ATI RN
RN ATI Comprehensive Assessment Exam Retake 2023 V2 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is in active labor and notes the FHR baseline has been 100/min for the past 15 min. The nurse should identify which of the following conditions as a possible cause of fetal bradycardia?
Correct Answer: C
Rationale: The correct answer is C: Fetal anemia. Fetal bradycardia (baseline <110/min) could indicate fetal distress. Fetal anemia decreases oxygen-carrying capacity, leading to compensatory bradycardia. Maternal hypoglycemia (
A) typically causes fetal tachycardia. Chorioamnionitis (
B) and maternal fever (
D) usually cause fetal tachycardia due to infection. Summarily, fetal anemia is the most likely cause of fetal bradycardia compared to the other options.
Question 2 of 5
A nurse is caring for a client who has heart failure. Which of the following manifestations should the nurse expect?
Correct Answer: A
Rationale: The correct answer is A: Crackles in lungs. In heart failure, the heart is unable to effectively pump blood, leading to fluid accumulation in the lungs, causing crackles on auscultation due to pulmonary edema. Decreased thirst (
B) is not typical in heart failure as fluid overload often leads to increased thirst. Poor skin turgor (
C) is more indicative of dehydration. Tachycardia (
D) can occur in heart failure, but it is not specific to this condition.
Question 3 of 5
A nurse is discussing discharge plans with an older adult client who lives alone and has left-sided weakness following a stroke. Which of the following information is the priority for the nurse to discuss?
Correct Answer: B
Rationale: The correct answer is B: Obtaining an alert system to get help in case of a fall. This is the priority because the client has left-sided weakness following a stroke, making them at higher risk for falls and potential injuries. Having an alert system in place ensures quick assistance in case of a fall, potentially preventing serious consequences. Reviewing support groups (
A) is important for emotional support but not as urgent as fall prevention. Providing transportation resources (
C) can be discussed later once safety concerns are addressed. Choosing an agency for physical therapy (
D) is important but secondary to immediate safety needs.
Question 4 of 5
A nurse is caring for a client whose child died from cancer. The client states, 'It's hard to go on without him.' Which of the following questions should the nurse ask the client first?
Correct Answer: D
Rationale: The correct answer is D: "Are you thinking about ending your life?" This question is crucial as it directly addresses the client's statement about finding it hard to go on without their child, indicating potential suicidal ideation. By asking this question first, the nurse can assess the client's risk of harm and provide appropriate interventions if necessary.
Option A: "What has helped you through difficult times in the past?" - While this is a supportive question, it does not address the immediate concern of suicidal ideation.
Option B: "Has anyone in your family committed suicide?" - This question may be relevant but is not as urgent as directly asking about the client's current thoughts of ending their own life.
Option C: "Is there anyone you would like involved in your care?" - This question focuses more on the client's support system rather than addressing the potential risk of harm.
In summary, asking about suicidal thoughts first is crucial in ensuring the client's safety and well-being in this scenario.
Question 5 of 5
A nurse is conducting an initial assessment of a client and notices a discrepancy between the client's current IV infusion and the information received during the shift report. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Compare the current infusion with the prescription in the client's medication record. This action is essential to verify the accuracy of the IV infusion and ensure patient safety. By comparing the current infusion with the prescription in the medication record, the nurse can identify any discrepancies and take appropriate action, such as adjusting the infusion rate or notifying the healthcare provider if necessary. Contacting the charge nurse (choice
A) may be helpful but does not directly address the discrepancy. Completing an incident report (choice
B) is premature without confirming the discrepancy first. Submitting a written warning (choice
C) is not appropriate without a thorough investigation. The other choices are incomplete, and only comparing the infusion with the prescription will provide the necessary information to address the issue effectively.