ATI RN
RN Comprehensive Predictor Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is receiving chemotherapy and reports nausea. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Provide small, frequent meals. Chemotherapy commonly causes nausea, and providing small, frequent meals can help manage this symptom by preventing the stomach from becoming too full. This approach helps to ease digestion and reduce the likelihood of triggering nausea. Administering an opioid analgesic (
A) is not appropriate for nausea relief in this scenario. Encouraging carbonated beverages (
C) may worsen nausea due to the gas content. Instructing the client to lie flat after eating (
D) can exacerbate nausea by putting pressure on the stomach.
Question 2 of 5
A nurse is assessing a newborn who is 12 hr old. Which of the following findings should the nurse report to the provider?
Correct Answer: D
Rationale: The correct answer is D: Jaundice on the face. Jaundice in a newborn within the first 24 hours should be reported as it can be a sign of pathological hyperbilirubinemia. Acrocyanosis (
A) is a common finding in newborns and is not concerning. A heart rate of 140/min (
B) is within the normal range for a newborn. The Moro reflex (
C) is a normal primitive reflex present in newborns. Reporting jaundice on the face (
D) is crucial to assess for potential complications.
Question 3 of 5
A nurse is caring for a client who has a prescription for a low-sodium diet due to hypertension. Which of the following food choices should the nurse recommend?
Correct Answer: B
Rationale: The correct answer is B: Fresh strawberries. Strawberries are a naturally low-sodium food option, making them suitable for a client on a low-sodium diet for hypertension. Fresh fruits are generally recommended for such diets due to their low sodium content.
Rationale for other choices:
A: Canned soup - Canned soups are typically high in sodium content due to added salt and preservatives, not suitable for a low-sodium diet.
C: Processed cheese - Processed cheese contains high levels of sodium as a preservative, making it unsuitable for a low-sodium diet.
D: Deli meats - Deli meats are often processed and contain high amounts of sodium for preservation, making them inappropriate for a low-sodium diet.
Question 4 of 5
A nurse is providing teaching to a client who has a new prescription for insulin glargine. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: Administer at different sites each day. This instruction is important because consistently injecting insulin into the same site can lead to lipohypertrophy, affecting absorption. Rotating sites helps prevent this complication.
Choice B is incorrect because shaking insulin can cause bubbles, affecting dose accuracy.
Choice C is incorrect as insulin glargine should be stored at room temperature after opening to avoid crystallization.
Choice D is incorrect because insulin glargine is a long-acting insulin without a peak within 2 hours.
Question 5 of 5
A nurse is caring for a client who is experiencing alcohol withdrawal. Which of the following medications should the nurse expect to administer?
Correct Answer: C
Rationale: The correct answer is C: Lorazepam. Lorazepam is a benzodiazepine used to manage symptoms of alcohol withdrawal by reducing anxiety, agitation, and preventing seizures. It acts on the GABA receptors to produce a calming effect. Naloxone (
A) is used to reverse opioid overdose, not alcohol withdrawal. Disulfiram (
B) is used to deter alcohol consumption by causing unpleasant reactions if alcohol is consumed. Acamprosate (
D) helps maintain abstinence in alcohol-dependent individuals but is not typically used for acute withdrawal symptoms.