ATI RN
RN Comprehensive Predictor Questions
Extract:
Question 1 of 5
A nurse is admitting a client who has schizophrenia. The client states, 'I'm hearing voices.' Which of the following responses is the priority for the nurse to state?
Correct Answer: A
Rationale: The correct response is A: "What are the voices telling you?" This is the priority because it helps assess the content and potential harm associated with the auditory hallucinations. Understanding the nature of the voices is crucial for determining the level of risk and developing an appropriate care plan. Option B focuses on medication compliance, which is important but not the immediate priority. Option C acknowledges the client's experience but does not address the specific concern. Option D inquires about the duration of the hallucinations, which is relevant but not as critical as understanding the content.
Question 2 of 5
A nurse is providing teaching about digoxin administration to the parents of a toddler who has heart failure. Which of the following statements should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct answer is D: Have your child drink a small glass of water after swallowing the medication. This is important because digoxin can cause irritation to the esophagus, so drinking water after swallowing helps to prevent this irritation. Adding it to juice (
A) can alter the absorption of the medication. Repeating the dose if the child vomits (
B) can lead to overdose. Limiting potassium intake (
C) can be dangerous as digoxin can cause low potassium levels.
Therefore, the correct choice is D as it promotes safe administration of digoxin.
Question 3 of 5
A nurse is teaching a client who has atrial fibrillation and is to start taking dabigatran. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: D
Rationale: The correct answer is D: I should keep the medication in the original container. This is essential because dabigatran should be stored in its original container to protect it from moisture and light. Storing it in a different container can compromise its effectiveness.
Choice A is incorrect because dabigatran does not need to be replaced every 6 months unless the expiration date is reached.
Choice B is incorrect because dabigatran should not be crushed or mixed with applesauce as it can alter its absorption.
Choice C is incorrect as dabigatran should be stored at room temperature, not in the refrigerator.
Question 4 of 5
A nurse is caring for a client who is 12 hr postpartum and has a third-degree perineal laceration. The client reports not having a bowel movement for 4 days. Which of the following medications should the nurse administer?
Correct Answer: C
Rationale: The correct answer is C: Magnesium hydroxide 30 mL PO. 12 hr postpartum with a third-degree perineal laceration, the client is likely experiencing constipation due to decreased mobility and fear of pain during bowel movement. Magnesium hydroxide is a laxative that helps to promote bowel movement by drawing water into the intestines. It is considered safe during breastfeeding and does not pose a risk to the newborn. Bisacodyl (
A) is a stimulant laxative and can cause cramping, not suitable for a postpartum client with a perineal laceration. Loperamide (
B) is an antidiarrheal and will worsen constipation. Famotidine (
D) is an H2 blocker used for heartburn and does not address constipation.
Question 5 of 5
A nurse is providing teaching to a client about the adverse effects of sertraline. Which of the following adverse effects should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Excessive sweating. Sertraline, a common antidepressant, is known to cause excessive sweating as an adverse effect. This occurs due to the drug's impact on the body's autonomic nervous system. Other choices are incorrect as metallic taste in the mouth is not a common side effect of sertraline, increased urinary frequency is more associated with diuretics, and dry cough is not typically linked to this medication. It is crucial for the nurse to educate the client about potential adverse effects to ensure proper monitoring and management.