ATI RN
RN ATI Comprehensive Assessment Exam Retake 2023 V2 Questions
Question 1 of 5
A nurse is providing teaching to a client who is at 14 weeks of gestation about findings to report to the provider. Which of the following findings should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct answer is D: Swelling of the face. At 14 weeks of gestation, facial swelling could indicate preeclampsia, a serious condition characterized by high blood pressure. This finding should be reported to the provider immediately for further evaluation and management to prevent complications.
Incorrect choices:
A: Bleeding gums - Common during pregnancy due to hormonal changes, usually not a significant concern.
B: Faintness upon rising - Could be related to postural hypotension, common in pregnancy but typically not urgent.
C: Urinary frequency - Normal in pregnancy due to increased blood flow to the kidneys, not typically a concerning issue at this stage.
Question 2 of 5
A nurse is providing discharge teaching to a client following a total gastrectomy. The nurse should instruct the client about which of the following medications?
Correct Answer: B
Rationale: The correct answer is B: Vitamin B12. After a total gastrectomy, the client is at risk for developing pernicious anemia due to the lack of intrinsic factor production, which is essential for Vitamin B12 absorption. Vitamin B12 supplementation is crucial to prevent this deficiency.
Ranitidine (
A) is an H2 blocker that reduces stomach acid production and is not specifically necessary after a total gastrectomy. Vitamin K (
C) is essential for blood clotting but is not directly related to the client's condition post-total gastrectomy. Metoclopramide (
D) is a prokinetic agent used for gastroparesis and is not indicated for Vitamin B12 deficiency post-total gastrectomy.
Question 3 of 5
A nurse is teaching a client about family planning using the basal body temperature method. Which of the following instructions should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A: "Take your temperature immediately after waking and before getting out of bed." This instruction is crucial for accurately tracking basal body temperature, as it helps minimize external factors that could affect the reading. Taking the temperature before getting out of bed ensures consistency in the readings, as any physical activity or movement can influence the results. By measuring the temperature at the same time each morning, variations can be detected, which is essential for determining ovulation and fertile periods.
Choice B is incorrect as waiting 30 minutes after waking can introduce inaccuracies due to possible activities during that time.
Choice C is incorrect because taking the temperature an hour after waking can lead to fluctuations in readings.
Choice D is incorrect as taking the temperature before going to bed does not capture the basal body temperature accurately.
Question 4 of 5
A nurse is caring for a client who has heart failure. Which of the following manifestations should the nurse expect?
Correct Answer: A
Rationale: The correct answer is A: Crackles in lungs. In heart failure, the heart is unable to effectively pump blood, leading to fluid accumulation in the lungs, causing crackles on auscultation due to pulmonary edema. Decreased thirst (
B) is not typical in heart failure as fluid overload often leads to increased thirst. Poor skin turgor (
C) is more indicative of dehydration. Tachycardia (
D) can occur in heart failure, but it is not specific to this condition.
Extract:
Nurses: Notes
0700
Client is admitted to the unit. They deny suicidal ideations at this time. Client states, 'I am an assistant to a powerful spirit.' Client is poorly groomed and has body odor.
0900:
Called to the client's room. Client states, 'I cannot believe you put me in a room with spiders on the wall,' Client requests immediate transfer to another room.
1200:
Psychiatrist is at the bedside evaluating the client. After history and physical, psychiatrist states that they have diagnosed the client with schizophrenia. Client is to be started on medication and milieu therapy.
Laboratory Results
0700:
Urine drug screen: negative (negative)
History and Physical
0700:
Majority of client's history is obtained from client's parent who presents with client today. According to the parent, client has been acting strangely for a few months. Client's symptoms have been progressively worsening
In the last month, the client has been seeing things that are not present and believes that they are in a close relationship with 'a powerful spirit.' Client has not been bathing regularly for the last few weeks.
Client has no significant health history. Client reports that they do not take illicit substances or drink alcohol. Client's grandparent has a history of schizophrenia.
Vital Signs
0730:
Heart rate 68/min
Respiratory rate 18/min
BP 118/81 mm Hg
Temperature 37.2°C (98.9°F)
Question 5 of 5
For each potential action, click to specify if the action is indicated or contraindicated for the client.
Correct Answer: B, C, D indicated; A, E contraindicated
Rationale: The correct answer is B, C, D indicated; A, E contraindicated.
- B: Asking the client about the content of their hallucinations is indicated as it helps assess their mental state.
- C: Instructing the client on expected hygiene practices is indicated for their overall well-being.
- D: Assessing the client for suicidal ideation is crucial for identifying any potential risk.
- A: Allowing the client to watch TV at a high volume can exacerbate hallucinations, so it is contraindicated.
- E: Placing the client in a room near the activity room may increase sensory stimulation, worsening their condition, so it is contraindicated.