ATI RN
ATI Custom T1 PM Summer 2023 Exam 5 Questions
Extract:
Question 1 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 2 of 5
A nurse is assisting with teaching a newly licensed nurse about pain. Which of the following is an example of acute pain?
Correct Answer: B
Rationale: The correct answer is B: Surgical incision. Acute pain is sudden and short-term, typically resulting from tissue damage like a surgical incision. Fibromyalgia, peripheral neuropathy, and rheumatoid arthritis are chronic pain conditions with long-lasting or recurring pain. Acute pain is usually well-localized and has a clear cause, unlike the other conditions mentioned. It is important for the nurse to recognize the difference between acute and chronic pain to provide appropriate care and management.
Question 3 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 4 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 answers are A, C, and D. A, noise from nearby monitoring equipment, can disrupt communication by making it difficult to hear or understand. C, cultural differences, can lead to misunderstandings due to differing communication styles or beliefs. D, using medical terminology with a client, can create confusion if the client doesn't understand the terms. B is incorrect because adequate lighting enhances communication. E is incorrect as facing the client promotes effective communication.
Question 5 of 5
A nurse is caring for a client who has a prescription for morphine 1 to 2 mg subcut every 4 hr PRN for pain. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Administer up to 2 mg of morphine in 4 hr. The prescription allows for a range of 1 to 2 mg every 4 hr as needed. Administering up to 2 mg falls within this range, ensuring the client receives adequate pain relief without exceeding the prescribed dosage. This option aligns with safe medication administration practices and respects the client's individual pain management needs.
Other options are incorrect:
A: Clarifying the dosage is unnecessary as the prescription range is clearly stated.
C: Clarifying the route is not necessary as it is specified as subcutaneous.
D: Administering 2 mg every 2 hr would exceed the maximum recommended dose frequency and could lead to potential overdose or adverse effects.