ATI RN
ATI Custom T1 PM Summer 2023 Exam 5 Questions
Extract:
Question 1 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 2 of 5
A nurse is preparing a 4-year-old child for discharge following a bilateral myringotomy with tympanostomy tube placement. The mother asks what to do if the tubes fall out. The nurse should give the parent which of the following instructions?
Correct Answer: A
Rationale: The correct answer is A. It is important for the parent to call the health care clinic to report that the tubes have fallen out. This is because healthcare professionals need to assess the situation, determine if the tubes need to be replaced, and provide further instructions. Taking the child to an emergency department (
B) may not be necessary unless there are complications. Reassuring the mother that the tubes will not fall out (
C) is not accurate as tubes can indeed fall out. Gently reinserting the tubes (
D) should never be done by a parent as this can cause harm. It is crucial to involve the healthcare provider in managing the situation.
Question 3 of 5
A nurse is caring for a child who has a suspected diagnosis of bacterial meningitis. Which of the following actions is the nurse's priority?
Correct Answer: B
Rationale: The correct answer is B: Administer antibiotics when available. Administering antibiotics promptly is crucial in bacterial meningitis to prevent further complications and improve the child's prognosis. Delay in antibiotic administration can lead to serious consequences such as brain damage or death. Documenting intake and output (
A) is important but not the priority in this acute situation. Maintaining seizure precautions (
C) is vital for a child with a seizure disorder but not the priority in bacterial meningitis. Reducing environmental stimuli (
D) may help in managing symptoms, but administering antibiotics takes precedence in treating the underlying infection.
Question 4 of 5
A nurse is collecting data on a client who has opioid toxicity. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: The correct answer is A: Respiratory rate 10/min. In opioid toxicity, respiratory depression is a common effect due to the suppression of the brainstem respiratory center. A low respiratory rate of 10/min indicates hypoventilation, which is a critical sign of opioid toxicity. This can lead to hypoxia and respiratory arrest. The other options are incorrect because: B: A heart rate of 112/min is not a typical finding in opioid toxicity; C: A blood pressure of 168/90 mm Hg is not specifically associated with opioid toxicity; D: A temperature of 38.2°C (100.8°F) is within normal range and not directly related to opioid toxicity.
Question 5 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Provide the information at a 10th-grade reading level. This is crucial to ensure effective communication with the client as it promotes understanding and helps prevent misinterpretation. Providing information at a 10th-grade reading level ensures that the content is clear, concise, and easily comprehensible for a wide range of individuals. In contrast, options B, C, and D are incorrect. Instructing the client to take pain medication only after the pain becomes severe (
B) can lead to unnecessary suffering. Providing written materials with a small font size (
C) may impede readability and comprehension. Instructing the client to keep a pain diary (
D) may not be the most appropriate action without first ensuring the client understands how to accurately document their pain experiences.