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 postoperative following a liver biopsy. In which of the following positions should the nurse place the client immediately following the procedure?
Correct Answer: D
Rationale: The correct answer is D: Right lateral. Placing the client in the right lateral position immediately after a liver biopsy helps to apply pressure to the biopsy site, minimizing the risk of bleeding. This position also facilitates drainage of any blood or fluid that may accumulate at the biopsy site.
A: Prone position is not ideal for a client post-liver biopsy as it may put pressure on the biopsy site, increasing the risk of bleeding.
B: Trendelenburg position, with the client's feet elevated above the head, is not necessary and may not provide the desired pressure on the biopsy site.
C: High-Fowler's position, with the client sitting upright, does not offer the same benefits as the right lateral position in terms of pressure and drainage at the biopsy site.
In summary, the right lateral position is the most appropriate choice post-liver biopsy to promote hemostasis and prevent complications.
Question 2 of 5
A nurse is assessing a client who is postoperative and has a history of pulmonary embolism. Which of the following findings is the priority for the nurse to report to the provider?
Correct Answer: C
Rationale: The correct answer is C: Dyspnea. Dyspnea in a postoperative client with a history of pulmonary embolism is a critical finding indicating potential respiratory distress. This could be a sign of a recurrent pulmonary embolism or worsening respiratory status, requiring immediate intervention. Tachycardia (
A) can be a normal response postoperatively. Dry cough (
B) may be indicative of irritation but is not as urgent as dyspnea. Hypotension (
D) is concerning but not as immediately life-threatening as respiratory distress.
Question 3 of 5
A nurse is planning care for a client who has acute appendicitis. Which of the following actions should the nurse plan to take?
Correct Answer: C
Rationale:
Correct Answer: C - Keep the client on NPO status
Rationale: In acute appendicitis, the client may require urgent surgery to remove the inflamed appendix. Keeping the client NPO (nothing by mouth) is essential to avoid potential complications during surgery, such as aspiration of stomach contents. This action also helps prevent delays in the surgical intervention and minimizes the risk of infection.
Incorrect
Choices:
A: Placing the client's head of bed flat can increase intra-abdominal pressure and worsen the client's condition.
B: Applying heat to the client's abdomen can exacerbate inflammation and may mask the symptoms, delaying appropriate treatment.
D: Administering a laxative can be dangerous as it may cause the appendix to rupture due to increased pressure from fecal matter.
Question 4 of 5
A nurse and an assistive personnel (AP) are assigned a group of clients on the unit. Which of the following clients should the nurse instruct the AP to report to the nurse?
Correct Answer: B
Rationale:
Correct Answer: B
Rationale:
1. Safety: The client with a prescription for compression stockings needs them for circulation and to prevent complications. Not receiving them could lead to health risks.
2. Nursing responsibility: The nurse is accountable for ensuring that prescribed treatments are provided, making it crucial for the AP to report this issue.
3. Collaboration: By reporting to the nurse, the AP allows for timely intervention to address the missed prescription, promoting client safety and well-being.
Summary of other choices:
A: Requesting assistance with the commode is a routine task that the AP can handle independently.
C: Sitting in a chair does not pose a significant risk or indicate a change in condition requiring immediate attention.
D: Consuming all food is a positive sign of appetite and does not warrant immediate reporting unless there are dietary restrictions or concerns documented.
Question 5 of 5
A nurse is providing teaching to a client who is at 14 weeks of gestation about findings to report to the provider. Which of the following findings should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct answer is D: Swelling of the face. At 14 weeks of gestation, facial swelling could indicate preeclampsia, a serious condition characterized by high blood pressure. This finding should be reported to the provider immediately for further evaluation and management to prevent complications.
Incorrect choices:
A: Bleeding gums - Common during pregnancy due to hormonal changes, usually not a significant concern.
B: Faintness upon rising - Could be related to postural hypotension, common in pregnancy but typically not urgent.
C: Urinary frequency - Normal in pregnancy due to increased blood flow to the kidneys, not typically a concerning issue at this stage.