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 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.
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 in a pediatric clinic is collecting data from a preschool-age child who has suspected impetigo contagiosa. Which of the following manifestations should the nurse expect to find with this skin infection?
Correct Answer: D
Rationale: The correct answer is D: Red macule with honey-colored crusts. Impetigo contagiosa is a bacterial skin infection commonly seen in children. The characteristic presentation includes red macules (flat, red spots) that progress to form honey-colored crusts. This is due to the bacterial infection causing the skin to exude a yellowish, honey-like substance as the lesions dry up. It is important to recognize this classic presentation to provide appropriate treatment, such as topical or oral antibiotics.
Other choices are incorrect because:
A: Firm brown papules with a roughened, finely papillomatous texture - This description is more suggestive of a viral wart.
B: Scaly patches that have clear centers - This description is more indicative of tinea corporis (ringworm) infection.
C: Reddened areas with white exudate - This description is more characteristic of a skin abscess or cellulitis.
In summary, recognizing the specific characteristics of impetigo contagiosa, such
Question 4 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 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.