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 in labor. The client's labor is not progressing, and oxytocin is prescribed. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Continuous fetal heart rate monitoring is essential when administering oxytocin to detect fetal distress from hyperstimulation. Oxygen, amnioinfusion, or semi-Fowler's position are not routinely indicated without specific complications.
Extract:
A nurse is caring for a newborn.
Vital Signs.
0640:. Temperature 36.7°C (98.1° F) axillary.
Heart rate 154/min.
Respiratory rate 68/min.
BP 72/48 mm Hg. 0650:. Heart rate 156/min.
Respiratory rate 72/min.
0700:. Temperature 37° C (98.6° F) axillary.
Heart rate 156/min.
Respiratory rate 76/min.
Admission Assessment.
0630:. Newborn delivered via cesarean birth under spinal anesthesia at. 0630.
Amniotic fluid clear.
0631:. 1-min Apgar score 7. 0636:. 5-min Apgar score 9. Newborn transferred to nursery.
Nurses' Notes.
0640:. Weight 4200 gm (9 Ib 4 oz), head circumference 35.5 cm (14 in). Respiratory rate 68/min, with mild grunting.
0650:. Respiratory rate 72/min, with mild grunting.
0700:. Respiratory rate 76/min, with moderate grunting and mild.
intercostal retractions.
Question 2 of 5
Drag words from the choices below to fill in each blank in the following. sentence. The client is at risk for developing Target 1 and Target 2.
Correct Answer: C
Rationale: Transient tachypnea of the newborn is likely due to increased respiratory rate, grunting, and cesarean delivery, indicating fluid in the lungs. Hypoglycemia, BPD, and tachycardia are not supported by the symptoms.
Extract:
Question 3 of 5
A nurse is collecting data from a client who has a suspected peptic ulcer. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Epigastric pain is a hallmark of peptic ulcers, often relieved by eating or antacids. Constipation, not diarrhea, is more common, and fever or weight gain are not typical.
Question 4 of 5
A nurse is reinforcing teaching with a client who has a new prescription for methotrexate. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Reporting signs of infection is critical with methotrexate, an immunosuppressant, due to infection risk. Antacids are unrelated, pain relief is not immediate, and vitamin C is not specific.
Question 5 of 5
A nurse manager is updating protocols for the use of belt restraints. Which of the following guidelines should the nurse manager include?
Correct Answer: B
Rationale: Documenting the client's condition every 15 minutes ensures close monitoring of safety and restraint necessity. PRN restraint prescriptions are inappropriate; restraints require specific orders. Attaching restraints to side rails risks injury. Removal frequency depends on assessment, not a fixed 4-hour schedule.