ATI RN
ATI RN Comprehensive Predictor 2023 Retake 1 Questions
Extract:
Question 1 of 5
A nurse in an emergency department is caring for a client who is actively bleeding from a stab wound to the thigh. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Applying direct pressure with thick dressing material is the first action to control active bleeding from a stab wound, promoting clot formation. A tourniquet is used only if pressure fails and should be proximal, not distal. Irrigation is secondary, and transparent dressings don't control heavy bleeding.
Question 2 of 5
A nurse is reinforcing teaching about hand hygiene with a newly licensed nurse. Which of the following information should the nurse include in the teaching?
Correct Answer: A
Rationale: Interlacing fingers during hand washing ensures cleaning between fingers and under nails, a key step in surgical hand hygiene. Friction should last 20-30 seconds, hot water is avoided to prevent skin damage, and drying starts at fingers.
Question 3 of 5
A nurse is assessing a client who has a possible right pneumothorax. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Reduced right-sided breath sounds occur in pneumothorax due to lung collapse, limiting air movement on the affected side. Paradoxical chest movement is typical of flail chest. Stridor indicates upper airway obstruction. Retractions are nonspecific and not unique to pneumothorax.
Question 4 of 5
A nurse is reinforcing teaching with a client who has a new prescription for amitriptyline. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: Reporting constipation is important with amitriptyline, a tricyclic antidepressant, due to anticholinergic effects. Sleepiness is expected, it's taken at night, and mood improvement takes weeks.
Question 5 of 5
A nurse is caring for a client who has a recent diagnosis of a terminal illness. The nurse should identify which of the following as an indication of hopelessness?
Correct Answer: D
Rationale: Making funeral arrangements indicates hopelessness, suggesting the client accepts no recovery possibility. Decreased energy, seeking second opinions, or discussing the diagnosis are normal reactions, not necessarily hopelessness.