ATI RN
RN ATI Comprehensive Assessment Exam Retake 2023 V2 Questions
Extract:
Question 1 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 question to ask first is D: "Are you thinking about ending your life?" This is important to assess the client's risk of suicide, as the statement "It's hard to go on without him" can indicate suicidal ideation. It is crucial to address safety concerns immediately. Asking about coping strategies (
A) can come later. Inquiring about family suicide history (
B) may not be relevant at this stage. Involving others in care (
C) is important but not as urgent as assessing suicidal thoughts.
Question 2 of 5
A nurse is teaching a client about advance directive. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A because it accurately defines a living will as a document stating the client's healthcare wishes. This shows understanding of an advance directive's purpose. Option B is incorrect because advance directives empower the client, not the provider, to make healthcare decisions. Option C is incorrect as advance directives focus on healthcare, not material possessions. Option D is incorrect as witnesses don't need to be partners, just competent adults.
Question 3 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 and protein in the urine. This finding should be reported to the provider immediately for further evaluation and management to prevent complications for both the mother and the baby.
Other choices are incorrect because:
A: Bleeding gums are common during pregnancy due to hormonal changes and increased blood flow to the gums.
B: Faintness upon rising may be due to postural hypotension, common in pregnancy.
C: Urinary frequency is a common complaint in early pregnancy due to hormonal changes and pressure on the bladder from the growing uterus.
Question 4 of 5
A nurse is providing discharge instructions to a client who has a new prescription for haloperidol. Which of the following adverse effects should the nurse instruct the client to report to the provider?
Correct Answer: C
Rationale: The correct answer is C: Shuffling gait. Haloperidol is an antipsychotic medication known to cause extrapyramidal side effects like shuffling gait, which can indicate a serious movement disorder called tardive dyskinesia. Reporting this symptom promptly to the provider is crucial for early intervention. Weight gain (
A) and dry mouth (
B) are common side effects of many medications, including haloperidol, but they are not considered urgent to report. Sedation (
D) is a common side effect of haloperidol, but it is not typically a sign of a serious adverse reaction requiring immediate attention.
Question 5 of 5
A charge nurse is monitoring a newly licensed nurse who is caring for a client who is receiving total parenteral nutrition (TPN). Which of the following statements by the newly licensed nurse indicates an understanding of the procedure?
Correct Answer: A
Rationale:
Correct
Answer: A - "I will hang a new bag of TPN and IV tubing every 24 hours."
Rationale: Changing the TPN bag and tubing every 24 hours is crucial to prevent contamination and infection. TPN is a high-risk solution that can support bacterial growth. Changing the bag and tubing decreases the risk of infection and ensures the client receives fresh and uncontaminated TPN.
Summary of Incorrect
Choices:
B: Obtaining the client's weight every other day is important for adjusting the TPN formula but does not demonstrate an understanding of the procedure like changing the bag and tubing.
C: Monitoring the client's blood glucose level every 8 hours is important for assessing tolerance to TPN but does not directly relate to the procedural aspect of TPN administration.
D: Increasing the rate of TPN infusion to ensure the correct amount is given is not safe practice and can lead to complications. The rate should be prescribed by the healthcare provider and not arbitrarily increased.