ATI RN
ATI RN Comprehensive Predictor 2023 Updated Questions
Extract:
Question 1 of 5
A charge nurse is delegating care for a group of clients. Which of the following tasks should the charge nurse assign to a licensed practical nurse?
Correct Answer: A
Rationale: The correct answer is A: Perform a sterile dressing change for a client who has an abdominal wound. A licensed practical nurse (LPN) is trained and competent in performing sterile dressing changes, which is within their scope of practice. LPNs are skilled in wound care and can safely complete this task without direct supervision. This task does not require critical thinking or complex assessment skills beyond the LPN's training.
Choice B is incorrect as performing an admission assessment requires a registered nurse's assessment skills and critical thinking abilities.
Choice C is also incorrect as discharge teaching for a new diagnosis of diabetes requires in-depth knowledge and assessment skills typically provided by a registered nurse or advanced practice nurse.
Choice D is incorrect as completing the Glasgow Coma Scale for a client with an evolving stroke involves critical assessment skills and monitoring, which is beyond the LPN's scope of practice.
Question 2 of 5
A nurse is caring for a client who repeatedly refuses meals. The nurse overhears an assistive personnel (AP) telling the client, 'If you don't eat, I'll put restraints on your wrists and feed you.' The nurse should intervene and explain to the AP that this statement constitutes which of the following torts?
Correct Answer: D
Rationale:
Correct
Answer: D - Assault.
Rationale: The statement made by the assistive personnel constitutes assault, which is the threat of harmful or offensive contact without consent. The threat to put restraints on the client's wrists and force-feed them is a clear example of an imminent threat of physical harm. This is different from battery, which involves actual physical contact without consent. Negligence and malpractice involve failure to provide proper care or breaching a standard of care, not making threats.
Therefore, the correct answer is D.
Question 3 of 5
A nurse is creating a plan of care for a female client who has recurrent urinary tract infections. Which of the following interventions should the nurse include in the plan?
Correct Answer: A
Rationale:
Correct
Answer: A: Wear loose-fitting underwear.
Rationale: Wearing loose-fitting underwear helps promote airflow and reduces moisture, creating an environment less conducive to bacterial growth, thus decreasing the risk of urinary tract infections.
Incorrect
Choices:
B: Void every 5 to 6 hr during the day - This may help prevent urinary stasis but does not directly address the prevention of UTIs.
C: Drink four 240 mL (8 oz) glasses of water each day - While hydration is important for overall health, it does not specifically target UTI prevention.
D: Take a bubble bath after intercourse - Bubble baths can disrupt the natural balance of vaginal flora, increasing the risk of UTIs.
Question 4 of 5
A nurse is providing discharge teaching to a client who is postoperative following the surgical repair of a detached retina. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: D
Rationale: The correct answer is D: "I can lift objects that are less than 10 pounds." This response indicates understanding because after retinal detachment surgery, it is important to avoid heavy lifting to prevent strain and potential complications.
Choice A is incorrect because jogging is a high-impact activity that should be avoided initially.
Choice B is incorrect as sewing may strain the eyes.
Choice C is incorrect as bending at the waist can increase intraocular pressure.
Question 5 of 5
A nurse is providing teaching about the use of crutches using a three-point gait to a client who has a tibia fracture. Which of the following actions by the client indicates an understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A. Positioning both hands on the grips with elbows slightly flexed ensures proper weight distribution and stability while using crutches with a three-point gait. By having elbows slightly flexed, the client maintains control and reduces strain on the arms and shoulders.
Choice B is incorrect because the client should move both crutches simultaneously with the weaker leg forward first to maintain balance.
Choice C is incorrect because leaning on the axillary crutch pads can lead to nerve damage and decreased circulation.
Choice D is incorrect because when going up stairs, the client should step with the unaffected leg first for safety and balance.