ATI RN
ATI Custom T1 PM Summer 2023 Exam 5 Questions
Extract:
Question 1 of 5
A nurse is reinforcing teaching with a client about maintaining taste and smell. Which of the following statements should the nurse make?
Correct Answer: C
Rationale: The correct answer is C, "Brush your teeth twice per day." Maintaining good oral hygiene by brushing teeth helps to prevent the buildup of bacteria that can lead to bad breath and affect taste and smell. Chewing foods quickly (
A) does not have a direct impact on taste and smell. Avoiding spices (
B) is not recommended as they can enhance flavor. Seeing a dentist every 2 years (
D) is important for oral health but not specifically related to taste and smell maintenance.
Question 2 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.
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 reinforcing discharge teaching with a client about medications. Which of the following client statements indicate an understanding?
Correct Answer: B
Rationale: The correct answer is B. Storing narcotic medications in the original package helps ensure proper identification, dosage, and expiration dates. It also prevents confusion with other medications.
Choice A is incorrect because unused narcotic medications should be disposed of properly, not in a trash container.
Choice C is incorrect as obtaining medications from different pharmacies can lead to drug interactions and duplicate therapy.
Choice D is incorrect as over-the-counter medications should be stored in a secure, locked cabinet to prevent accidental ingestion, especially by children.
Question 5 of 5
A nurse is collecting data on a client for manifestations of pain. Which of the following findings is an objective indicator of pain?
Correct Answer: C
Rationale:
Correct Answer: C - The client grimaces when they move.
Rationale:
1. Grimacing is a physical expression that can be observed by the nurse.
2. It is an objective indicator, not influenced by individual interpretation.
3. Grimacing indicates non-verbal signs of pain, enhancing assessment accuracy.
Summary:
A. Reporting a burning sensation is subjective, based on client's perception.
B. Locating pain in the abdomen is subjective and lacks direct observation.
D. Rating pain on a scale is subjective, influenced by personal pain tolerance.