ATI RN
ATI Custom T1 PM Summer 2023 Exam 5 Questions
Extract:
Question 1 of 5
A nurse is preparing to administer hydrochlorothiazide 75 mg PO. The amount available is hydrochlorothiazide 50 mg/tablet. How many tablets should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies.)
Correct Answer: A
Rationale:
To calculate the number of tablets to administer, divide the desired dose by the dose strength per tablet. In this case, 75 mg รท 50 mg = 1.5 tablets. This means the nurse should administer 1.5 tablets of hydrochlorothiazide. Since the tablets cannot be divided, rounding to the nearest whole tablet is necessary, making the correct answer A: 1.5 tablet(s). Other choices are incorrect because they do not accurately reflect the calculation. B: 1.4 tablet(s), C: 1.6 tablet(s), and D: 1.7 tablet(s) do not match the calculated dose of 1.5 tablets.
Question 2 of 5
A nurse is collecting data on a client who is nonverbal for acute pain. Which of the following findings is a manifestation of pain?
Correct Answer: C
Rationale: The correct answer is C: Elevated blood pressure. Pain activates the sympathetic nervous system, causing vasoconstriction and increased heart rate, leading to elevated blood pressure. Decreased heart rate (
A) is not typically associated with pain. Constricted pupils (
B) may indicate opioid use or bright light exposure, not necessarily pain. Reduced respiratory rate (
D) is not a consistent manifestation of pain.
Question 3 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 4 of 5
A nurse is caring for a client who has a moderate vision impairment. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Face the client when speaking to them. This is important because by facing the client, the nurse allows the client to see their facial expressions and lip movements, which can aid in understanding the conversation. This non-verbal cue can help bridge the communication gap caused by the vision impairment. Opening shades (choice
A) may create glare or shadows that could further hinder the client's vision. Using gestures (choice
C) may not be effective if the client cannot see them clearly. Speaking loudly (choice
D) is not necessary and may come off as intimidating or patronizing.
Question 5 of 5
A nurse on an inpatient mental health unit is caring for a group of clients. Which of the following actions by the nurse demonstrates the ethical concept of autonomy?
Correct Answer: D
Rationale: The correct answer is D because supporting a client's wishes to refuse prescribed treatments upholds the ethical principle of autonomy, which respects a person's right to make their own decisions about their care. This demonstrates the nurse's commitment to promoting the client's self-determination and independence. Describing medication side effects (
A) is important but doesn't directly relate to autonomy. Spending extra time to calm an agitated client (
B) is more about providing therapeutic communication and support. Ensuring client understanding of group participation expectations (
C) is about fostering informed consent.