ATI RN
ATI Custom T1 PM Summer 2023 Exam 5 Questions
Extract:
Question 1 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: The correct answers are A, C, and D. A, noise from nearby monitoring equipment, can disrupt communication by making it difficult to hear or understand. C, cultural differences, can lead to misunderstandings due to differing communication styles or beliefs. D, using medical terminology with a client, can create confusion if the client doesn't understand the terms. B is incorrect because adequate lighting enhances communication. E is incorrect as facing the client promotes effective communication.
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 caring for a client who had radiation therapy, prescribed by their Oncologist, and is experiencing painful dermatitis. The nurse should identify the client is experiencing which of the following types of pain?
Correct Answer: B
Rationale: The correct answer is B: Neuropathic pain. Radiation therapy can damage nerves, leading to neuropathic pain characterized by shooting, burning, or tingling sensations. This type of pain is often chronic and difficult to treat. Chronic pain (
A) is persistent but not necessarily neuropathic. Acute pain (
C) is sudden and short-lived. Cancer pain (
D) is caused by the tumor itself, not radiation therapy-induced dermatitis.
Question 4 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 5 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.