ATI RN
RN ATI Comprehensive Assessment Exam Retake 2023 V2 Questions
Extract:
Question 1 of 5
A nurse is assessing a client who has histrionic personality disorder. Which of the following manifestations should the nurse expect?
Correct Answer: C
Rationale: The correct answer is C: Self-centered behavior. Individuals with histrionic personality disorder often display attention-seeking and exaggerated emotions, focusing on themselves to gain approval and admiration from others. This behavior is characterized by an excessive need for attention and a tendency to be overly dramatic in their interactions.
Choice A (Suspicious of others) is incorrect because suspicion is more commonly associated with paranoid personality disorder.
Choice B (Callousness) is incorrect as callousness is a trait often seen in individuals with antisocial personality disorder.
Choice D (Violates other's rights) is incorrect as it is a characteristic of individuals with antisocial personality disorder who commonly disregard the rights of others.
Question 2 of 5
A nurse is providing teaching about home safety to the adult child of an older adult client who is postoperative following hip replacement surgery. Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: The correct answer is D: Ensure that area rugs have rubber backs. This instruction is important because rubber-backed area rugs can prevent slipping and falling accidents, which is crucial for a postoperative hip replacement patient. It provides stability and reduces the risk of injuries.
Choice A is incorrect because wearing shoes at home can actually increase the risk of falls due to potential slipping hazards.
Choice B is incorrect as placing a throw rug over electrical cords can create a tripping hazard.
Choice C is incorrect as marking the edges of the doorway with tape does not address the main safety concern of preventing falls related to the rugs.
By selecting choice D, the nurse addresses the specific safety need of the postoperative hip replacement patient and promotes a safer home environment.
Question 3 of 5
A nurse is planning care for a client who sustained a major burn over 20% of the body. Which of the following interventions should the nurse include to support the client's nutritional requirements?
Correct Answer: C
Rationale: The correct answer is C: Keep a calorie count for foods and beverages. This intervention is crucial in supporting the client's nutritional requirements as it allows for accurate monitoring of calorie intake, ensuring the client receives adequate nutrition for wound healing and metabolic demands. Maintaining calorie intake at a specific amount (
A) may not be appropriate as the client's needs can vary depending on their condition. Providing a low-protein, high-carbohydrate diet (
B) may not meet the increased protein requirements for tissue repair. Scheduling meals at 6-hr intervals (
D) may not be sufficient for meeting the client's increased metabolic needs.
Question 4 of 5
A nurse enters a client's room and sees a small fire in the client's bathroom. Identify the sequence of steps the nurse should take.
Correct Answer: B, A, C, D
Rationale: B: Activating the facility's fire alarm system is crucial to alert other staff members and ensure the safety of all individuals in the building. A: Transporting the client to another area is necessary to move them away from the fire hazard. C: Closing windows and doors helps contain the fire and prevent it from spreading. D: Using the fire extinguisher should only be done if it's safe to do so and if the nurse has been trained in its proper use.
Choices E, F, and G are incorrect as they do not prioritize the immediate safety of the client and others in the building.
Extract:
Nurses: Notes
0700
Client is admitted to the unit. They deny suicidal ideations at this time. Client states, 'I am an assistant to a powerful spirit.' Client is poorly groomed and has body odor.
0900:
Called to the client's room. Client states, 'I cannot believe you put me in a room with spiders on the wall,' Client requests immediate transfer to another room.
1200:
Psychiatrist is at the bedside evaluating the client. After history and physical, psychiatrist states that they have diagnosed the client with schizophrenia. Client is to be started on medication and milieu therapy.
Laboratory Results
0700:
Urine drug screen: negative (negative)
History and Physical
0700:
Majority of client's history is obtained from client's parent who presents with client today. According to the parent, client has been acting strangely for a few months. Client's symptoms have been progressively worsening
In the last month, the client has been seeing things that are not present and believes that they are in a close relationship with 'a powerful spirit.' Client has not been bathing regularly for the last few weeks.
Client has no significant health history. Client reports that they do not take illicit substances or drink alcohol. Client's grandparent has a history of schizophrenia.
Vital Signs
0730:
Heart rate 68/min
Respiratory rate 18/min
BP 118/81 mm Hg
Temperature 37.2°C (98.9°F)
Question 5 of 5
For each potential action, click to specify if the action is indicated or contraindicated for the client.
Correct Answer: B, C, D indicated; A, E contraindicated
Rationale: The correct answer is B, C, D indicated; A, E contraindicated.
- B: Asking the client about the content of their hallucinations is indicated as it helps assess their mental state.
- C: Instructing the client on expected hygiene practices is indicated for their overall well-being.
- D: Assessing the client for suicidal ideation is crucial for identifying any potential risk.
- A: Allowing the client to watch TV at a high volume can exacerbate hallucinations, so it is contraindicated.
- E: Placing the client in a room near the activity room may increase sensory stimulation, worsening their condition, so it is contraindicated.