ATI RN
ATI RN Comprehensive Predictor 2023 Retake 1 Questions
Extract:
A home care nurse is caring for a client who has advanced multiple.
sclerosis.
Nurses' Notes.
2 weeks ago:Today: The client reports depression is increasing as they are unable to. participate in activities they once enjoyed because of the.
advancing multiple sclerosis.
Even getting up to the wheelchair.
is "just too much" for them.
The home health aide reported client will not permit turning. position changes.
The client states, "I can only get comfortable.
curled on my left side.
I'm not moving.". Vital Signs.
Today:Temperature 36.8° C (98.2° F). Heart rate 80/min.
Respiratory rate 20/min.
BP 116/76 mm Hg. Client Education.
1 week ago:Educated the client about the importance of getting out of bed.
changing positions in bed.
Question 1 of 5
A home care nurse is caring for a client who has advanced multiple sclerosis. Select the 5 complications the client is at risk for.
| Contractures. |
| Calcium resorption. |
| Hypocalcemia. |
| Diarrhea. |
| Urinary stasis. |
Correct Answer: A,E
Rationale: Immobility in advanced multiple sclerosis risks contractures from muscle tightening and urinary stasis from bladder pooling, increasing infection risk. Calcium resorption, hypocalcemia, and diarrhea are not directly related.
Extract:
Question 2 of 5
A nurse is reinforcing teaching with a client who has asthma and a new prescription for a metered-dose inhaler. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: A
Rationale: Shaking the inhaler before use ensures proper medication dispersion. Holding breath for 10 seconds is ideal, hourly use risks overuse, and cleaning is done with water, not soap, per manufacturer guidelines.
Question 3 of 5
A nurse is assisting with the care of a client who is postoperative following a cholecystectomy. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Early ambulation post-cholecystectomy prevents complications like thrombosis and promotes recovery. Supine positioning is not required, laxatives are per need, and heating pads are contraindicated.
Question 4 of 5
A nurse is collecting data from a client who has a urinary tract infection and is receiving ciprofloxacin. Which of the following findings should the nurse report to the provider?
Correct Answer: C
Rationale: A vaginal yeast infection is a common side effect of ciprofloxacin due to altered flora, requiring provider notification for treatment. Tea-colored urine, cramping, and photosensitivity are less urgent or expected.
Question 5 of 5
A nurse is assisting with the care of a client who is receiving a continuous IV infusion of vancomycin. Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: Redness at the IV site indicates phlebitis or extravasation, requiring provider notification with vancomycin, which is irritating to veins. Normal creatinine, urine output, and blood pressure are not urgent.