ATI_Custom_T1_PM_Summer_2023_Exam_5
Total Questions : 49
Showing 25 questions, Sign in for moreA nurse calculates a client's fluid intake over the past 8 hours. The client had one 4-oz cup of coffee, 3 oz of juice, and 12 oz of soda.
How many mL should the nurse document as the client's total intake for the shift?
No explanation
A nurse is caring for a client who has an oxygen saturation of 88%. Which of the following actions should the nurse take?
A. Decrease the head of the client's bed.
No explanation
A nurse is caring for a client who has a new diagnosis of diabetes mellitus.
The client states they will never be able to follow the prescribed diet.
Which of the following statements should the nurse make?
No explanation
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?
No explanation
Which of the following findings is a subjective indicator of pain?
No explanation
Which of the following actions should the nurse take?
No explanation
A nurse is collecting data from an infant who has otitis media.
The nurse should expect which of the following findings?
No explanation
A nurse is assisting with teaching a newly licensed nurse about ethical principles.
The nurse should include that working to not cause harm to a client, while trying to achieve the best possible outcome, is an example of which of the following ethical principles?
No explanation
A nurse in a pediatric clinic is collecting data from a preschool-age child who has suspected impetigo contagiosa.
Which of the following manifestations should the nurse expect to find with this skin infection?
No explanation
A nurse is assisting with teaching a class about the use of pain medications to clients who have an opioid addiction.
Which of the following medications are nonopioid analgesics? Select all that apply.
No explanation
A nurse is preparing a 4-year-old child for discharge following a bilateral myringotomy with tympanostomy tube placement.
The mother asks what to do if the tubes fall out.
The nurse should give the parent which of the following instructions?
No explanation
A nurse is collecting data on a client who has a heart rate of 56/min.
Which of the following findings should the nurse expect?
No explanation
A nurse is preparing to administer liquid famotidine 20 mg PO every 6 hr for GERD.
Available is famotidine 40 mg/5 mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth.
Use a leading zero if it applies.
Do not use a trailing zero.).
Explanation
There is no specific statement provided for Choice A, but it is not the correct answer. In this case, the nurse is preparing to administer liquid famotidine 20 mg PO (by mouth) every 6 hours for GERD (gastroesophageal reflux disease). The available concentration is famotidine 40 mg/5 mL. To determine the amount of famotidine to administer per dose, you need to calculate the volume of the liquid (mL) required to deliver 20 mg of famotidine. The formula to calculate the volume (mL) to administer is: Volume (mL) = Desired dose (mg) / Concentration (mg/mL) Volume (mL) = 20 mg / 40 mg/5 mL Volume (mL) = 20 mg / (8 mg/mL) Volume (mL) = 2.5 mL Since the answer should be rounded to the nearest tenth and expressed with a leading zero (if applicable), the nurse should administer 2.5 mL of liquid famotidine per dose, which can be rounded to 2.5 mL.
A nurse is collecting data on a client for manifestations of pain.
Which of the following findings is an objective indicator of pain?
No explanation
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?
Explanation
Answer is: A. The client is asleep.
Explanation:
- A. The client is asleep. This is the correct answer because a client who is asleep is likely to have less pain than a client who is awake and restless. Opioid narcotics can also cause sedation, which can indicate effective pain relief.
- B. The client has an elevated blood pressure. This is incorrect because an elevated blood pressure can indicate increased pain, stress, anxiety, or other factors that are not related to pain relief. Opioid narcotics can also cause hypotension, which can indicate overdose or adverse effects.
- C. The client has an increased respiratory rate. This is incorrect because an increased respiratory rate can indicate increased pain, anxiety, hypoxia, or other factors that are not related to pain relief. Opioid narcotics can also cause respiratory depression, which can indicate overdose or adverse effects.
- D. The client is diaphoretic. This is incorrect because diaphoresis can indicate increased pain, fever, infection, or other factors that are not related to pain relief. Opioid narcotics can also cause sweating, which can indicate withdrawal or adverse effects.
A nurse is reinforcing teaching with a client about maintaining taste and smell.
Which of the following statements should the nurse make?
No explanation
A nurse is caring for a client who has a cloudy, opaque area over the lens of one eye.
The nurse should identify that this is a manifestation of which of the following visual impairments?
No explanation
A nurse is caring for a postoperative client who is receiving fentanyl.
Which of the following medications should the nurse plan to administer to the client if manifestations of fentanyl toxicity occur?
No explanation
A nurse is collecting data from a client who has an inadequate dietary intake of Vitamin A. Which of the following findings should the nurse expect?
No explanation
A nurse is caring for a client who has impaired speech.
Which of the following actions should the nurse take?
No explanation
A nurse is preparing to administer hydrochlorothiazide 75 mg PO. The amount available is hydrochlorothiazide 50 mg/tablet.
How many tablets should the nurse administer? (Round the answer to the nearest tenth.
Use a leading zero if it applies.).
Explanation
Step 1 is to determine the amount of medication needed. The nurse needs to administer 75 mg of hydrochlorothiazide.
Step 2 is to understand the amount available. Each tablet contains 50 mg of hydrochlorothiazide.
Step 3 is to calculate the number of tablets. This can be done by dividing the total amount needed (75 mg) by the amount in each tablet (50 mg). So, the calculation is 75 mg ÷ 50 mg/tablet.
Step 4 is to round the answer to the nearest tenth.
So, the correct answer is, after analyzing all steps, the nurse should administer1.5tablets of hydrochlorothiazide.
A nurse is collecting data on a client who is nonverbal for acute pain.
Which of the following findings is a manifestation of pain?
No explanation
transcribing a prescription.
The nurse is using a dosage example of four tenths of a milligram.
Which of the following transcription examples should the nurse use?
No explanation
A nurse is caring for a client who has a moderate vision impairment.
Which of the following actions should the nurse take?
No explanation
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?
No explanation
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