ATI RN
RN Comprehensive Predictor Questions
Extract:
Question 1 of 5
A nurse is assessing a client who is receiving a blood transfusion. Which of the following findings indicates a possible transfusion reaction?
Correct Answer: A
Rationale: A temperature increase of 1°C may indicate a febrile nonhemolytic transfusion reaction, requiring immediate attention.
Question 2 of 5
A nurse is assessing a client who is receiving mechanical ventilation. Which of the following actions should the nurse take if the high-pressure alarm sounds?
Correct Answer: B
Rationale: A high-pressure alarm may indicate an obstruction, such as kinked tubing, which should be checked first.
Question 3 of 5
A nurse is caring for a client who is 12 hr postpartum and has a third-degree perineal laceration. The client reports not having a bowel movement for 4 days. Which of the following medications should the nurse administer?
Correct Answer: C
Rationale: Magnesium hydroxide, an oral osmotic laxative, softens stool without interfering with the perineal laceration's healing.
Question 4 of 5
A nurse is monitoring a client who is receiving a transfusion of packed RBCs. The client reports chills, headache, low-back pain, and a feeling of 'tightness' in his chest. The nurse should identify that the client has developed which of the following types of transfusion reactions?
Correct Answer: C
Rationale: Symptoms like chills, headache, low-back pain, and chest tightness indicate an acute hemolytic reaction, a medical emergency due to blood type mismatch.
Question 5 of 5
A nurse at a health department is providing anticipatory guidance to the parent of a 1-month-old infant. The nurse should inform the parent that the infant should receive which of the following immunizations at the age of 2 months?
Correct Answer: B
Rationale: Rotavirus vaccine is administered at 2 months, per standard immunization schedules, to protect against severe diarrheal disease.