ATI RN
ATI RN Comprehensive Predictor 2023 Retake 1 Questions
Extract:
Question 1 of 5
A charge nurse on a medical-surgical unit is assisting with the emergency response plan following an external disaster in the community. In anticipation of multiple client admissions, which of the following current clients should the nurse recommend for early discharge?
Correct Answer: B
Rationale: A client 1 day post-vertebroplasty is likely stable for discharge if uncomplicated, as it's a minor procedure. Heparin for DVT requires monitoring. Radiation implants need specialized care. COPD with a respiratory rate of 44/min indicates distress, requiring hospitalization.
Question 2 of 5
A nurse is caring for a client who is postoperative following total hip arthroplasty. Which of the following actions should the nurse take to prevent dislocation of the prosthesis?
Correct Answer: A
Rationale: An abduction pillow maintains hip alignment, preventing adduction and dislocation post-hip arthroplasty. Elevating the leg risks adduction, high knees in a chair increase dislocation risk, and high-Fowler's position is unrelated to hip stability.
Question 3 of 5
A nurse is collecting data from a client who has a history of stroke. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Unilateral arm weakness is typical post-stroke due to hemispheric brain damage. Bilateral weakness, fever, or abdominal pain are not specific to stroke.
Question 4 of 5
A nurse is collecting data from a client who has a history of epilepsy. Which of the following findings should the nurse report to the provider?
Correct Answer: C
Rationale: Missing a dose of carbamazepine, an anticonvulsant, increases seizure risk, requiring provider notification. Metallic taste, seizure-free periods, or normal sleep are less urgent.
Question 5 of 5
A nurse in an emergency department is assessing a client who reports ingesting thirty diazepam tablets 20 minutes ago. The client is lethargic and has a respiratory rate of 10/min. After securing the client's airway and initiating an IV, which of the following actions should the nurse take next?
Correct Answer: B
Rationale: Administering flumazenil, a benzodiazepine antagonist, is the priority to reverse diazepam overdose effects, such as lethargy and respiratory depression, by blocking GABA receptor binding. This prevents further respiratory compromise. Evaluating suicidal behavior is important but not urgent. Monitoring the IV site is secondary to reversing the overdose. Seizure precautions may be needed later but are not the immediate priority.