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 0.9% sodium chloride. The nurse notes that the IV site is red and swollen. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Stopping the infusion is the first action to prevent further tissue damage from phlebitis, indicated by redness and swelling. Notifying the provider, administering antihistamines, or applying a compress follow after stopping the infusion.
Question 2 of 5
A nurse is collecting data from a client who has a history of epilepsy. Which of the following findings should the nurse report to the provider?
Correct Answer: C
Rationale: Missing a dose of carbamazepine, an anticonvulsant, increases seizure risk, requiring provider notification. Metallic taste, seizure-free periods, or normal sleep are less urgent.
Question 3 of 5
A nurse is reinforcing teaching with a client who has a new prescription for venlafaxine. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Reporting increased sweating is important with venlafaxine, an SNRI, as it's a common side effect. Antacids are unrelated, mood improvement takes weeks, and stopping abruptly risks withdrawal.
Question 4 of 5
A nurse is reinforcing teaching with a client who has a new prescription for doxycycline. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: Taking doxycycline with a full glass of water prevents esophageal irritation. Antacids reduce absorption, grapefruit juice is unrelated, and tooth discoloration is a risk in children, not adults.
Question 5 of 5
A nurse is assisting in the care of a client who is to receive a transfusion of packed RBCs. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Checking the client's blood type and crossmatch in the medical record ensures compatibility, preventing transfusion reactions. Blood should not be kept at room temperature, dextrose causes hemolysis, and vital signs are checked before, at 15 minutes, and after, not hourly.