ATI RN
RN ATI Comprehensive Assessment Exam Retake 2023 V2 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who states he recently purchased lavender oil to use when he gets the flu. The nurse should recognize which of the following findings as a potential contraindication for using lavender?
Correct Answer: B
Rationale: The correct answer is B: The client has a history of asthma. Lavender oil can trigger respiratory issues in individuals with asthma due to its strong scent and potential irritant effects on the airways. Asthmatic individuals are more sensitive to respiratory irritants, making lavender oil a potential contraindication.
Incorrect choices:
A: The client has a history of alcohol use disorder - Alcohol use disorder does not directly interact with lavender oil use.
C: The client takes vitamin C daily - Vitamin C does not interact negatively with lavender oil.
D: The client takes furosemide twice daily - Furosemide is a diuretic and does not have a direct contraindication with lavender oil.
Question 2 of 5
A nurse is planning care for a school-age child who is 4 hr postoperative following appendicitis. Which of the following actions should the nurse include in the plan of care?
Correct Answer: B
Rationale: The correct answer is B: Administer analgesics on a scheduled basis for the first 24 hr. Postoperative pain management is crucial to ensure the child's comfort and promote healing. Scheduled administration of analgesics helps maintain a consistent level of pain control, preventing the child from experiencing severe pain. This approach also helps in preventing the need for rescue doses when the pain becomes unbearable. Applying a warm compress (choice
A) may not be appropriate as it can increase the risk of infection at the operative site. Giving cromolyn nebulized solution (choice
C) is not indicated for postoperative pain management following appendicitis surgery. Offering clear liquids (choice
D) 6 hr post-surgery may not be recommended until the child has shown signs of bowel function recovery.
Question 3 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 4 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.
Extract:
Nurses Notes
Today
0800:
Client reports not feeling well with headache, body aches, and chills. Left breast red and tender with swollen, tender lymph nodes in the left axilla. Incision edges well approximated without erythema or drainage. Small amount of lochia rubra noted.
0830
Provider notified of findings. Prescriptions received
Question 5 of 5
For each potential assessment finding, click to specify if the assessment finding is consistent with mastitis or endometritis. Each finding may support more than 1 disease process.
Correct Answer: B: Mastitis; A, C, D: Both
Rationale: The correct answer is B: Painful, tender breast for mastitis. Mastitis is an infection of the breast tissue, causing pain and tenderness. Foul-smelling lochia can be consistent with both mastitis and endometritis, as it indicates infection. Temperature and chills are non-specific findings that can be present in both mastitis and endometritis. In summary, the painful, tender breast is a specific finding for mastitis, while foul-smelling lochia, temperature, and chills can be seen in both conditions due to the presence of infection.