Questions 180

ATI RN

ATI RN Test Bank

ATI Comprehensive Predictor 2023 Questions

Extract:


Question 1 of 5

A nurse is caring for a client who has an abdominal surgical incision and notes an evisceration. Which of the following actions should the nurse take?

Correct Answer: A

Rationale: Lying supine with knees flexed reduces tension on the incision, minimizing further protrusion of abdominal contents during evisceration.

Question 2 of 5

A nurse is assessing a client who is postoperative following a coronary artery bypass graft (CABG). Which of the following findings should the nurse report to the provider?

Correct Answer: D

Rationale: A temperature of 38.3°C may indicate infection, a serious postoperative complication requiring provider notification.

Question 3 of 5

A nurse enters a client's room and finds her sitting on the floor next to the shower. The client states that she slipped on some water outside of the shower. Which of the following actions should the nurse take first?

Correct Answer: D

Rationale: Measuring vital signs first assesses for immediate injuries or complications from the fall, such as shock or head trauma, prioritizing client safety.

Question 4 of 5

A nurse is collecting data from a client who has heart failure and is taking furosemide. Which of the following findings should indicate to the nurse that the medication is effective?

Correct Answer: C

Rationale: Increased urinary output indicates that furosemide, a diuretic, is effectively reducing fluid retention in heart failure clients.

Question 5 of 5

A nurse is collecting data from a client who has pyelonephritis and is receiving gentamicin via IV infusion. Which of the following manifestations should the nurse identify as an adverse effect of the treatment?

Correct Answer: B

Rationale: Gentamicin, an aminoglycoside, is known to cause ototoxicity, which can manifest as new onset hearing loss, a serious adverse effect requiring immediate reporting.

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