ATI RN
ATI Comprehensive Predictor 2023 Exit Exam B Questions
Extract:
Question 1 of 5
A nurse is assessing a client who is postoperative following abdominal surgery and has an indwelling urinary catheter that is draining dark yellow urine at 25 mL/hr. Which of the following interventions should the nurse anticipate?
Correct Answer: A
Rationale: The correct answer is A: Administer a fluid bolus. Dark yellow urine output at 25 mL/hr indicates dehydration, which is a common complication postoperatively. Administering a fluid bolus will help improve hydration status and increase urine output. Option B, initiating continuous bladder irrigation, is not indicated as there is no indication of bladder obstruction. Option C, obtaining a urine specimen for culture and sensitivity, is important but not the priority in this situation. Option D, clamping the catheter tubing, is incorrect as it can lead to urinary stasis and increase the risk of infection.
Question 2 of 5
A nurse manager is updating protocols for the use of belt restraints. Which of the following guidelines should the nurse manager include?
Correct Answer: A
Rationale: The correct answer is A: Document the client's condition every 15 min. This guideline is crucial as it ensures continuous monitoring of the client's well-being and helps in early identification of any issues or changes in condition. Regular documentation every 15 minutes allows for timely interventions and adjustments to the restraint if necessary.
Choice B is incorrect because PRN (as needed) restraint prescriptions should not be requested for aggressive clients as a first-line intervention.
Choice C is incorrect as restraints should not be attached to bed side rails due to safety concerns.
Choice D is incorrect as restraints should not be removed every 4 hours unless reassessment indicates it is safe to do so.
Question 3 of 5
A nurse is assessing a child who has bacterial pneumonia. Which of the following manifestations should the nurse expect?
Correct Answer: C
Rationale: The correct answer is C: Malaise. Bacterial pneumonia typically presents with systemic symptoms like malaise, fatigue, fever, and chills. This is because the infection affects the entire body, not just the lungs. Drooling (
A) is not a common manifestation of bacterial pneumonia. Tinnitus (
B) is a symptom related to the ears and not typically associated with pneumonia. Rhinorrhea (
D) is more common in viral respiratory infections affecting the upper respiratory tract.
Question 4 of 5
A nurse is caring for a client who is experiencing a panic attack. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Sit with the client to provide a sense of security. During a panic attack, the client may feel overwhelmed and scared. Sitting with the client can offer comfort and reassurance, helping to reduce anxiety. Administering atomoxetine (
A) is not appropriate for immediate relief during a panic attack. Watching television (
B) may not address the client's immediate needs. Teaching meditation (
C) may be beneficial in the long term but may not be effective during a panic attack. Other choices were not provided.
Question 5 of 5
A nurse is caring for a 2-year-old toddler. Which of the following food choices should the nurse recommend to promote independence in eating?
Correct Answer: C
Rationale: The correct answer is C: Banana slices.
Toddlers are still developing their fine motor skills and coordination, making small and manageable food choices like banana slices ideal for promoting independence in eating. They can easily grasp and self-feed banana slices without the risk of choking compared to options like popcorn, grapes, or hot dogs, which pose potential choking hazards due to their size, shape, or texture. Banana slices also provide essential nutrients and are easy to digest, making them a safe and nutritious choice for a 2-year-old toddler.