ATI RN
RN ATI Comprehensive Assessment Exam Retake 2023 V2 Questions
Extract:
Question 1 of 5
A home health nurse is planning care for a client who has Alzheimer's disease. Which of the following actions should the nurse include in the plan of care?
Correct Answer: D
Rationale: The correct answer is D: Place locks at the tops of exterior doors. This is important for the safety of a client with Alzheimer's disease who may wander and get lost. Placing locks at the tops of doors can help prevent the client from leaving the house unattended.
Choice A is incorrect as changing flooring may not directly impact the client's safety.
Choice B is incorrect as physical activity before bedtime may disrupt sleep patterns.
Choice C is incorrect as zippers or buttons on clothing are not directly related to the client's safety.
Question 2 of 5
A nurse is providing discharge teaching to a client following a total gastrectomy. The nurse should instruct the client about which of the following medications?
Correct Answer: B
Rationale: The correct answer is B: Vitamin B12. After a total gastrectomy, the client is at risk for developing pernicious anemia due to the lack of intrinsic factor production, which is essential for Vitamin B12 absorption. Vitamin B12 supplementation is crucial to prevent this deficiency.
Ranitidine (
A) is an H2 blocker that reduces stomach acid production and is not specifically necessary after a total gastrectomy. Vitamin K (
C) is essential for blood clotting but is not directly related to the client's condition post-total gastrectomy. Metoclopramide (
D) is a prokinetic agent used for gastroparesis and is not indicated for Vitamin B12 deficiency post-total gastrectomy.
Question 3 of 5
A nurse is caring for a client who is receiving brachytherapy for endometrial cancer. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Keep visitors at least 6 feet (1.8 m) away from the client. This is crucial in brachytherapy as the client is radioactive. Keeping visitors at a safe distance minimizes their exposure to radiation. Discarding the radioactive source in the client's trash can (
A) is hazardous. Placing soiled bed linens in a biohazard bag (
B) is necessary but not specific to radiation precautions. Wearing an isolation gown (
C) does not provide sufficient protection from radiation.
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 4 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.
Extract:
Question 5 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