ATI RN
ATI Comprehensive Predictor 2023 Questions
Question 1 of 5
A nurse on a medical-surgical unit is planning care for four clients. The nurse should plan to use sterile gloves when performing which of the following procedures?
Correct Answer: C
Rationale: The correct answer is C: Changing a central venous catheter dressing for a client who is receiving IV therapy. Sterile gloves are necessary to prevent infection during invasive procedures like changing a central line dressing, as it involves direct contact with the client's bloodstream. The other options do not require sterile gloves. A: Instilling ophthalmic ointment is a clean procedure. B: Inserting an NG tube does not require sterile gloves but clean gloves. D: Administering an IM injection also requires clean gloves.
Question 2 of 5
A nurse is reinforcing teaching about hand hygiene with a newly licensed nurse. Which of the following information should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A: Interlace the fingers while rubbing hands together. This technique ensures thorough coverage of all hand surfaces, including between the fingers and under the nails, maximizing the removal of germs. Option B's 10 seconds is insufficient for effective handwashing. Option C's hot water can be too harsh and lead to skin damage. Option D's drying method should start from fingers to forearm to prevent contamination.
Question 3 of 5
A nurse is caring for a client who is receiving morphine for pain. Which of the following findings indicates that the client is experiencing an adverse effect of the medication?
Correct Answer: D
Rationale: The correct answer is D: Urinary retention. Morphine is known to cause urinary retention as it can affect the smooth muscle tone of the bladder. This adverse effect can lead to the client experiencing difficulty or inability to urinate. Tachycardia (
A), lacrimation (
B), and hypertension (
C) are not typically associated with morphine use and are more likely to be symptoms of other conditions or medications.
Therefore, the presence of urinary retention should raise concerns as a potential adverse effect of morphine in this client.
Question 4 of 5
A nurse is caring for a child who has terminal cancer. Which of the following responses by the child's school-age brother should the nurse expect?
Correct Answer: C
Rationale: The correct answer is C because school-age children often have egocentric thinking and may believe their actions directly impact others, including causing illness or death. This phenomenon is known as magical thinking. Regressing to an earlier developmental level (
A) is more common in younger children. Alienating from peers (
B) may occur but is not directly related to the brother's illness. Believing death is reversible (
D) is unrealistic and not typical of a school-age child's understanding of death.
Question 5 of 5
A nurse is reinforcing teaching about advance directives with a client who has end-stage heart failure. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: B
Rationale:
Correct
Answer: B
Rationale: Involving family in the discussion of advance directives is crucial for ensuring the client's wishes are known and respected. It also helps in decision-making if the client becomes incapacitated. This shows understanding of the purpose and value of advance directives.
Choice A is incorrect because advance directives can be updated or revoked at any time.
Choice C is incorrect as the partner's presence is not a requirement for signing advance directives.
Choice D is incorrect as notarization is not always necessary for advance directives to be valid.