 Questions
Extract:
Question 1 of 5
A nurse is collecting data on a client for manifestations of pain. Which of the following findings is an objective indicator of pain?
Correct Answer: C
Rationale:
Correct
Answer: C - The client grimaces when they move.
Rationale:
1. Grimacing is a physical expression that can be observed by the nurse.
2. It is an objective indicator, not influenced by individual interpretation.
3. Grimacing indicates non-verbal signs of pain, enhancing assessment accuracy.
Summary:
A. Reporting a burning sensation is subjective, based on client's perception.
B. Locating pain in the abdomen is subjective and lacks direct observation.
D. Rating pain on a scale is subjective, influenced by personal pain tolerance.
Question 2 of 5
A nurse is assessing 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 after receiving an opioid narcotic, it indicates a decrease in pain as opioids can cause sedation and relief from pain. This is a common side effect of opioids.
Choices B, C, and D are incorrect as they do not directly indicate a decrease in pain. Elevated blood pressure, increased respiratory rate, and diaphoresis are not typical indicators of pain relief following opioid administration.
Therefore, these choices are not relevant in determining a decrease in pain.
Question 3 of 5
A nurse is reinforcing teaching with a client about maintaining taste and smell. Which of the following statements should the nurse make?
Correct Answer: C
Rationale: The correct answer is C, "Brush your teeth twice per day." Maintaining good oral hygiene by brushing teeth helps to prevent the buildup of bacteria that can lead to bad breath and affect taste and smell. Chewing foods quickly (
A) does not have a direct impact on taste and smell. Avoiding spices (
B) is not recommended as they can enhance flavor. Seeing a dentist every 2 years (
D) is important for oral health but not specifically related to taste and smell maintenance.
Question 4 of 5
A nurse is caring for a client who has a cloudy, opaque area over the lens of one eye. The nurse should identify that this is a manifestation of which of the following visual impairments?
Correct Answer: B
Rationale: The correct answer is B: Cataracts. Cataracts are characterized by a cloudy, opaque area over the lens of the eye, leading to blurred vision and decreased visual acuity. Glaucoma involves increased pressure in the eye damaging the optic nerve, not opacity of the lens (
A). Macular degeneration affects the macula in the retina causing central vision loss, not lens opacity (
C). Diabetic retinopathy involves damage to blood vessels in the retina, not lens opacity (
D). Thus, the cloudy, opaque area over the lens aligns with cataracts, making it the correct choice.
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.