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 postoperative following a thyroidectomy. Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: Tingling around the mouth indicates hypocalcemia, a risk post-thyroidectomy due to parathyroid gland damage, requiring immediate reporting. Hoarseness and pain are expected, and a calcium level of 9.0 mg/dL is normal.
Question 2 of 5
A nurse is caring for a client who has pneumonia and tells the nurse, 'I feel like an elephant is sitting on my chest.' The client is weak and unable to walk. After the nurse initiates chest pain protocol, which of the following is the priority diagnostic test?
Correct Answer: A
Rationale: A 12-lead ECG is the priority to assess for cardiac causes of chest pain, like myocardial infarction, given the client's description of heavy chest pressure. PT/INR, serum potassium, and chest x-ray are secondary, as cardiac issues are life-threatening and require immediate evaluation.
Question 3 of 5
A nurse is assisting with the care of a client who is postoperative following a craniotomy. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Monitoring for increased intracranial pressure is critical post-craniotomy to detect complications like swelling or bleeding. Flat positioning may increase ICP, stool softeners are secondary, and coughing is avoided to prevent ICP spikes.
Question 4 of 5
A nurse is reinforcing teaching with a client who has a new prescription for prednisone. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: Reporting signs of infection is critical with prednisone, a corticosteroid, due to immunosuppression. Nervousness requires monitoring, it's taken with food, and calcium intake should increase to prevent osteoporosis.
Question 5 of 5
A nurse is collecting data from a client who has a new prescription for levothyroxine. Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: A heart rate of 110/min indicates possible levothyroxine-induced hyperthyroidism, requiring provider notification. Weight gain, fatigue, and dry skin are hypothyroid symptoms, expected before treatment optimization.