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RN Custom Summer~2023 Exam 5

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Title : RN Custom Summer~2023 Exam 5

Type : Nursing

Category : RN Nursing Exam(s)

Subcategory : ATI Exam(s)

Domain : RN ATI Pharmacology

Fragment : N/A

Module : RN-NURSING

Exam Status : active

Rating : 95.00%

Attempts Allowed : 100

Exam Year : 2023

Duration : 100 minutes

Total Questions : 10

Passing Score : 90%

Difficulty : Medium

Instructions : Read each question carefully and select the correct answer. Ensure you manage your time effectively to complete all questions within the given timeframe, as answers cannot be changed after submission.

Description : This paper tests core drug knowledge, safe medication administration, side effects, nursing implications, and dosage calculations. Questions are NCLEX-RN aligned and application-based.

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1 : A 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?

120 mL.

90ml

570 mL.

360 ml

Hint : Always convert oz to mL using 1 oz = 30 mL.

Correct Answers:

570 mL.

Rationale :

4 oz + 3 oz + 12 oz = 19 oz 1 oz = 30 mL → 19 × 30 = 570 mL

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2 : A nurse is caring for a client who has an oxygen saturation of 88%. Which of the following actions should the nurse take?

Decrease the head of the client's bed.

Ask the client to cough every 4 hr.

Encourage the client to take deep breaths.

Request a prescription for an opioid analgesic.

Hint : Help the lungs open up — breathe deep.

Correct Answers:

Encourage the client to take deep breaths.

Rationale :

Deep breathing promotes alveolar expansion and gas exchange.

Distractor Analysis :

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3 : 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?

"Most people get used to the new diet quickly.

"Lets see what foods you like that we can include in your new diet".

"You will feel better once you start the new diet.".

"Your old diet probably caused your diabetes.".

Hint : Build the plan around their preferences.

Correct Answers:

"You will feel better once you start the new diet.".

Rationale :

This response uses collaborative, patient-centered language to build motivation.

Distractor Analysis :

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4 : 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?

Quality.

Region

Severity

Precipitating cause.

Hint : Think: How bad is it? = Severity.

Correct Answers:

Severity

Rationale :

Asking for a 0–10 rating assesses the intensity or severity of pain.

Distractor Analysis :

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5 : Which of the following findings is a subjective indicator of pain?

The client reports a burning sensation.

The client's pupils are dilated.

The client is grimacing.

The client is restless.

Hint : If they feel it and say it — it’s subjective.

Correct Answers:

The client reports a burning sensation.

Rationale :

Subjective = what the client reports, not what is observed.

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6 : Which of the following actions should the nurse take?

Provide the information at a 10th-grade reading level.

Instruct the client to take the pain medication after the pain becomes severe.

Provide written materials that are printed with a small font size.

Instruct the client to keep a pain diary.

Hint : Track it to treat it.

Correct Answers:

Instruct the client to keep a pain diary.

Rationale :

A pain diary helps evaluate pain patterns and medication effectiveness.

Distractor Analysis :

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7 : A nurse is collecting data from an infant who has otitis media.

The nurse should expect which of the following findings?

Erythema and edema of the attested auricle.

Tugging on the affected ear lobe.

Bluish-green discharge from the ear canal.

Increase in appetite.

Hint : Ear pull = ear pain.

Correct Answers:

Tugging on the affected ear lobe.

Rationale :

Infants often tug at the ear with middle ear infections.

Distractor Analysis :

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8 : 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?

Kindness.

Good manners.

Common courtesy.

No maleficence.

Hint : Maleficence = bad; non-maleficence = no harm.

Correct Answers:

No maleficence.

Rationale :

This means "do no harm" while still working for the best outcome.

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9 : A nurse in a pediatric clinic is collecting data from a preschool-age child who has suspected impetigo contagious. Which of the following manifestations should the nurse expect to find with this skin infection?

Firm brown papules with a roughened, finely papillomatosis texture.

Scaly patches that have clear centers.

Reddened areas with white exudate.

Red macule with honey-colored crusts.

Hint : Honey crust = impetigo must.

Correct Answers:

Red macule with honey-colored crusts.

Rationale :

Classic presentation of impetigo is honey-colored crusts.

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10 : 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 no opioid analgesics? Select all that apply.

Codeine.

Acetaminophen.

Ibuprofen.

Fentanyl.

Oxycodone.

Hint : Look for NSAIDs and acetaminophen for non-opioid options.

Correct Answers:

Acetaminophen.
Ibuprofen.

Rationale :

Codeine, fentanyl, and oxycodone are opioids.

Distractor Analysis :

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1 : A 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?

2 : A nurse is caring for a client who has an oxygen saturation of 88%. Which of the following actions should the nurse take?

3 : 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?

4 : 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?

5 : Which of the following findings is a subjective indicator of pain?

6 : Which of the following actions should the nurse take?

7 : A nurse is collecting data from an infant who has otitis media.The nurse should expect which of the following findings?

8 : 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?

9 : A nurse in a pediatric clinic is collecting data from a preschool-age child who has suspected impetigo contagious. Which of the following manifestations should the nurse expect to find with this skin infection?

10 : 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 no opioid analgesics? Select all that apply.

7 : A nurse is collecting data from an infant who has otitis media.

The nurse should expect which of the following findings?

8 : 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?