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 answer is A, C, and D. Noise from nearby monitoring equipment can hinder effective communication by making it difficult to hear and understand. Cultural differences may lead to misunderstandings, affecting communication. Using medical terminology with clients who may not understand can create barriers. Adequate lighting (
B) and facing the client (E) are important for communication but are not listed as potential barriers in this scenario.
Question 2 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.
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: 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 4 of 5
A nurse is assisting in preparing an in-service program about preventing medication errors when transcribing a prescription. The nurse is using a dosage example of four tenths of a milligram. Which of the following transcription examples should the nurse use?
Correct Answer: B
Rationale: The correct answer is B: 0.4 mg. When transcribing a dosage of four tenths of a milligram, it should be written as 0.4 mg to ensure clarity and accuracy. Using 4.0 mg (
Choice
A) would imply 4 milligrams, which is significantly different. 4 mg (
Choice
C) would indicate 4 milligrams as well. 0.40 mg (
Choice
D) is not necessary as it adds unnecessary zeros after the decimal point, making it less clear.
Therefore, B is the most accurate and appropriate transcription example for four tenths of a milligram.
Question 5 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