ATI RN
RN ATI Comprehensive Assessment Exam Retake 2023 V2 Questions
Extract:
Question 1 of 5
A nurse is assessing a client who is postoperative and has a history of pulmonary embolism. Which of the following findings is the priority for the nurse to report to the provider?
Correct Answer: C
Rationale: The correct answer is C: Dyspnea. Dyspnea in a postoperative client with a history of pulmonary embolism is a critical finding indicating potential respiratory distress. This could be a sign of a recurrent pulmonary embolism or worsening respiratory status, requiring immediate intervention. Tachycardia (
A) can be a normal response postoperatively. Dry cough (
B) may be indicative of irritation but is not as urgent as dyspnea. Hypotension (
D) is concerning but not as immediately life-threatening as respiratory distress.
Question 2 of 5
A nurse is collecting a sputum specimen from a client who has tuberculosis. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D because sputum specimens for tuberculosis testing should be collected in the morning upon waking up. This is because sputum is most concentrated in the morning, making it easier to detect tuberculosis bacilli. Waiting 1 day for the specimen (choice
A) can delay treatment. Wearing sterile gloves (choice
B) is important for infection control but not specifically for sputum collection. Asking for 15 to 20 mL of sputum (choice
C) is appropriate, but the timing of collection is crucial.
Question 3 of 5
A nurse is caring for a client who has heart failure. Which of the following manifestations should the nurse expect?
Correct Answer: A
Rationale: The correct answer is A: Crackles in lungs. In heart failure, the heart is unable to effectively pump blood, leading to fluid accumulation in the lungs, causing crackles on auscultation due to pulmonary edema. Decreased thirst (
B) is not typical in heart failure as fluid overload often leads to increased thirst. Poor skin turgor (
C) is more indicative of dehydration. Tachycardia (
D) can occur in heart failure, but it is not specific to this condition.
Question 4 of 5
A nurse is conducting an initial assessment of a client and notices a discrepancy between the client's current IV infusion and the information received during the shift report. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Compare the current infusion with the prescription in the client's medication record. This action is essential to verify the accuracy of the IV infusion and ensure patient safety. By comparing the current infusion with the prescription in the medication record, the nurse can identify any discrepancies and take appropriate action, such as adjusting the infusion rate or notifying the healthcare provider if necessary. Contacting the charge nurse (choice
A) may be helpful but does not directly address the discrepancy. Completing an incident report (choice
B) is premature without confirming the discrepancy first. Submitting a written warning (choice
C) is not appropriate without a thorough investigation. The other choices are incomplete, and only comparing the infusion with the prescription will provide the necessary information to address the issue effectively.
Question 5 of 5
A nurse is assessing a client who is postoperative and has a history of pulmonary embolism. Which of the following findings is the priority for the nurse to report to the provider?
Correct Answer: C
Rationale: The correct answer is C: Dyspnea. Dyspnea in a postoperative client with a history of pulmonary embolism is a critical finding indicating potential respiratory distress. This could be a sign of a recurrent pulmonary embolism or worsening respiratory status, requiring immediate intervention. Tachycardia (
A) can be a normal response postoperatively. Dry cough (
B) may be indicative of irritation but is not as urgent as dyspnea. Hypotension (
D) is concerning but not as immediately life-threatening as respiratory distress.