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 continuous IV infusion of vancomycin. Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: Redness at the IV site indicates phlebitis or extravasation, requiring provider notification with vancomycin, which is irritating to veins. Normal creatinine, urine output, and blood pressure are not urgent.
Question 2 of 5
A nurse is collecting data from a client who has a history of seizures. Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: Missing a dose of phenytoin, an anticonvulsant, increases seizure risk, requiring provider notification. Sleeping normally, new prescriptions, or a 2-month seizure-free period are less urgent.
Question 3 of 5
A nurse is collecting data from a client who has pyelonephritis and is receiving gentamicin via IV infusion. Which of the following manifestations should the nurse identify as an adverse effect of the treatment?
Correct Answer: B
Rationale: Gentamicin is ototoxic, causing new-onset hearing loss by damaging inner ear structures. Hypotension, hyperthermia, and slurred speech are not typical adverse effects; nephrotoxicity is another concern.
Question 4 of 5
A nurse is reinforcing teaching with a client who has a new prescription for warfarin. Which of the following foods should the nurse instruct the client to avoid?
Correct Answer: B
Rationale: Spinach, high in vitamin K, can reduce warfarin's anticoagulant effect, so intake should be consistent or limited. Oranges, chicken, and potatoes have minimal impact.
Question 5 of 5
A nurse is reinforcing teaching with a client who has a new prescription for spironolactone. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Reporting signs of hyperkalemia is critical with spironolactone, a potassium-sparing diuretic. Potassium intake should not increase, it's taken in the morning, and diuresis is not immediate.