Questions 188

ATI RN

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ATI RN Comprehensive Predictor 2023 Retake 1 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: B

Rationale: Offering respite care information provides practical support, allowing the son temporary relief from caregiving to rest, addressing his sleep deprivation. General empathy doesn't solve the issue. Suggesting sleeping pills requires a provider's assessment. Praise is supportive but doesn't address the immediate need.

Question 2 of 5

A nurse is preparing to administer dopamine hydrochloride 4 mcg/kg/min via continuous infusion. Available is dopamine hydrochloride in a solution of 800 mg in a 250 mL bag. The client weighs 80 kg. The nurse should set the IV infusion to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies.)

Correct Answer: C

Rationale: Calculate: 4 mcg/kg/min × 80 kg = 320 mcg/min = 0.32 mg/min. Hourly: 0.32 mg/min × 60 = 19.2 mg/hr. Solution: 800 mg/250 mL = 3.2 mg/mL. Volume: 19.2 mg ÷ 3.2 mg/mL = 6 mL/hr.

Question 3 of 5

A nurse is reinforcing teaching with a client who has a new prescription for budesonide. Which of the following instructions should the nurse include?

Correct Answer: A

Rationale: Rinsing the mouth after budesonide, an inhaled corticosteroid, prevents oral thrush. It's taken regularly, not as needed, relief is not immediate, and food is unrelated.

Question 4 of 5

A nurse is assisting with the care of a client who is postoperative following a mastectomy. Which of the following findings should the nurse report to the provider?

Correct Answer: A

Rationale: Swelling in the affected arm suggests lymphedema, a complication post-mastectomy, requiring provider notification. Pain, serous drainage, and mild fever are expected.

Question 5 of 5

A charge nurse is observing a newly licensed nurse provide care for a client who is postoperative. The newly licensed nurse tells the client that she will insert a urinary catheter if the client will not void. Which of the following torts should the charge nurse identify as having occurred?

Correct Answer: D

Rationale: The nurse's threat to catheterize without consent is assault, creating fear of harmful contact. Libel involves written defamation, battery is actual contact, and negligence is substandard care.

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