ATI RN
ATI Custom T1 PM Summer 2023 Exam 5 Questions
Extract:
Question 1 of 5
A nurse is collecting data on a client who has a heart rate of 56/min. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: The correct answer is C: Report of dizziness. A heart rate of 56/min is lower than normal (60-100/min) and can lead to decreased blood flow to the brain, causing dizziness.
Choice A is incorrect as cigarette smoking does not directly correlate with a low heart rate.
Choice B is incorrect as an elevated temperature does not directly impact heart rate.
Choice D is incorrect as hypoglycemia typically causes tachycardia, not bradycardia.
Question 2 of 5
A nurse is preparing to administer liquid famotidine 20 mg PO every 6 hr for GERD. Available is famotidine 40 mg/5 mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: A
Rationale: The correct answer is A: 2.5 mL.
To determine this, first calculate the total daily dose needed (20 mg every 6 hr = 80 mg/day).
Then, calculate the amount of medication per mL (40 mg/5 mL = 8 mg/mL). Finally, divide the total daily dose by the amount of medication per mL to get the mL per dose (80 mg ÷ 8 mg/mL = 10 mL/day, 10 mL ÷ 4 doses = 2.5 mL). This ensures the correct dose is administered.
Choices B-G are incorrect as they do not follow the correct calculation process or do not result in the accurate dosage required.
Question 3 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 4 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 5 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.