ATI RN
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ATI RN Comprehensive Predictor 2023 Retake 1 Questions
Extract:
Question
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1 of 5
A nurse enters a client's room and finds her sitting on the floor next to the shower. The client states that she slipped on some water outside of the shower. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Measuring vital signs first assesses for injuries like head trauma or shock post-fall. Notifying the provider, documenting, and completing an incident report follow after ensuring client stability.
Question 2 of 5
A nurse is reinforcing teaching with a client who has a new prescription for omeprazole. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: Taking omeprazole at bedtime maximizes acid suppression overnight. Grapefruit juice is unrelated, nausea should be reported, and relief may take days, not be immediate.
Extract:
Nurses' Notes
Vital Signs
Diagnostic Results
Day 1, 0900:
Client is at 31 weeks of gestation and presents with a severe.
headache unrelieved by acetaminophen.
Client also reports urinary frequency and decreased fetal movement.
Client is a G3 P2 with one preterm birth.
Question 3 of 5
The nurse is reviewing the client's medical record. Select 4 findings that indicate a potential prenatal complication.
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| Urine protein. |
| Blood pressure. |
| Respiratory rate. |
| Report of headache. |
| Gravida/parity. |
| Fetal activity. |
| Urine ketones. |
Correct Answer: A,B,D,F
Rationale: Proteinuria, high blood pressure, severe headache, and decreased fetal movement suggest preeclampsia or fetal distress. Respiratory rate, gravida/parity, and ketones (G) are not directly indicative of complications.
Extract:
Question 4 of 5
A nurse is assisting with the care of a client who is receiving a blood transfusion. Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: A temperature of 38.2°C (100.8°F) during a transfusion suggests a febrile reaction, requiring provider notification. Normal blood pressure, pulse, and respiratory rate are not urgent.
Question 5 of 5
A nurse is reinforcing teaching with a client who has a new prescription for fluoxetine. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: Reporting weight gain is important with fluoxetine, an SSRI, as it can affect weight. It's taken in the morning, tyramine is unrelated, and relief takes weeks.