ATI RN
ATI RN Comprehensive Predictor 2023 Retake 1 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: For evisceration, lying supine with knees flexed reduces wound tension, preventing further protrusion. A moist sterile dressing is used, not dry or transparent, and semi-Fowler's increases abdominal pressure, worsening the condition.
Question 2 of 5
A nurse is caring for a client who repeatedly refuses meals. The nurse overhears an assistive personnel (AP) telling the client, 'If you don't eat, I'll put restraints on your wrists and feed you.' The nurse should intervene and explain to the AP that this statement constitutes which of the following torts?
Correct Answer: A
Rationale: The AP's threat to restrain and force-feed the client constitutes assault, as it creates fear of harmful contact without consent. Malpractice involves professional negligence, battery is actual unconsented contact, and negligence is failure to meet care standards, none of which apply here.
Question 3 of 5
A charge nurse is teaching new staff members about factors that increase a client's risk to become violent. Which of the following risk factors should the nurse include as the best predictor of future violence?
Correct Answer: A
Rationale: Previous violent behavior is the strongest predictor of future violence, as past behavior often indicates future tendencies. Delusions, male gender, and prison history are less specific predictors.
Question 4 of 5
A nurse is reinforcing teaching with a client who has a new prescription for lisinopril. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: Reporting a persistent dry cough is important with lisinopril, an ACE inhibitor, as it may require discontinuation. Grapefruit juice is unrelated, weight gain is not expected, and potassium intake needs monitoring, not reduction.
Question 5 of 5
A nurse is planning care for a client who is receiving continuous enteral tube feedings through an open system. Which of the following interventions should the nurse include in the plan of care?
Correct Answer: B
Rationale: Flushing the tubing with 30 mL of water every 4 hours prevents clogging and maintains tube patency. Bed elevation should be 30-45 degrees to prevent aspiration. Gastric residual should be checked every 4-6 hours, not 12. Formula should not exceed 4-8 hours to avoid bacterial growth.