ATI RN
RN ATI Comprehensive Assessment Exam Retake 2023 V2 Questions
Extract:
Question 1 of 5
A hospice nurse is visiting with the son of a client who has terminal cancer. The son reports sleeping very little during the past week due to caring for his mother. Which of the following responses should the nurse make?
Correct Answer: D
Rationale: The correct answer is D: "I can give you information about respite care if you are interested." This response shows empathy and offers a practical solution to address the son's sleep deprivation. Respite care can provide temporary relief for caregivers, allowing them to rest and recharge. This option acknowledges the son's challenges and offers support without assuming he needs medication or providing generic comments. Option A is not ideal as it jumps to prescribing medication without exploring other options. Option B is a general statement that doesn't address the son's specific situation. Option C, while positive, does not offer a solution to his sleep deprivation.
Question 2 of 5
A nurse is collecting a sputum specimen from a client who has tuberculosis. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D because sputum specimens for tuberculosis testing should be collected in the morning upon waking up. This is because sputum is most concentrated in the morning, making it easier to detect tuberculosis bacilli. Waiting 1 day for the specimen (choice
A) can delay treatment. Wearing sterile gloves (choice
B) is important for infection control but not specifically for sputum collection. Asking for 15 to 20 mL of sputum (choice
C) is appropriate, but the timing of collection is crucial.
Question 3 of 5
A nurse is caring for a client whose child died from cancer. The client states, 'It's hard to go on without him.' Which of the following questions should the nurse ask the client first?
Correct Answer: D
Rationale: The correct answer is D: "Are you thinking about ending your life?" This question is crucial as it directly addresses the client's statement about finding it hard to go on without their child, indicating potential suicidal ideation. By asking this question first, the nurse can assess the client's risk of harm and provide appropriate interventions if necessary.
Option A: "What has helped you through difficult times in the past?" - While this is a supportive question, it does not address the immediate concern of suicidal ideation.
Option B: "Has anyone in your family committed suicide?" - This question may be relevant but is not as urgent as directly asking about the client's current thoughts of ending their own life.
Option C: "Is there anyone you would like involved in your care?" - This question focuses more on the client's support system rather than addressing the potential risk of harm.
In summary, asking about suicidal thoughts first is crucial in ensuring the client's safety and well-being in this scenario.
Question 4 of 5
A nurse is planning care for a school-age child who is 4 hr postoperative following appendicitis. Which of the following actions should the nurse include in the plan of care?
Correct Answer: B
Rationale: The correct answer is B: Administer analgesics on a scheduled basis for the first 24 hr. Postoperative pain management is crucial to ensure the child's comfort and promote healing. Scheduled administration of analgesics helps maintain a consistent level of pain control, preventing the child from experiencing severe pain. This approach also helps in preventing the need for rescue doses when the pain becomes unbearable. Applying a warm compress (choice
A) may not be appropriate as it can increase the risk of infection at the operative site. Giving cromolyn nebulized solution (choice
C) is not indicated for postoperative pain management following appendicitis surgery. Offering clear liquids (choice
D) 6 hr post-surgery may not be recommended until the child has shown signs of bowel function recovery.
Question 5 of 5
A nurse is caring for a client who is postoperative following a liver biopsy. In which of the following positions should the nurse place the client immediately following the procedure?
Correct Answer: D
Rationale: The correct answer is D: Right lateral. Placing the client in the right lateral position immediately after a liver biopsy helps to apply pressure to the biopsy site, minimizing the risk of bleeding. This position also facilitates drainage of any blood or fluid that may accumulate at the biopsy site.
A: Prone position is not ideal for a client post-liver biopsy as it may put pressure on the biopsy site, increasing the risk of bleeding.
B: Trendelenburg position, with the client's feet elevated above the head, is not necessary and may not provide the desired pressure on the biopsy site.
C: High-Fowler's position, with the client sitting upright, does not offer the same benefits as the right lateral position in terms of pressure and drainage at the biopsy site.
In summary, the right lateral position is the most appropriate choice post-liver biopsy to promote hemostasis and prevent complications.