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 client who has a prescription for morphine 1 to 2 mg subcut every 4 hr PRN for pain. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Administer up to 2 mg of morphine in 4 hr. The prescription allows for a range of 1 to 2 mg every 4 hr as needed. Administering up to 2 mg falls within this range, ensuring the client receives adequate pain relief without exceeding the prescribed dosage. This option aligns with safe medication administration practices and respects the client's individual pain management needs.
Other options are incorrect:
A: Clarifying the dosage is unnecessary as the prescription range is clearly stated.
C: Clarifying the route is not necessary as it is specified as subcutaneous.
D: Administering 2 mg every 2 hr would exceed the maximum recommended dose frequency and could lead to potential overdose or adverse effects.
Question 3 of 5
A nurse is obtaining an oxygen saturation on a client. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Choose a finger with a capillary refill less than 2 sec. This is crucial as a capillary refill time longer than 2 seconds can indicate poor peripheral perfusion, affecting the accuracy of the oxygen saturation reading. Placing the sensor on a finger with good capillary refill ensures reliable results. Waiting 10 seconds after placing the probe (choice
A) is unnecessary and may delay care. Placing the sensor on the same extremity as an electronic blood pressure cuff (choice
B) can lead to inaccurate readings due to interference. Relocating the sensor every 8 hours (choice
C) is not a standard practice and may disrupt continuous monitoring.
Question 4 of 5
A nurse is assisting with teaching a newly licensed nurse about pain. Which of the following is an example of acute pain?
Correct Answer: B
Rationale: The correct answer is B: Surgical incision. Acute pain is sudden and usually short-term, resulting from tissue damage or injury like a surgical incision. It has a clear onset and identifiable cause. Fibromyalgia, peripheral neuropathy, and rheumatoid arthritis are chronic pain conditions characterized by long-lasting pain without a clear cause or sudden onset.
Therefore, they do not fit the definition of acute pain.
Question 5 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. Cefotaxime is typically dosed in milligrams (mg), not grams (g).
To convert mg to g, divide the dose by 1000 since 1 g = 1000 mg.
Therefore, 100 mg of cefotaxime is equal to 0.1 g.
Choice A (10 g) is way too high and would be toxic.
Choice B (100 g) is even higher and would be extremely dangerous.
Choice D and the subsequent choices are not provided, so they are not applicable.