ATI RN
ATI RN Comprehensive Predictor 2023 Updated Questions
Extract:
Question 1 of 5
A nurse in an acute care mental health facility is participating in a medication education group. The leader of the group uses a laissez-faire leadership style. Which of the following actions should the nurse expect from the leader during the session?
Correct Answer: D
Rationale: The correct answer is D because in a laissez-faire leadership style, the leader takes a hands-off approach and allows group members to make decisions and lead discussions. By allowing the group to discuss whatever they want about their medications, the leader is promoting autonomy and self-direction among the group members. This fosters a sense of ownership and empowerment within the group.
A, B, and C are incorrect because they involve the leader taking a more active role in directing the session, which goes against the laissez-faire leadership style. A involves the leader lecturing, B involves controlling when group members can speak, and C involves the leader deciding the topics for discussion, all of which are not characteristics of a laissez-faire leadership style.
Question 2 of 5
A nurse is teaching a prenatal class about infection prevention at a community center. Which of the following statements by a client indicates an understanding of the teaching?
Correct Answer: C
Rationale: The correct answer is C: "I can visit my nephew who has chickenpox 5 days after the sores have crusted." This statement indicates an understanding of infection prevention because chickenpox is contagious until the sores crust over completely. Visiting after this period reduces the risk of transmission.
Choice A is incorrect because handwashing should be done for at least 20 seconds with soap and water, not hot water.
Choice B is incorrect as pregnant women should avoid cleaning cat litter boxes due to the risk of toxoplasmosis.
Choice D is incorrect because antibiotics are ineffective against viruses.
In summary, choice C is correct because it demonstrates knowledge of the appropriate timing to visit someone with a contagious illness, while the other choices contain misinformation regarding infection prevention.
Question 3 of 5
A nurse is teaching a new parent about breastfeeding her 2-week-old infant. Which of the following statements by the parent indicates an understanding of the teaching?
Correct Answer: C
Rationale: The correct answer is C: "The more my baby is at the breast sucking, the more milk I will produce." This statement indicates an understanding of the teaching because frequent and effective sucking stimulates milk production through the release of prolactin. As the baby feeds, it signals the body to produce more milk to meet the demand. This feedback loop helps establish and maintain milk supply.
Rationale for Incorrect
Choices:
A: Incorrect. Removing the baby before the breast is emptied can lead to insufficient milk removal, affecting milk supply.
B: Incorrect. Starting on the same breast every time can lead to uneven milk production and potential issues like engorgement.
D: Incorrect. Manually expressing milk can actually help increase milk supply by promoting milk removal and stimulating milk production.
Question 4 of 5
A nurse is preparing to admit a 6-year-old with varicella to the pediatric unit. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Assign the child to a negative air pressure room. Varicella, or chickenpox, is highly contagious and spread through the air. Placing the child in a negative air pressure room helps prevent the spread of the virus to other patients and healthcare workers. Using droplet precautions (choice
A) is not sufficient as airborne precautions are more appropriate for varicella. Administering aspirin (choice
B) is contraindicated in varicella due to the risk of Reye's syndrome. Assessing for Koplik spots (choice
D) is not relevant as they are associated with measles, not varicella.
Question 5 of 5
A nurse is reviewing the laboratory data of a client who received 2 units of packed RBCs. Which of the following laboratory findings should the nurse expect following the transfusion?
Correct Answer: C
Rationale: The correct answer is C: Increased Hct. When a client receives packed RBCs, the hematocrit (Hct) level is expected to increase as packed RBCs primarily contain red blood cells. The Hct measures the percentage of red blood cells in the blood. It would not be expected for the hemoglobin (Hgb) level to decrease as packed RBCs are rich in hemoglobin. Platelets are not directly affected by packed RBC transfusion, so an increase in platelets is not expected. The white blood cell (WB
C) count is also not directly impacted by packed RBC transfusion, so a decrease in WBC count is not anticipated.