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 reinforcing discharge teaching with a client about medications. Which of the following client statements indicate an understanding?
Correct Answer: B
Rationale: The correct answer is B. Storing narcotic medications in the original package helps ensure proper identification, dosage, and expiration dates. It also prevents confusion with other medications.
Choice A is incorrect because unused narcotic medications should be disposed of properly, not in a trash container.
Choice C is incorrect as obtaining medications from different pharmacies can lead to drug interactions and duplicate therapy.
Choice D is incorrect as over-the-counter medications should be stored in a secure, locked cabinet to prevent accidental ingestion, especially by children.
Question 3 of 5
A nurse is caring for a client who has impaired speech. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Allow extra time to communicate with the client. This is the best action because it shows patience and understanding towards the client's impaired speech. Rushing the client may cause frustration and hinder effective communication.
B: Finishing sentences for the client is not recommended as it can be perceived as disrespectful and may not accurately reflect the client's thoughts.
C: Asking open-ended questions may be helpful, but allowing extra time is more critical in this situation.
D: Avoiding visual aids for communication is not necessary unless the client specifically prefers verbal communication.
Question 4 of 5
A nurse is caring for a client who has a moderate vision impairment. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Face the client when speaking to them. This is important because by facing the client, the nurse allows the client to see their facial expressions and lip movements, which can aid in understanding the conversation. This non-verbal cue can help bridge the communication gap caused by the vision impairment. Opening shades (choice
A) may create glare or shadows that could further hinder the client's vision. Using gestures (choice
C) may not be effective if the client cannot see them clearly. Speaking loudly (choice
D) is not necessary and may come off as intimidating or patronizing.
Question 5 of 5
A nurse is collecting data on a client who is nonverbal for acute pain. Which of the following findings is a manifestation of pain?
Correct Answer: C
Rationale: The correct answer is C: Elevated blood pressure. Pain activates the sympathetic nervous system, causing vasoconstriction and increased heart rate, leading to elevated blood pressure. Decreased heart rate (
A) is not typically associated with pain. Constricted pupils (
B) may indicate opioid use or bright light exposure, not necessarily pain. Reduced respiratory rate (
D) is not a consistent manifestation of pain.