ATI RN
ATI RN Comprehensive Predictor 2023 Retake 1 Questions
Extract:
Question 1 of 5
A nurse is caring for a child who has terminal cancer. Which of the following responses by the child's school-age brother should the nurse expect?
Correct Answer: C
Rationale: School-age children (6-12) often exhibit magical thinking, believing their actions cause events like a sibling's death, leading to guilt. Regression, alienation, and believing death is reversible are less typical.
Question 2 of 5
A nurse is assessing a client who received hydromorphone 4 mg IV 15 min ago. The client has a respiratory rate of 10/min. The nurse should prepare to administer which of the following medications?
Correct Answer: D
Rationale: Naloxone, an opioid antagonist, reverses hydromorphone-induced respiratory depression, indicated by a rate of 10/min, preventing potential respiratory arrest. Diazepam would worsen sedation, and acetaminophen and ibuprofen don't address opioid overdose.
Question 3 of 5
A nurse is performing a neurological examination on a client as part of a complete physical assessment. The nurse should identify that cranial nerve XI is intact when the client performs which of the following actions?
Correct Answer: D
Rationale: Cranial nerve XI (spinal accessory nerve) controls neck and shoulder movements. Shrugging shoulders tests its function, indicating it is intact. Sticking out the tongue tests cranial nerve XII. Frowning symmetrically tests cranial nerve VII. Identifying a sour taste tests cranial nerves IX and X.
Question 4 of 5
A nurse is collecting data from a client who has bipolar disorder and is experiencing mania. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Disorganized speech is expected in mania, reflecting rapid, pressured thoughts. Hypersomnia, flat affect, and weight gain are more associated with depression, not mania.
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.