ATI RN
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ATI RN Comprehensive Predictor 2023 Updated Questions
Extract:
Question
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1 of 5
A nurse is caring for a client who has a urinary tract infection and a prescription for ciprofloxacin. Which of the following instructions should the nurse include in the teaching?
Correct Answer: B
Rationale: Ciprofloxacin increases photosensitivity, so avoiding sunlight is necessary to prevent burns.
Question 2 of 5
A nurse is caring for a client who is receiving mechanical ventilation. Which of the following actions should the nurse take to prevent ventilator-associated pneumonia?
Correct Answer: B
Rationale: Elevating the head of the bed reduces the risk of aspiration, a key factor in preventing VAP.
Extract:
History and Physical
Nurses' Notes
G1P1, spontaneous vaginal delivery with median episiotomy at 39 weeks of gestation. Newborn 4,508 g (9 lb 15 oz). APGARs: 8 at 1 min, 9 at 5 min.
The client is at highest risk for developing Select... evidenced by the client's Select... Group B streptococcus B-hemolytic: positive (negative)
Received 2 doses of intravenous penicillin G while in labor.
Question 3 of 5
The client is at highest risk for developing Select... evidenced by the client's Select...
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| endometritis |
| mastitis |
| perineal hematoma |
| cracked nipple |
| group B streptococcus |
| large for gestational age newborn |
Correct Answer: B,D
Rationale: Mastitis risk is high due to cracked nipples, allowing bacterial entry during breastfeeding.
Extract:
Vital signs
0600:
Temperature 37.2° C (99° F)
Heart rate 66/min
Respiratory rate 16/min
BP 130/82 mm Hg
Pulse oximetry 96% on room air
1000:
Temperature 37.6° C (99.7° F)
Heart rate 70/min
Respiratory rate 20/min
BP 160/102 mm Hg
Pulse oximetry 96% on room air
Client reports pain as 10 on a scale of 0 to 10 from headache
Question 4 of 5
For each potential nursing action, click to specify if the action is anticipated or contraindicated for the client.
| Options | Anticipated | Contraindicated |
|---|---|---|
| Perform suctioning | ||
| Withhold pain medication for headache until other manifestations resolve | ||
| Assess blood pressure every 15 minutes | ||
| Administer nifedipine | ||
| Assess for urinary retention | ||
| Place client in supine position |
Correct Answer: C,E
Rationale: Frequent blood pressure checks and assessing urinary retention are anticipated to manage autonomic dysreflexia, while suctioning, withholding pain medication, nifedipine, and supine positioning are contraindicated.
Extract:
Question 5 of 5
A nurse is providing discharge teaching to a client who has a new prescription for furosemide. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Furosemide can cause hypokalemia, so monitoring for signs like muscle weakness is essential.