ATI RN
RN ATI Comprehensive Assessment Exam Retake 2023 V2 Questions
Extract:
Question 1 of 5
A charge nurse is monitoring a newly licensed nurse who is caring for a client who is receiving total parenteral nutrition (TPN). Which of the following statements by the newly licensed nurse indicates an understanding of the procedure?
Correct Answer: A
Rationale: The correct answer is A: "I will hang a new bag of TPN and IV tubing every 24 hours." This statement indicates an understanding of the proper procedure for TPN administration. TPN solutions are typically changed every 24 hours to reduce the risk of bacterial contamination. By changing the TPN bag and tubing daily, the nurse is following best practice guidelines to maintain the sterility and integrity of the TPN infusion, ultimately reducing the risk of infection for the client.
Choices B, C, and D are incorrect:
B: "I will obtain the client's weight every other day." While monitoring the client's weight is important for assessing fluid status and nutritional needs, it is not directly related to the procedure of administering TPN.
C: "I will monitor the client's blood glucose level every 8 hours." Monitoring blood glucose levels is important in clients receiving TPN, but the frequency of monitoring can vary depending on the client's condition and the healthcare provider's orders. It
Extract:
Graphic Record
Admission weight 74.8 kg (165 lb)
Current weight 74.38 kg (164 lb)
Provider Prescriptions
Lisinopril 10 mg daily
Lithium 600 mg BID
Omeprazole 40 mg daily
I&O
Prior Day Intake and Output
0800:
Intake 30 mL orange juice
Output 800 mL clear urine
1200:
Intake 60 ml water with lunch
Output 300 ml clear urine
1800
Intake 120 ml. water with dinner
Output 500 mL clear urine
2100:
Intake 30 ml dark soda
Output 200 ml. clear urine
Nurses Notes
0800:
A client who has bipolar disorder is admitted to the inpatient psychiatric unit. During the morning assessment, the client reports blurred vision and an increase in urine output. It is noted that the client is having clonic jerking of upper extremities. Provider notified and laboratory tests ordered. Skin is warm and dry without rash.
Laboratory Results
0900:
Creatinine 0.9 mg/dL (0.5 to 1.1 mg/dL)
Lithium level 2.5 mEq/L (0.6 to 1.2 mEq/L)
Fasting blood glucose 80 mg/dL (74 to 106 mg/dL)
Urinalysis:
Appearance: clear (clear)
Color: faint yellow (amber yellow)
Specific gravity 1.32 (adult client 1.01 to 1.025)
Nitrites: none (none)
Ketones: none (none)
Bilirubin: none (none)
Question 2 of 5
Complete the following sentence by using the lists of options. The nurse understands that the patient has likely developed-----and will need to be monitored for-------
Correct Answer: A,D
Rationale: The correct answer is A (Lithium toxicity) and D (nephrotoxicity). The nurse is likely considering lithium toxicity due to the patient's potential symptoms and the need for monitoring kidney function. Lithium toxicity can lead to nephrotoxicity, affecting kidney function. The other options are less likely based on the given information. Hyponatremia is a potential side effect of lithium, but not the primary concern here. Cardiac dysrhythmias, metabolic alkalosis, and hypertension are not typically associated with lithium toxicity.
Therefore, A and D are the most appropriate choices for the nurse to consider and monitor.
Extract:
Question 3 of 5
A nurse is planning care for a group of clients and is working with one licensed practical nurse (LPN) and one assistive personnel (AP). Which of the following actions should the nurse take first to manage her time effectively?
Correct Answer: B
Rationale: The correct answer is B: Determine goals of the day. This is the first step the nurse should take to manage her time effectively. By setting clear goals, the nurse can prioritize tasks, allocate resources efficiently, and establish a plan for the day. This helps in organizing and structuring the workload, ensuring that critical tasks are addressed first.
Choice A: Delegating tasks to the AP can come after determining the goals of the day.
Choice C: Developing an hourly time frame for tasks is important but should come after setting goals to ensure tasks align with the overall objectives.
Choice D: Scheduling daily activities is essential, but without first determining the goals, it may lead to inefficient time management.
In summary, determining the goals of the day is the initial step in effective time management as it provides a strategic framework for prioritizing tasks and allocating resources appropriately.
Extract:
Nurses' Notes
Day 1, 0915:
The client's adult child reports the client has not slept for 2 days and has become obsessed with cleaning the house and hosting parties. At times the client is overly joyous and has a very elevated sense of self-confidence. The adult child states that the client has also demonstrated very impulsive spending habits and expresses concern about the client giving away large sums of money to others.
The client's speech is very pressured, disorganized, and loud. Client unable to recall the last time they ate.
Day 1, 0930:
Client questioned about their hallucinations and states that the same person has been following them around inside and outside the house for days. Client asks the person what they want but never receives an answer. Client states that this person has never told them to do anything; they just stare and smile
Question 4 of 5
For each assessment finding, click to specify if the finding is consistent with psychosis or mania. Each finding may support more than one diagnosis.
Correct Answer: A: Psychosis; B, C, D, E: Mania
Rationale: Hallucinations are typically associated with psychosis, where individuals experience sensory perceptions that are not real. Lack of sleep, excessive spending habits, disorganized thought process, and pressured speech are hallmark features of mania, a state of elevated mood and energy often seen in bipolar disorder. These symptoms reflect the impulsivity, racing thoughts, and increased activity levels characteristic of manic episodes.
Therefore, the correct answer is A for psychosis and B, C, D, E for mania.
Extract:
Nurses Notes
Today
0800:
Client reports not feeling well with headache, body aches, and chills. Left breast red and tender with swollen, tender lymph nodes in the left axilla. Incision edges well approximated without erythema or drainage. Small amount of lochia rubra noted.
0830
Provider notified of findings. Prescriptions received
Question 5 of 5
For each potential assessment finding, click to specify if the assessment finding is consistent with mastitis or endometritis. Each finding may support more than 1 disease process.
Correct Answer: B: Mastitis; A, C, D: Both
Rationale: The correct answer is B: Painful, tender breast for mastitis. Mastitis is an infection of the breast tissue, causing pain and tenderness. Foul-smelling lochia can be consistent with both mastitis and endometritis, as it indicates infection. Temperature and chills are non-specific findings that can be present in both mastitis and endometritis. In summary, the painful, tender breast is a specific finding for mastitis, while foul-smelling lochia, temperature, and chills can be seen in both conditions due to the presence of infection.