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: The correct answer is B: Minimize skin exposure to moisture. Moisture can lead to skin breakdown, especially in clients with limited mobility. Keeping the skin dry helps prevent breakdown. Turning the client every 4 hours (
A) helps with pressure relief but does not specifically address moisture. Massaging erythematous bony prominences (
C) can cause further damage to fragile skin. Environmental humidity less than 30% (
D) is not directly related to skin breakdown. Using pillows to keep heels off the bed surface (E) helps with pressure redistribution but does not address moisture.
Question 2 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 3 of 5
A nurse is preparing to administer cefotaxime 100 mg IM to a client. How many grams (g) should the nurse plan to administer?
Correct Answer: C
Rationale: The correct answer is C (0.1 g).
To convert milligrams (mg) to grams (g), you need to divide the amount in mg by 1000 since there are 1000 mg in 1 g. In this case, 100 mg ÷ 1000 = 0.1 g.
Choice A (10 g) is incorrect as it is 100 times the correct answer.
Choice B (100 g) is incorrect as it is 1000 times the correct answer. The correct conversion is to divide by 1000, not multiply.
Question 4 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: The correct answer is B. Seeing spots is a manifestation of diabetic retinopathy because it is a common symptom caused by damage to the blood vessels in the retina due to prolonged high blood sugar levels. This results in the leaking of fluid and blood into the eye, leading to vision problems such as seeing spots.
Choice A is incorrect because an increase in intraocular pressure is associated with conditions like glaucoma, not diabetic retinopathy.
Choice C is incorrect because individuals with diabetes should have an eye exam annually, not every 2 years, to detect retinopathy early.
Choice D is incorrect because clouding of the lens is a sign of cataracts, not diabetic retinopathy.
Question 5 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.