ATI RN
ATI RN Comprehensive Predictor 2023 Retake 1 Questions
Extract:
Question 1 of 5
A nurse enters a client's room and sees a small fire in the client's bathroom. Identify the sequence of steps the nurse should take.
Correct Answer: D,C,B,A
Rationale: Following the RACE protocol: Rescue transports the client to safety first; Alarm activates the fire alarm; Confine closes windows and doors to contain the fire; Extinguish attempts to put out the fire if safe. This prioritizes client safety and fire containment.
Question 2 of 5
A nurse is assisting with the care of a client who is receiving a unit of packed RBCs. Fifteen minutes after starting the transfusion, the client reports itching and hives. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Stopping the transfusion is the first action to prevent worsening of an allergic reaction, indicated by itching and hives. Notifying the provider, administering diphenhydramine, or collecting urine follow after stopping the transfusion.
Question 3 of 5
A nurse is collecting data from a client who has a urinary tract infection and is receiving ciprofloxacin. Which of the following findings should the nurse report to the provider?
Correct Answer: C
Rationale: A vaginal yeast infection is a common side effect of ciprofloxacin due to altered flora, requiring provider notification for treatment. Tea-colored urine, cramping, and photosensitivity are less urgent or expected.
Question 4 of 5
A nurse is assisting with the care of a client who is in labor. The client's labor is not progressing, and oxytocin is prescribed. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Continuous fetal heart rate monitoring is essential when administering oxytocin to detect fetal distress from hyperstimulation. Oxygen, amnioinfusion, or semi-Fowler's position are not routinely indicated without specific complications.
Question 5 of 5
A nurse is assisting with the care of a client who is postoperative following a total knee arthroplasty. Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: Swelling in the affected leg may indicate deep-vein thrombosis, requiring provider notification. Pain, mild fever, and normal heart rate are expected.