Questions 169

ATI RN

ATI RN Test Bank

RN Comprehensive Predictor 2023 Questions

Extract:


Question 1 of 5

A nurse is assessing a client who is receiving IV vancomycin. Which of the following findings indicates an adverse reaction?

Correct Answer: B

Rationale: Redness and itching at the IV site may indicate an allergic reaction or infusion reaction, requiring immediate attention.

Question 2 of 5

A charge nurse is observing a newly licensed nurse provide care for a client who is postoperative. The newly licensed nurse tells the client that she will insert a urinary catheter if the client will not void. Which of the following torts should the charge nurse identify as having occurred?

Correct Answer: C

Rationale: Assault occurs when a person is threatened with harm or offensive contact, creating fear, even if no physical contact occurs. Telling the client that a catheter will be inserted without consent can be perceived as a threat.

Question 3 of 5

A nurse is teaching a client who has a new prescription for metformin. Which of the following laboratory values should the nurse instruct the client to monitor?

Correct Answer: D

Rationale: Metformin requires monitoring of renal function (serum creatinine) and glycemic control (hemoglobin A1c).

Question 4 of 5

A nurse is reading a tuberculin skin test for a client who received a purified protein derivative test 72 hr ago. Which of the following findings indicates a positive test?

Correct Answer: D

Rationale: An induration measuring 10 mm is considered positive in most adults, indicating TB exposure.

Question 5 of 5

For each assessment finding, click to specify if the finding is consistent with preeclampsia or HELLP syndrome. Each finding may support more than one disease process.

Correct Answer:

Rationale: Blood pressure: Preeclampsia - Hypertension. Urine protein: Preeclampsia - Kidney damage. Headache: Preeclampsia - CNS involvement. Edema: Preeclampsia - Fluid retention. Liver enzymes: HELLP - Elevated in syndrome. Platelet count: HELLP - Low in syndrome.

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