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 attempting to obtain information from a child who is hearing impaired. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Speak slowly while facing the child. This is the best approach as it allows the child to lip-read and see the nurse's facial expressions. Speaking slowly helps the child understand better. Option B is incorrect as talking directly into the impaired ear won't help if the child is hearing impaired. Option C is incorrect as speaking loudly may distort speech and not necessarily improve understanding. Option D is incorrect as standing above the child's eye level can be intimidating and may not facilitate effective communication.
Question 3 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 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
A nurse is assisting with teaching a client about how to instill eye drops. The nurse asks the client to explain the procedure in their own words. Which of the following types of teaching methods is the nurse using?
Correct Answer: C
Rationale: The correct answer is C: Teach-back. The nurse is using the teach-back method by asking the client to explain the procedure in their own words to assess their understanding. This method helps reinforce learning, identify gaps in knowledge, and improve retention. It is an interactive approach that ensures the client can correctly demonstrate understanding. Lecture (
A) is a one-way communication method and may not assess understanding. Role play (
B) involves acting out scenarios and may not assess the client's understanding of the procedure. The other choices (D, E, F, G) are not relevant to the scenario provided.