ATI RN
RN ATI Comprehensive Assessment Exam Retake 2023 V2 Questions
Extract:
Question 1 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: A
Rationale: The correct answer is A: Reduced right-sided breath sounds. In a pneumothorax, air enters the pleural space, causing lung collapse and diminished breath sounds on the affected side. This is due to the inability of air to pass through the collapsed lung. Intercostal retractions (
B) typically occur in respiratory distress but are not specific to pneumothorax. High-pitched stridor (
C) is associated with upper airway obstruction, not pneumothorax. Paradoxical chest movement (
D) is seen in flail chest, not pneumothorax.
Question 2 of 5
A nurse is teaching a client who is trying to conceive. Which of the following should the nurse instruct the client to increase in her diet to prevent a neural tube defect?
Correct Answer: B
Rationale: The correct answer is B: Folate. Folate is crucial in preventing neural tube defects in a developing fetus. It helps in the formation of the neural tube, which develops into the brain and spinal cord. Adequate folate intake before and during pregnancy is essential for proper neural tube development. Calcium (
A), Iron (
C), and Zinc (
D) are important for overall health but do not specifically prevent neural tube defects. Folate supplementation is recommended for women of childbearing age to reduce the risk of neural tube defects.
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: A
Rationale: The correct answer is A: Reduced right-sided breath sounds. In a pneumothorax, air enters the pleural space, causing lung collapse and diminished breath sounds on the affected side. This is due to the inability of air to pass through the collapsed lung. Intercostal retractions (
B) typically occur in respiratory distress but are not specific to pneumothorax. High-pitched stridor (
C) is associated with upper airway obstruction, not pneumothorax. Paradoxical chest movement (
D) is seen in flail chest, not pneumothorax.
Extract:
History and Physical
Day 1, 0900:
A 52-year-old client brought to the emergency department by an adult child. The client is alert and oriented to person and time but does not know where they are. No history of substance use according to the client's adult child. The client exhibits constant movements and poor concentration. Hair and clothing are unclean. Appears to be listening to unseen others. Skin turgor poor.
Vital Signs
Day 1, 0905:
Temperature 37.1°C (98.8°F)
Heart rate 120/min
Respiratory rate 19/min
BP 138/88 mm Hg
Oxygen saturation 98% on room air
Question 4 of 5
The nurse is assessing the client. Select the 4 findings that require immediate follow-up
Correct Answer: A, B, D, E
Rationale: The correct answer is A, B, D, and E. Hallucinations require immediate follow-up as they may indicate a serious underlying condition. Heart rate abnormalities could signify cardiac issues needing urgent attention. Skin turgor changes suggest dehydration, requiring immediate intervention. Poor hygiene can lead to infections, necessitating prompt follow-up. Sleep pattern changes and assessing vital signs (such as heart rate) are crucial aspects of client assessment.
Choices C and F are not as urgent, as sleep pattern changes may not require immediate action, and choice F is incomplete.
Extract:
Question 5 of 5
A nurse is caring for a client who states he recently purchased lavender oil to use when he gets the flu. The nurse should recognize which of the following findings as a potential contraindication for using lavender?
Correct Answer: B
Rationale: The correct answer is B: The client has a history of asthma. Lavender oil can trigger respiratory issues in individuals with asthma due to its strong scent and potential irritant effects on the airways. Asthmatic individuals are more sensitive to respiratory irritants, making lavender oil a potential contraindication.
Incorrect choices:
A: The client has a history of alcohol use disorder - Alcohol use disorder does not directly interact with lavender oil use.
C: The client takes vitamin C daily - Vitamin C does not interact negatively with lavender oil.
D: The client takes furosemide twice daily - Furosemide is a diuretic and does not have a direct contraindication with lavender oil.