ATI RN
RN ATI Comprehensive Assessment Exam Retake 2023 V2 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has an implanted venous access port. Which of the following should the nurse use to access the port?
Correct Answer: A
Rationale: The correct answer is A: A noncoring needle. A noncoring needle is specifically designed for accessing implanted venous access ports as it prevents coring of the septum, ensuring proper access without causing damage. An angiocatheter is typically used for peripheral IV access, not for accessing ports. A butterfly needle is not suitable for accessing ports as it may cause damage to the septum. A 25 gauge needle is too small and may not provide adequate access to the port.
Therefore, the most appropriate choice for accessing an implanted venous access port is a noncoring needle.
Question 2 of 5
A charge nurse is monitoring a newly licensed nurse who is caring for a client who is receiving total parenteral nutrition (TPN). Which of the following statements by the newly licensed nurse indicates an understanding of the procedure?
Correct Answer: A
Rationale: The correct answer is A: "I will hang a new bag of TPN and IV tubing every 24 hours." This statement indicates an understanding of the proper procedure for TPN administration. TPN solutions are typically changed every 24 hours to reduce the risk of bacterial contamination. By changing the TPN bag and tubing daily, the nurse is following best practice guidelines to maintain the sterility and integrity of the TPN infusion, ultimately reducing the risk of infection for the client.
Choices B, C, and D are incorrect:
B: "I will obtain the client's weight every other day." While monitoring the client's weight is important for assessing fluid status and nutritional needs, it is not directly related to the procedure of administering TPN.
C: "I will monitor the client's blood glucose level every 8 hours." Monitoring blood glucose levels is important in clients receiving TPN, but the frequency of monitoring can vary depending on the client's condition and the healthcare provider's orders. It
Question 3 of 5
A nurse is providing discharge instructions to a client who has a new prescription for haloperidol. Which of the following adverse effects should the nurse instruct the client to report to the provider?
Correct Answer: C
Rationale: The correct answer is C: Shuffling gait. Haloperidol is an antipsychotic medication that can cause extrapyramidal symptoms like shuffling gait, which is a serious adverse effect requiring immediate medical attention to prevent further complications. A: Weight gain is a common side effect but not urgent. B: Dry mouth is a common side effect that can be managed with oral hygiene. D: Sedation is a common side effect that may resolve over time.
Question 4 of 5
A nurse is providing discharge teaching to a client following a total gastrectomy. The nurse should instruct the client about which of the following medications?
Correct Answer: B
Rationale: The correct answer is B: Vitamin B12. After a total gastrectomy, the client is at risk for developing pernicious anemia due to the lack of intrinsic factor production, which is essential for Vitamin B12 absorption. Vitamin B12 supplementation is crucial to prevent this deficiency.
Ranitidine (
A) is an H2 blocker that reduces stomach acid production and is not specifically necessary after a total gastrectomy. Vitamin K (
C) is essential for blood clotting but is not directly related to the client's condition post-total gastrectomy. Metoclopramide (
D) is a prokinetic agent used for gastroparesis and is not indicated for Vitamin B12 deficiency post-total gastrectomy.
Question 5 of 5
A nurse is providing teaching about home safety to the adult child of an older adult client who is postoperative following hip replacement surgery. Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: The correct answer is D: Ensure that area rugs have rubber backs. This instruction is important because rubber-backed area rugs can prevent slipping and falling accidents, which is crucial for a postoperative hip replacement patient. It provides stability and reduces the risk of injuries.
Choice A is incorrect because wearing shoes at home can actually increase the risk of falls due to potential slipping hazards.
Choice B is incorrect as placing a throw rug over electrical cords can create a tripping hazard.
Choice C is incorrect as marking the edges of the doorway with tape does not address the main safety concern of preventing falls related to the rugs.
By selecting choice D, the nurse addresses the specific safety need of the postoperative hip replacement patient and promotes a safer home environment.