Questions 188

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ATI RN Test Bank

ATI RN Comprehensive Predictor 2023 Retake 1 Questions

Extract:


Question 1 of 5

A nurse is assessing a client who is receiving continuous bladder irrigation following a transurethral resection of the prostate 4 hr ago. The nurse notes pink-tinged urine in the drainage bag. Which of the following actions should the nurse take?

Correct Answer: A

Rationale: Pink-tinged urine is expected post-TURP due to minor bleeding; maintaining the irrigation rate is appropriate unless bleeding worsens, warranting provider notification. Replacing the catheter is unnecessary, Credé's maneuver is irrelevant, and warming the solution doesn't address bleeding.

Question 2 of 5

A nurse is assisting with the care of a client who is postoperative following a laminectomy. Which of the following findings should the nurse report to the provider?

Correct Answer: A

Rationale: Clear drainage from the surgical site may indicate a cerebrospinal fluid leak, requiring immediate provider notification. Pain, mild fever, and normal heart rate are expected.

Question 3 of 5

A nurse is reviewing the medical history of a client who asks about the use of warfarin. The nurse should identify which of the following findings as a contraindication for the administration of this medication?

Correct Answer: B

Rationale: Recent eye surgery is a contraindication for warfarin due to increased bleeding risk in delicate ocular tissues, which could cause severe complications like vision loss. Warfarin is used post-myocardial infarction and for thrombophlebitis to prevent clots. Breast cancer is not a direct contraindication but requires careful consideration.

Question 4 of 5

A nurse is reinforcing teaching with a client who has a new prescription for duloxetine. Which of the following instructions should the nurse include?

Correct Answer: B

Rationale: Reporting nausea is important with duloxetine, an SNRI, as it's a common side effect. It's taken flexibly, tyramine is unrelated, and mood improvement takes weeks.

Question 5 of 5

A nurse is reinforcing teaching with a client who has a new prescription for hydrochlorothiazide. Which of the following instructions should the nurse include?

Correct Answer: B

Rationale: Monitoring for leg cramps is important with hydrochlorothiazide, a diuretic, due to potential hypokalemia. It's taken in the morning, sodium intake is not increased, and weight loss is expected.

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