ATI RN
ATI Custom T1 PM Summer 2023 Exam 5 Questions
Extract:
Question 1 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 2 of 5
A nurse is assisting with teaching a newly licensed nurse about ethical principles. The nurse should include that working to not cause harm to a client, while trying to achieve the best possible outcome, is an example of which of the following ethical principles?
Correct Answer: D
Rationale: The correct answer is D: Nonmaleficence. Nonmaleficence is the ethical principle of "do no harm." In healthcare, it means that the primary goal is to avoid causing harm to the patient. By working to not cause harm to a client while trying to achieve the best possible outcome, the nurse is adhering to the principle of nonmaleficence.
Why the other choices are incorrect:
A: Kindness - While kindness is important in nursing practice, it is not specifically related to the ethical principle of nonmaleficence.
B: Good manners - Good manners are about politeness and etiquette, not directly related to the ethical principle of nonmaleficence.
C: Common courtesy - Common courtesy is about being polite and considerate, but it does not encompass the ethical principle of nonmaleficence.
Question 3 of 5
A nurse is caring for a client who has impaired speech. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Allow extra time to communicate with the client. This is the best action because it shows patience and understanding towards the client's impaired speech. Rushing the client may cause frustration and hinder effective communication.
B: Finishing sentences for the client is not recommended as it can be perceived as disrespectful and may not accurately reflect the client's thoughts.
C: Asking open-ended questions may be helpful, but allowing extra time is more critical in this situation.
D: Avoiding visual aids for communication is not necessary unless the client specifically prefers verbal communication.
Question 4 of 5
A nurse calculates a client's fluid intake over the past 8 hours. The client had one 4-oz cup of coffee, 3 oz of juice, and 12 oz of soda. How many mL should the nurse document as the client's total intake for the shift?
Correct Answer: C
Rationale: The correct answer is C: 570 mL.
To calculate the total intake, convert the volume of each drink to mL: 4 oz = 120 mL, 3 oz = 90 mL, 12 oz = 360 mL. Add these together: 120 + 90 + 360 = 570 mL. This is the total fluid intake for the client over the past 8 hours.
Choice A (120 mL) is incorrect as it only accounts for the coffee.
Choice B (90 mL) is incorrect as it only accounts for the juice.
Choice D (360 mL) is incorrect as it only accounts for the soda.
Question 5 of 5
A nurse is reinforcing teaching with a client who has diabetic neuropathy about foot care. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: The correct answer is C: Avoid walking barefoot. Walking barefoot can increase the risk of injury and infection for a client with diabetic neuropathy due to decreased sensation in the feet. This instruction helps prevent complications like foot ulcers.
Choice A is incorrect as open-toed shoes do not provide adequate protection.
Choice B is incorrect as hot water can cause burns or skin damage.
Choice D is incorrect as applying lotion between the toes can create a moist environment, promoting fungal growth.