ATI RN
ATI Custom T1 PM Summer 2023 Exam 5 Questions
Extract:
Question 1 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.
Question 2 of 5
A nurse is preparing to administer Dofetilide 200 mcg PO to a client. Available is Dofetilide 50 mcg tablets. How many tablets should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: A
Rationale: The correct answer is A: 4 tabs.
To achieve a dose of 200 mcg, the nurse should administer 4 tablets of 50 mcg each (4 x 50 = 200 mcg). This calculation ensures the client receives the prescribed dose accurately. Other choices are incorrect because they do not add up to the required dose of 200 mcg: B (3 x 50 = 150 mcg), C (2 x 50 = 100 mcg), and D (1 x 50 = 50 mcg).
Therefore, administering 4 tablets is the correct and accurate dosage calculation in this scenario.
Question 3 of 5
A nurse is caring for a client who reports back pain. The nurse asks the client to rate the pain on a scale of 0 to 10. The nurse is using which of the following to assess the pain?
Correct Answer: A
Rationale: The correct answer is A: Severity. By asking the client to rate the pain on a scale of 0 to 10, the nurse is assessing the severity of the pain. This helps the nurse understand the intensity of the pain the client is experiencing, which is crucial for determining appropriate interventions. Assessing the severity of pain is a fundamental aspect of pain assessment. Other choices are incorrect because: B (Quality) focuses on the characteristics of the pain, C (Region) identifies the location of the pain, and D (Precipitating cause) seeks to determine what triggers the pain. These options are important aspects of pain assessment but do not directly address the intensity or severity of the pain, making them less relevant in this context.
Question 4 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.
Question 5 of 5
A nurse is assessing a client following administration of an opioid narcotic. Which of the following findings indicates a decrease in the client's pain?
Correct Answer: A
Rationale: The correct answer is A: The client is asleep. When a client is asleep after receiving an opioid narcotic, it indicates a decrease in pain as opioids can cause sedation and relief from pain. This is a common side effect of opioids.
Choices B, C, and D are incorrect as they do not directly indicate a decrease in pain. Elevated blood pressure, increased respiratory rate, and diaphoresis are not typical indicators of pain relief following opioid administration.
Therefore, these choices are not relevant in determining a decrease in pain.