ATI RN
ATI RN Comprehensive Predictor 2023 Retake 1 Questions
Question 1 of 5
A nurse is reinforcing teaching with a client who has a new prescription for clopidogrel. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Reporting unusual bleeding is critical with clopidogrel, an antiplatelet, due to bleeding risk. It can be taken with food, timing is flexible, and vitamin K is unrelated.
Question 2 of 5
A nurse is assisting with the care of a client who is receiving a unit of packed RBCs. Fifteen minutes after starting the transfusion, the client reports itching and hives. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Stopping the transfusion is the first action to prevent worsening of an allergic reaction, indicated by itching and hives. Notifying the provider, administering diphenhydramine, or collecting urine follow after stopping the transfusion.
Question 3 of 5
An older client with a history of heart failure is admitted with influenza and requests assistance to sit up in bed to eat lunch. The nurse observes the unlicensed assistive personnel (UAP) wearing a gown and gloves to assist the client. Which action should the nurse take?
Correct Answer: A
Rationale: The client has influenza, a droplet-transmitted respiratory illness. The UAP is in close contact with the client, so a face mask is necessary in addition to a gown and gloves to prevent virus spread, per CDC guidelines. A fitted respirator mask is not required for influenza, as it is not airborne like tuberculosis. Reassigning the UAP is unnecessary since adding a face mask completes the PPE. Instructing the UAP to report respiratory changes is good practice but does not address the immediate PPE need.
Question 4 of 5
A nurse is assisting with the care of a client who is receiving total parenteral nutrition (TPN). Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Checking blood glucose is essential with TPN due to high dextrose content, which can cause hyperglycemia. IV sites are changed per protocol, TPN requires central access, and weight is monitored daily.
Question 5 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: Urinary retention is an adverse effect of morphine, which inhibits bladder contractions. Tachycardia, lacrimation, and hypertension are not typical morphine side effects; bradycardia and hypotension are more common.