ATI RN
ATI RN Comprehensive Predictor 2023 Retake 1 Questions
Extract:
Question 1 of 5
A charge nurse is teaching new staff members about factors that increase a client's risk to become violent. Which of the following risk factors should the nurse include as the best predictor of future violence?
Correct Answer: A
Rationale: Previous violent behavior is the strongest predictor of future violence, as past behavior often indicates future tendencies. Delusions, male gender, and prison history are less specific predictors.
Question 2 of 5
A nurse is assisting with the care of a client who is receiving a blood transfusion. Which of the following actions should the nurse take if a transfusion reaction is suspected?
Correct Answer: C
Rationale: Stopping the transfusion is the first action if a reaction is suspected to prevent further harm. Increasing the rate worsens the reaction, acetaminophen is secondary, and leg elevation is not indicated.
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 reinforcing teaching with a client who has a new prescription for spironolactone. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Reporting signs of hyperkalemia is critical with spironolactone, a potassium-sparing diuretic. Potassium intake should not increase, it's taken in the morning, and diuresis is not immediate.
Question 5 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.