ATI RN
ATI Comprehensive Predictor 2023 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has a new prescription for furosemide. Which of the following laboratory values should the nurse monitor?
Correct Answer: A
Rationale: The correct answer is A: Potassium. Furosemide is a loop diuretic that can cause potassium depletion through increased urinary excretion. Monitoring potassium levels is crucial to prevent hypokalemia, which can lead to cardiac arrhythmias. Hemoglobin, platelet count, and cholesterol are not directly affected by furosemide. Hemoglobin measures oxygen-carrying capacity, platelet count assesses clotting function, and cholesterol evaluates lipid levels, which are not impacted by furosemide administration.
Therefore, these values do not need to be monitored specifically for a client taking furosemide.
Question 2 of 5
A nurse is assessing a client who has a spinal cord injury at the C5 level. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale:
Correct
Answer: C - Difficulty breathing
Rationale: A spinal cord injury at the C5 level affects the diaphragm, which is responsible for breathing. This can result in difficulty breathing or respiratory compromise. The phrenic nerve, which controls the diaphragm, originates from the C3-C5 spinal nerves.
Summary of other choices:
A: Inability to move the legs - This would be expected with a spinal cord injury at a lower level (e.g., lumbar region).
B: Full range of motion in the arms - Unlikely with a C5 spinal cord injury, which would affect arm movement.
D: Intact sensation in the lower extremities - Sensation is typically impaired below the level of injury in spinal cord injuries.
Question 3 of 5
A nurse is providing discharge teaching to a client who has a new colostomy. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: The correct answer is C: Avoid foods high in fiber for the first 6 weeks. This instruction is important because high-fiber foods can increase stool output, leading to potential issues with the colostomy. By avoiding high-fiber foods initially, the client can allow the stoma to heal properly without excess output, reducing the risk of complications.
Choice A is incorrect because emptying the colostomy bag when it is one-quarter full is a general guideline, but frequency may vary depending on individual needs.
Choice B is incorrect as changing the colostomy appliance every 2 days may be too frequent and unnecessary, leading to increased risk of skin irritation and breakdown.
Choice D is incorrect as cleansing the stoma with alcohol-based wipes can be too harsh and drying, potentially causing skin irritation and damage.
Question 4 of 5
A nurse is caring for a client who is receiving chemotherapy and reports nausea. Which of the following medications should the nurse anticipate administering?
Correct Answer: A
Rationale: The correct answer is A: Ondansetron. Ondansetron is a commonly used antiemetic medication that helps relieve nausea and vomiting, commonly experienced as side effects of chemotherapy. It works by blocking serotonin receptors in the brain. Loperamide (
B) is an antidiarrheal medication, not used for nausea. Acetaminophen (
C) is a pain reliever and fever reducer, not for nausea. Diphenhydramine (
D) is an antihistamine that can help with allergies and motion sickness, but not as effective for chemotherapy-induced nausea.
Question 5 of 5
A nurse is assessing a client who has a fractured femur and is in skeletal traction. Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: The correct answer is B: Coolness in the toes of the affected leg. This finding could indicate compromised circulation, potentially leading to ischemia or compartment syndrome. Prompt reporting is crucial to prevent serious complications. Other choices are incorrect: A: Pain relieved by repositioning is expected as proper alignment reduces discomfort. C: Muscle spasms in the unaffected leg are likely unrelated to the traction. D: Traction weights resting on the floor indicate proper alignment.