ATI RN
ATI RN Comprehensive Predictor 2023 Updated Questions
Extract:
Question 1 of 5
A newly licensed nurse working at an HIV clinic is reviewing the responsibilities of her position at the clinic. Which of the following tasks should the nurse identify as tertiary prevention?
Correct Answer: C
Rationale: The correct answer is C because using an electronic messaging system to remind clients when to take medications is an example of tertiary prevention. Tertiary prevention focuses on managing and improving the quality of life for individuals with existing health conditions. This task helps clients adhere to their medication regimen, which is crucial in managing their HIV condition and preventing complications.
Choice A is related to primary prevention as it focuses on promoting wellness and preventing disease before it occurs.
Choice B is related to secondary prevention as it involves identifying and treating health issues at an early stage.
Choice D is more about health promotion and falls under primary prevention.
Question 2 of 5
A nurse is caring for a client who has generalized petechiae and ecchymoses. The nurse should expect a prescription for which of the following laboratory tests?
Correct Answer: C
Rationale: The correct answer is C: Platelet count. Generalized petechiae and ecchymoses indicate potential bleeding disorders. Platelet count assesses the number of platelets in the blood, which are essential for clotting. A low platelet count could lead to abnormal bleeding. Creatinine clearance (
A) assesses kidney function, not related to petechiae or ecchymoses. Potassium level (
B) is important for heart function, not directly related to bleeding disorders. Prealbumin (
D) is a marker of malnutrition, not relevant in this case.
Question 3 of 5
A nurse inadvertently administers 160 mg of valsartan PO to a client who was scheduled to receive 80 mg. Which of the following actions is the priority for the nurse to take?
Correct Answer: A
Rationale: The correct answer is A: Evaluate the client for orthostatic hypotension. Administering double the prescribed dose of valsartan can lead to a significant drop in blood pressure, potentially causing orthostatic hypotension. It is crucial to assess the client's blood pressure and monitor for signs of dizziness, lightheadedness, or fainting when changing positions. This immediate assessment is vital to prevent any adverse effects related to the medication error. Monitoring urine output (
B), obtaining laboratory results (
C), and checking for nasal congestion (
D) are not the priority in this situation as they are not directly related to the potential immediate consequences of the medication overdose.
Question 4 of 5
A nurse is caring for a newborn whose mother was taking methadone during her pregnancy. Which of the following findings indicates the newborn is experiencing withdrawal?
Correct Answer: B
Rationale: The correct answer is B: Hypertonicity. Methadone exposure in utero can lead to neonatal abstinence syndrome (NAS), which includes symptoms like hypertonicity (increased muscle tone), irritability, tremors, and feeding difficulties. Hypertonicity is a key sign of withdrawal as the newborn's nervous system is overstimulated.
A: Bulging fontanels - This is not typically associated with NAS but could indicate increased intracranial pressure.
C: Bradycardia - Uncommon in NAS; newborns experiencing withdrawal often have tachycardia.
D: Acrocyanosis - Common in newborns, not specific to withdrawal.
In summary, hypertonicity is indicative of NAS due to methadone exposure, while the other options are less likely to be directly related to withdrawal in this scenario.
Question 5 of 5
A nurse is providing dietary teaching to a client who has a new diagnosis of irritable bowel syndrome. Which of the following recommendations should the nurse include?
Correct Answer: C
Rationale: The correct answer is C: Consume foods high in bran fiber. This recommendation is appropriate for irritable bowel syndrome as fiber helps regulate bowel movements and can alleviate symptoms. Increasing intake of milk products (
A) may exacerbate symptoms in some individuals with lactose intolerance. Sweetening foods with fructose corn syrup (
B) can worsen symptoms as it can cause gas and bloating. Increasing intake of foods high in gluten (
D) may aggravate symptoms for those with gluten sensitivity. In summary, choice C is the best recommendation as it promotes digestive health and symptom management for irritable bowel syndrome.