Questions 188

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ATI RN Comprehensive Predictor 2023 Retake 1 Questions

Extract:


Question 1 of 5

A nurse is caring for a client who has a recent diagnosis of a terminal illness. The nurse should identify which of the following as an indication of hopelessness?

Correct Answer: D

Rationale: Making funeral arrangements indicates hopelessness, suggesting the client accepts no recovery possibility. Decreased energy, seeking second opinions, or discussing the diagnosis are normal reactions, not necessarily hopelessness.

Question 2 of 5

A nurse is reinforcing teaching with a client who has a new prescription for omeprazole. Which of the following instructions should the nurse include?

Correct Answer: A

Rationale: Taking omeprazole at bedtime maximizes acid suppression overnight. Grapefruit juice is unrelated, nausea should be reported, and relief may take days, not be immediate.

Question 3 of 5

A nurse is assisting with the care of a client who is receiving total parenteral nutrition (TPN). Which of the following actions should the nurse take?

Correct Answer: A

Rationale: Checking blood glucose is essential with TPN due to high dextrose content, which can cause hyperglycemia. IV sites are changed per protocol, TPN requires central access, and weight is monitored daily.

Question 4 of 5

A nurse is assisting with the care of a client who is receiving a continuous enteral feeding. Which of the following actions should the nurse take?

Correct Answer: C

Rationale: Changing the feeding bag every 24-48 hours prevents bacterial growth. Residuals are checked every 4-6 hours, flushing uses 30 mL, and supine positioning risks aspiration.

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.

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