ATI RN
ATI Custom T1 PM Summer 2023 Exam 5 Questions
Extract:
Question 1 of 5
A nurse is contributing to the plan of care for a client who has a spinal cord injury and paralysis. Which of the following actions should the nurse include in the plan to decrease the client's risk of skin breakdown?
Correct Answer: B
Rationale: Moisture minimization prevents skin breakdown in paralyzed clients. Turning every 2 hr, avoiding massage of red areas, and heel elevation are also key, but moisture is primary here.
Question 2 of 5
A nurse is collecting data from an infant who has otitis media. The nurse should expect which of the following findings?
Correct Answer: B
Rationale: Infants tug on ears with otitis media due to middle ear pain/pressure. Auricle changes, discharge, and appetite increase are atypical.
Question 3 of 5
A nurse is reinforcing teaching with a client who has diabetes mellitus about diabetic retinopathy. Which of the following statements should the nurse make?
Correct Answer: B
Rationale: Seeing spots (floaters) is a diabetic retinopathy symptom from retinal damage, unlike pressure (glaucoma), biennial exams (too infrequent), or lens clouding (cataracts).
Question 4 of 5
A nurse is assisting with the food tray for a client who is partially blind following a left-sided stroke. Which of the following nursing interventions promotes client independence?
Correct Answer: D
Rationale: Describing food locations (e.g., clock face) enables self-feeding, promoting independence unlike guiding hands, feeding assistance, or diet change.
Question 5 of 5
A nurse is discussing potential barriers to effective communication with a newly licensed nurse. Which of the following barriers should the nurse include?
Correct Answer: A,C,D
Rationale: Noise, cultural differences, and medical jargon impair communication, unlike lighting or facing the client.