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 dopamine. Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: Infiltration at the IV site with dopamine, a vasopressor, risks tissue damage and requires immediate provider notification. Normal blood pressure, urine output, and heart rate are not urgent.
Question 2 of 5
A nurse in an emergency department is assessing a client who reports ingesting thirty diazepam tablets 20 minutes ago. The client is lethargic and has a respiratory rate of 10/min. After securing the client's airway and initiating an IV, which of the following actions should the nurse take next?
Correct Answer: B
Rationale: Administering flumazenil, a benzodiazepine antagonist, is the priority to reverse diazepam overdose effects, such as lethargy and respiratory depression, by blocking GABA receptor binding. This prevents further respiratory compromise. Evaluating suicidal behavior is important but not urgent. Monitoring the IV site is secondary to reversing the overdose. Seizure precautions may be needed later but are not the immediate priority.
Question 3 of 5
A nurse is reinforcing teaching with a client who has hypertension and a new prescription for verapamil. Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: Monitoring pulse daily is important with verapamil, a calcium channel blocker, as it can cause bradycardia. Fiber is unrelated, grapefruit juice increases drug levels, and verapamil can be taken with or without food.
Question 4 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.
Question 5 of 5
A nurse is reinforcing teaching with a client who has a new prescription for insulin aspart. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: Storing insulin aspart in the refrigerator maintains potency. It's taken 5-10 minutes before meals, shaking is incorrect, and it's clear, not cloudy.