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 opioid toxicity. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: The correct answer is A: Respiratory rate 10/min. In opioid toxicity, respiratory depression is a common effect due to the suppression of the brainstem respiratory center. A low respiratory rate of 10/min indicates hypoventilation, which is a critical sign of opioid toxicity. This can lead to hypoxia and respiratory arrest. The other options are incorrect because: B: A heart rate of 112/min is not a typical finding in opioid toxicity; C: A blood pressure of 168/90 mm Hg is not specifically associated with opioid toxicity; D: A temperature of 38.2°C (100.8°F) is within normal range and not directly related to opioid toxicity.
Question 2 of 5
A nurse is assisting with teaching a client about how to instill eye drops. The nurse asks the client to explain the procedure in their own words. Which of the following types of teaching methods is the nurse using?
Correct Answer: C
Rationale: The correct answer is C: Teach-back. The nurse is using the teach-back method by asking the client to explain the procedure in their own words to assess their understanding. This method helps reinforce learning, identify gaps in knowledge, and improve retention. It is an interactive approach that ensures the client can correctly demonstrate understanding. Lecture (
A) is a one-way communication method and may not assess understanding. Role play (
B) involves acting out scenarios and may not assess the client's understanding of the procedure. The other choices (D, E, F, G) are not relevant to the scenario provided.
Question 3 of 5
A nurse is caring for a client who had radiation therapy, prescribed by their Oncologist, and is experiencing painful dermatitis. The nurse should identify the client is experiencing which of the following types of pain?
Correct Answer: B
Rationale: The correct answer is B: Neuropathic pain. Radiation therapy can damage nerves, leading to neuropathic pain characterized by shooting, burning, or tingling sensations. This type of pain is often chronic and difficult to treat. Chronic pain (
A) is persistent but not necessarily neuropathic. Acute pain (
C) is sudden and short-lived. Cancer pain (
D) is caused by the tumor itself, not radiation therapy-induced dermatitis.
Question 4 of 5
A nurse is caring for a toddler who is scheduled to have a lumbar puncture. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Place the toddler in a side-lying, knee-chest position. This position helps open the spaces between the vertebrae, making it easier to perform a lumbar puncture safely and effectively. Restraint (
A) is unnecessary and can cause distress. Asking another nurse to assist with a prone position (
C) can be challenging and not recommended. Swaddling (
D) may hinder the procedure.
Question 5 of 5
A nurse is collecting data on a client who received an opioid narcotic for incisional pain. Which of the following findings is the priority?
Correct Answer: A
Rationale: The correct answer is A: Pulse oximetry. Monitoring oxygen saturation is crucial in clients receiving opioid narcotics due to the risk of respiratory depression. Decreased oxygen saturation indicates inadequate ventilation, which can be life-threatening. Blood pressure (
B) and pain level (
D) are important but not as urgent as monitoring oxygen levels. Level of sedation (
C) is also important but can be assessed after ensuring adequate oxygenation. Other choices were not provided, but they would likely be less critical in this scenario compared to monitoring oxygen saturation.