ATI RN
ATI Comprehensive Predictor 2023 Exit Exam B Questions
Question 1 of 5
For each potential provider's prescription, click to specify if the potential prescription is anticipated or contraindicated for the client.
| Applying warm compresses to the incision site |
| Maintaining bed rest for 2 days postoperatively |
| Irrigating indwelling urinary catheter with 50 mL of normal saline |
| Administering enema to relieve constipation |
| Placing a blanket roll under the client's knees while in bed |
Correct Answer: A
Rationale: The correct answer is A: Applying warm compresses to the incision site. Warm compresses can promote circulation, reduce pain, and aid in wound healing postoperatively. This intervention is anticipated for the client's recovery.
B: Maintaining bed rest for 2 days postoperatively - Not ideal as prolonged bed rest can increase the risk of complications such as blood clots.
C: Irrigating indwelling urinary catheter with 50 mL of normal saline - Not relevant to the incision site and may not be indicated postoperatively.
D: Administering enema to relieve constipation - Unrelated to the incision site and may not be necessary unless constipation is a specific issue.
E: Placing a blanket roll under the client's knees while in bed - This can help with comfort and prevent pressure ulcers but is not directly related to the incision site.
Question 2 of 5
The nurse is ready to begin the blood transfusion. For each potential nursing action, click to specify if the action is indicated or not indicated for the client.
| Stay with the client for the first 15 min of the transfusion |
| Document the blood product transfusion in the client's medical record |
| Obtain the first unit of packed RBCs from the blood bank |
| Titrate the rate of infusion to maintain the client's blood pressure at least 90/60 mm Hg |
| Start an IV bolus of lactated Ringer's solution |
Correct Answer: A,B
Rationale:
To select the correct answers , we must consider the best practices for administering a blood transfusion. (
A) Staying with the client for the first 15 minutes is crucial to monitor for any immediate adverse reactions. (
B) Documenting the transfusion in the client's medical record ensures accurate tracking of the procedure.
Choices (
C), (
D), and (E) are not indicated during the initial phase of a blood transfusion. (
C) Obtaining the blood from the blood bank is a necessary action but not at the moment of starting the transfusion. (
D) Titration of the infusion rate should be based on the specific protocol and not solely to maintain blood pressure. (E) Starting an IV bolus of lactated Ringer's solution is not part of the standard procedure for blood transfusions.
Extract:
0400:.
57-year-old male client presents to the emergency department with severe abdominal and epigastric pain that began about 12 hr ago. Client rates pain as a 7 on a 0 to 10 pain scale. Client reports pain worsens after eating and radiates into his back. States is nauseous and has had several episodes of vomiting, i Reports some shortness of air and increased pain when lying । flat.
Client is alert and oriented x4 but appears ill. Sclera and palate noted to be yellow. Abdomen distended, rigid, and tender to palpation. Skin turgor poor.
Client reports consuming 3 to 4 alcoholic drinks per day, denies use of other substances. No known allergies.
0730:.
Will admit to medical-surgical unit for treatment of pancreatitis. Treatment plan discussed with client.
Question 3 of 5
The nurse is providing teaching to the client about self-care. Select the 3 statements the nurse should include in the teaching.
Correct Answer: B,C,D
Rationale: The correct answers are B, C, and D. B is important for overall health and can prevent certain diseases. C is crucial as vomiting and diarrhea can lead to dehydration. D is essential as excessive alcohol intake can harm the body. A is incorrect because caffeine can worsen certain health conditions. E is incorrect as the statement does not specify the type of diet needed for the client.
Extract:
Question 4 of 5
A nurse is admitting an adolescent who has rubella. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Isolate the client from staff who are pregnant. Rubella is highly contagious and can be harmful to pregnant women, potentially leading to birth defects in their babies. By isolating the client from pregnant staff, the nurse can prevent transmission of the virus and protect the health of both the pregnant individuals and their unborn babies. Administering aspirin (
A) is contraindicated in rubella due to the risk of Reye's syndrome. Airborne precautions (
C) are not necessary for rubella as the virus is spread through droplets. Monitoring for Koplik spots (
D) is relevant for measles, not rubella.
Question 5 of 5
A nurse is setting up a sterile field to perform wound irrigation for a client. Which of the following actions should the nurse take when pouring the sterile solution?
Correct Answer: C
Rationale:
Correct
Answer: C
Rationale: When pouring the sterile solution, the nurse should remove the cap and place it sterile-side up on a clean surface to prevent contamination. Placing the cap sterile-side up ensures that the inner part of the cap, which will come into contact with the solution, remains sterile. This action helps maintain the sterility of the solution and prevents introducing contaminants into the wound during irrigation.
Summary of other choices:
A: Placing sterile gauze over spilled solution within the sterile field is incorrect because it could introduce non-sterile items into the field, compromising its sterility.
B: Holding the irrigation solution bottle with the label facing away from the palm of the hand is irrelevant to maintaining sterility during pouring.
D: Holding the bottle in the center of the sterile field when pouring the solution does not address the issue of maintaining the sterility of the cap or preventing contamination.