ATI RN
RN Comprehensive Predictor Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has given informed consent for electroconvulsive therapy. Just before the procedure, the client tells the nurse she is considering not going forward with the treatment. Which of the following statements by the nurse is appropriate?
Correct Answer: A
Rationale: The correct answer is A: "You don't have to go through with the treatment." This response respects the client's autonomy and right to make decisions about their own healthcare, even if it goes against previous consent. It acknowledges the client's agency in their treatment process.
Explanation for Incorrect
Choices:
B: This statement disregards the client's current decision and implies the client should blindly follow medical advice.
C: This statement does not address the client's current hesitation and may pressure the client to continue the treatment.
D: While acknowledging the client's feelings is important, this statement does not directly address the client's decision to not proceed with the treatment.
Question 2 of 5
A hospice nurse is visiting with the son of a client who has terminal cancer. The son reports sleeping very little during the past week due to caring for his mother. Which of the following responses should the nurse make?
Correct Answer: A
Rationale: The correct answer is A. The nurse should offer information about respite care to address the son's sleep deprivation. Respite care provides temporary relief to caregivers, allowing them to rest and recharge. This is crucial for the son's well-being and ability to provide quality care.
Choice B does not address the son's sleep issue directly.
Choice C suggests medication without exploring other solutions first.
Choice D acknowledges the difficulty but does not offer a practical solution.
Question 3 of 5
A nurse is reviewing the medical records of four clients. The nurse should identify which of the following client findings that requires follow-up care.
Correct Answer: D
Rationale: The correct answer is D. A client taking warfarin with an INR of 1.8 requires follow-up care because the INR level is subtherapeutic. A therapeutic INR range for clients on warfarin is usually between 2.0-3.0 to prevent blood clots. An INR of 1.8 puts the client at risk for clot formation. The other options are not as urgent: A (Mantoux test induration could be expected after 48 hr), B (potassium level of 3.6 mEq/L is within normal range), C (sodium phosphate use before colonoscopy is common and doesn't necessarily indicate an issue). Thus, option D is the most critical for follow-up care.
Question 4 of 5
A nurse is providing nutrition teaching for a client who has hypertension. Which of the following foods should the nurse suggest the client include in their diet?
Correct Answer: C
Rationale: The correct answer is C: Fish. Fish is a good source of lean protein and omega-3 fatty acids, which can help lower blood pressure and reduce the risk of heart disease in individuals with hypertension. Canned black beans (
A) are also a good choice due to their high fiber content, but they may be high in sodium which can exacerbate hypertension. Cheese (
B) and red meat (
D) are high in saturated fats and sodium, which can contribute to high blood pressure. In summary, fish is the best choice for a client with hypertension due to its heart-healthy benefits compared to the other options.
Question 5 of 5
A nurse is reporting a client's laboratory tests to the provider to obtain a prescription for the client's daily warfarin. Which of the following laboratory tests should the nurse plan to report to obtain the prescription for the warfarin?
Correct Answer: A
Rationale: The correct answer is A: INR (International Normalized Ratio). The INR is a crucial test for monitoring warfarin therapy as it measures the effectiveness of the medication in preventing blood clots. A therapeutic INR range for clients on warfarin is typically between 2.0 and 3.0. Reporting the INR level to the provider will help determine if the client's warfarin dosage needs adjustment.
Fibrinogen level (
B), aPTT (
C), and Platelet count (
D) are not directly related to monitoring warfarin therapy. Fibrinogen level reflects clotting ability, aPTT measures intrinsic clotting time, and platelet count assesses the number of platelets in the blood. While these tests are important for assessing overall coagulation status, they are not specific to monitoring warfarin therapy.