ATI RN
RN ATI Comprehensive Assessment Exam Retake 2023 V2 Questions
Extract:
Question 1 of 5
A nurse is assessing a client who received hydromorphone 4 mg IV 15 min ago. The client has a respiratory rate of 10/min. The nurse should prepare to administer which of the following medications?
Correct Answer: C
Rationale: The correct answer is C: Naloxone. Naloxone is a reversal agent for opioid overdose, including hydromorphone. The client's respiratory rate of 10/min is a sign of opioid overdose and respiratory depression, which can be reversed by naloxone. Administering naloxone will help reverse the effects of hydromorphone and improve the client's respiratory function.
Acetylcysteine (choice
A) is used as an antidote for acetaminophen overdose. Protamine (choice
B) is used to reverse the effects of heparin. Flumazenil (choice
D) is a reversal agent for benzodiazepines, not opioids. The other choices are not relevant to the situation described.
Extract:
Nurses: Notes
Day 1, 0900:
Client is at 31 weeks of gestation and presents with a severe headache unrelieved by acetaminophen. Client also reports urinary frequency and decreased fetal movement. Client is a G3 P2 with one preterm birth.
Day 1, 0930:
Client reports a constant and throbbing headache and rates it as a 6 on a scale of 0 to 10. Denies visual disturbances. +3 pitting edema in bilateral lower extremities. Patellar reflex 4+ without the presence of clonus. Client reports occasional nighttime leg cramps. Reports three fetal movements within the last 30 min. External fetal monitor applied with a baseline FHR 140/min with occasional accelerations and moderate variability. No uterine contractions noted
Vital Signs
Day 1, 0900:
Temperature (oral) 36.9°C (98.4°F)
Heart rate 72/min
Respiratory rate 16/min
BP 162/112 mm Hg
Oxygen saturation 97% on room air
Day 1, 0930:
Temperature (oral) 37.1°C (98.8°F)
Heart rate 84/min
Respiratory rate 18/min
BP 166/110 mm Hg
Oxygen saturation 99% on room air
Diagnostic Results
Day 1, 1000:
Appearance cloudy (clear)
Color yellow (yellow)
pH 5.9 (4.6 to 8)
Protein 3+ (negative)
Specific gravity 1.013 (1.005 to 1.03)
Leukocyte esterase negative (negative)
Nitrites negative (negative)
Ketones negative (negative)
Crystals negative (negative)
Casts negative (negative)
Glucose trace (negative)
WBC 5 (0 to 4)
WBC casts none (none)
RBC 1 (less than or equal to 2)
RBC casts none (none)
Day 1, 1030:
CBC:
Hemoglobin 18.0 g/dL (12 to 16 g/dL)
Hematocrit 35% (37 to 47%)
Platelets 98,000/mm³ (150,000 to 400,000/mm³)
Question 2 of 5
Drag words from the choices below to fill in each blank in the following sentence. The client is at greatest risk for developing-----and-----
Correct Answer: C,E
Rationale: The correct answer is C (Heart failure) and E (Seizures). Heart failure and seizures are commonly associated with severe preeclampsia, a serious pregnancy complication characterized by high blood pressure and organ damage. In severe cases, preeclampsia can lead to heart failure due to the increased strain on the heart and seizures due to cerebral edema. Placental abruption (
A), hypoglycemia (
B), and cervical insufficiency (
D) are not directly related to the client's risk in this scenario. Placental abruption is associated with vaginal bleeding, hypoglycemia with low blood sugar levels, and cervical insufficiency with premature dilation of the cervix.
Extract:
Question 3 of 5
A nurse is caring for a client who has severe hypertension and is to receive nitroprusside via continuous IV infusion. Which of the following actions should the nurse plan to take?
Correct Answer: C
Rationale: The correct answer is C: Protect the IV bag from exposure to light. Nitroprusside is light-sensitive and exposure to light can cause it to degrade, leading to potential harm to the patient. The nurse should take this action to maintain the integrity of the medication. Monitoring blood pressure every 2 hours (choice
A) is important but not specific to nitroprusside administration. Attaching an inline filter to the IV tubing (choice
B) may be unnecessary for nitroprusside administration. Keeping calcium gluconate at the client's bedside (choice
D) is not directly related to the administration of nitroprusside.
Question 4 of 5
A nurse in a clinic is planning care for a child who has ADHD and is taking atomoxetine. Which of the following laboratory values should the nurse monitor?
Correct Answer: A
Rationale: The correct answer is A: Liver function tests. Atomoxetine, used for ADHD, can cause liver injury. Monitoring liver function tests helps detect any abnormalities early. B, kidney function tests, are not directly affected by atomoxetine. C, hemoglobin and hematocrit, are not typically monitored for this medication. D, serum sodium and potassium, are not specific to atomoxetine. E, F, G are not provided.
Question 5 of 5
A home health nurse is planning care for a client who has Alzheimer's disease. Which of the following actions should the nurse include in the plan of care?
Correct Answer: D
Rationale: The correct answer is D: Place locks at the tops of exterior doors. This is important for the safety of a client with Alzheimer's disease who may wander and get lost. Placing locks at the tops of doors can help prevent the client from leaving the house unattended.
Choice A is incorrect as changing flooring may not directly impact the client's safety.
Choice B is incorrect as physical activity before bedtime may disrupt sleep patterns.
Choice C is incorrect as zippers or buttons on clothing are not directly related to the client's safety.