ATI Custom T1 PM Summer 2023 Exam 5 | Nurselytic

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.

Correct Answer: D

Rationale: The correct answer is D: Nonmaleficence. Nonmaleficence is the ethical principle of "do no harm." In healthcare, it means that the primary goal is to avoid causing harm to the patient. By working to not cause harm to a client while trying to achieve the best possible outcome, the nurse is adhering to the principle of nonmaleficence.

Why the other choices are incorrect:
A: Kindness - While kindness is important in nursing practice, it is not specifically related to the ethical principle of nonmaleficence.
B: Good manners - Good manners are about politeness and etiquette, not directly related to the ethical principle of nonmaleficence.
C: Common courtesy - Common courtesy is about being polite and considerate, but it does not encompass the ethical principle of nonmaleficence.

Correct Answer: C

Rationale:
To calculate the total protein/day for the client, we first convert their weight from pounds to kilograms by dividing 220 lb by 2.2 (1 kg = 2.2 lb) = 100 kg. The client's previous protein intake was 0.8 g/kg/day, so they were consuming 0.8 x 100 = 80 g/day. The client requires an increase of 2.0 g/kg/day, so the additional protein needed is 2.0 x 100 = 200 g/day. Adding this to the previous intake of 80 g, the total protein/day should be 80 + 200 = 280 g/day.
Therefore, choice C, 280 g of protein/day, is the correct answer.

Choices A, B, and D are incorrect because they do not consider the client's weight, previous protein intake, and the required increase in protein intake.

Correct Answer: A

Rationale: The correct answer is A: Use the FACES Scale to assess the child's pain level. The FACES Scale is a reliable and valid pain assessment tool for children, including those as young as 3 years old. It uses facial expressions to represent different levels of pain, making it easier for young children to understand and communicate their pain level. Using a numeric scale (
Choice
B) may be difficult for a 3-year-old to comprehend and accurately express their pain level. The Visual Analog Scale (
Choice
C) may also be challenging for young children to use effectively. Using a color tool (
Choice
D) is not a standard pain assessment method for children and may not provide accurate results. Overall, the FACES Scale is the most appropriate choice for assessing pain in a 3-year-old child postoperatively.

Correct Answer: B

Rationale: The correct answer is B: Administer antibiotics when available. Administering antibiotics promptly is crucial in bacterial meningitis to prevent further complications and improve the child's prognosis. Delay in antibiotic administration can lead to serious consequences such as brain damage or death. Documenting intake and output (
A) is important but not the priority in this acute situation. Maintaining seizure precautions (
C) is vital for a child with a seizure disorder but not the priority in bacterial meningitis. Reducing environmental stimuli (
D) may help in managing symptoms, but administering antibiotics takes precedence in treating the underlying infection.