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 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.
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 reports back pain. The nurse asks the client to rate the pain on a scale of 0 to 10. The nurse is using which of the following to assess the pain?
Correct Answer: A
Rationale: The correct answer is A: Severity. By asking the client to rate the pain on a scale of 0 to 10, the nurse is assessing the severity of the pain. This helps the nurse understand the intensity of the pain the client is experiencing, which is crucial for determining appropriate interventions. Assessing the severity of pain is a fundamental aspect of pain assessment. Other choices are incorrect because: B (Quality) focuses on the characteristics of the pain, C (Region) identifies the location of the pain, and D (Precipitating cause) seeks to determine what triggers the pain. These options are important aspects of pain assessment but do not directly address the intensity or severity of the pain, making them less relevant in this context.
Question 4 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Provide the information at a 10th-grade reading level. This is crucial to ensure effective communication with the client as it promotes understanding and helps prevent misinterpretation. Providing information at a 10th-grade reading level ensures that the content is clear, concise, and easily comprehensible for a wide range of individuals. In contrast, options B, C, and D are incorrect. Instructing the client to take pain medication only after the pain becomes severe (
B) can lead to unnecessary suffering. Providing written materials with a small font size (
C) may impede readability and comprehension. Instructing the client to keep a pain diary (
D) may not be the most appropriate action without first ensuring the client understands how to accurately document their pain experiences.
Question 5 of 5
A nurse is attempting to obtain information from a child who is hearing impaired. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Speak slowly while facing the child. This is the best approach as it allows the child to lip-read and see the nurse's facial expressions. Speaking slowly helps the child understand better. Option B is incorrect as talking directly into the impaired ear won't help if the child is hearing impaired. Option C is incorrect as speaking loudly may distort speech and not necessarily improve understanding. Option D is incorrect as standing above the child's eye level can be intimidating and may not facilitate effective communication.