ATI RN
ATI RN Comprehensive Predictor 2023 Retake 1 Questions
Extract:
Question 1 of 5
A nurse is assisting with the care of a client who is receiving a unit of packed RBCs. Fifteen minutes after starting the transfusion, the client reports itching and hives. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Stopping the transfusion is the first action to prevent worsening of an allergic reaction, indicated by itching and hives. Notifying the provider, administering diphenhydramine, or collecting urine follow after stopping the transfusion.
Question 2 of 5
A nurse enters a client's room and sees a small fire in the client's bathroom. Identify the sequence of steps the nurse should take.
Correct Answer: D,C,B,A
Rationale: Following the RACE protocol: Rescue transports the client to safety first; Alarm activates the fire alarm; Confine closes windows and doors to contain the fire; Extinguish attempts to put out the fire if safe. This prioritizes client safety and fire containment.
Question 3 of 5
A nurse is assisting with the care of a client who has a new diagnosis of tuberculosis. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: A private room with negative pressure prevents airborne transmission of tuberculosis. Gowns are unnecessary, visitor restrictions are not limited to family, and coughing precautions are secondary to isolation.
Question 4 of 5
A nurse is implementing seizure precautions for a client who has had a tonic-clonic seizure. Which of the following interventions should the nurse include in the plan of care?
Correct Answer: D
Rationale: Inserting an IV saline lock allows rapid administration of antiepileptic medications, essential for seizure management. A tracheostomy tray is unnecessary; airway management uses positioning or suctioning. Supine positioning risks aspiration; semi-prone is preferred.
Tongue depressors are dangerous and can cause injury during seizures.
Question 5 of 5
A nurse is caring for a client who has an abdominal surgical incision and notes an evisceration. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: For evisceration, lying supine with knees flexed reduces wound tension, preventing further protrusion. A moist sterile dressing is used, not dry or transparent, and semi-Fowler's increases abdominal pressure, worsening the condition.