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 right pneumothorax, air enters the pleural space, causing lung collapse and reduced breath sounds on the affected side. Intercostal retractions (
B) occurs 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:
Nurses' Notes
1100:
The client reports shortness of breath and difficulty sleeping. The client feels tired very quickly and occasionally feels nauseous. The client reports experiencing intermittent chest tightness and a cough that is aggravated by exercise. The client has a productive cough and irregular breathing pattern. Crackles and wheezing present on auscultation. The client has a history of smoking a pack of cigarettes per day for the past 35 years. There is no clubbing of the fingers. The client appears anxious.
1130:
Administered albuterol and oxygen per provider's prescription.
The client is instructed to perform pursed-lip breathing.
1230:
The client is breathing with minimal effort and coughing has decreased.
Vital Signs
1100:
Temperature 35.8°C (98.2°F)
Heart rate 92/min
Respiratory rate 28/min
BP 145/90 mm Hg
Oxygen saturation 87% on room air
1145:
Temperature 36.2°C (97.2°F)
Heart rate 88/min
Respiratory rate 22/min
BP 140/90 mm Hg
Oxygen saturation 92% on room air
Question 2 of 5
Which of the following interventions should the nurse include in the plan of care? Select all that apply.
Correct Answer: A, B, F
Rationale: The correct answers are A, B, and F. Increasing oxygen flow rate to 4 L/min helps improve oxygenation. Assessing breath sounds helps monitor respiratory status. Instructing the client to perform diaphragmatic breathing promotes effective breathing.
Choices C and D are incorrect because chest percussion, vibration, and placing the client in a supine position are not appropriate interventions for respiratory care.
Choice E is incorrect as fluid restriction may worsen respiratory conditions.
Extract:
Question 3 of 5
A nurse is caring for a client who is postoperative following a liver biopsy. In which of the following positions should the nurse place the client immediately following the procedure?
Correct Answer: D
Rationale: The correct answer is D: Right lateral. Placing the client in a right lateral position post-liver biopsy helps prevent bleeding or hemorrhage by exerting pressure on the biopsy site, aiding in hemostasis. This position also reduces the risk of complications such as pneumothorax. Placing the client in a prone position (
A) could increase the risk of bleeding. Trendelenburg position (
B) may increase intra-abdominal pressure and the risk of bleeding. High-Fowler's position (
C) is not ideal for post-liver biopsy care as it does not provide the necessary pressure to the biopsy site.
Question 4 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. Lavender oil can exacerbate asthma symptoms due to its potential to irritate the respiratory system. Asthma is a contraindication because it can trigger or worsen asthma attacks. Alcohol use disorder (
A), vitamin C intake (
C), and furosemide use (
D) are not contraindications for using lavender oil. Alcohol use disorder does not directly interact with lavender oil. Vitamin C intake and furosemide use do not have known interactions with lavender oil that would contraindicate its use.
Question 5 of 5
A nurse is providing discharge teaching to a client following a total gastrectomy. The nurse should instruct the client about which of the following medications?
Correct Answer: B
Rationale: The correct answer is B: Vitamin B12. Following a total gastrectomy, the client will have reduced intrinsic factor production, leading to vitamin B12 deficiency. Supplementing with Vitamin B12 is crucial to prevent pernicious anemia. Ranitidine (
A) is a gastric acid reducer and is not necessary after gastrectomy. Vitamin K (
C) is primarily produced in the intestines and is not directly impacted by gastrectomy. Metoclopramide (
D) is a prokinetic agent used for gastric motility and is not essential post-gastrectomy.