Questions 169

ATI RN

ATI RN Test Bank

RN Comprehensive Predictor 2023 Questions

Extract:


Question 1 of 5

A nurse is caring for a male client who has a spinal cord injury. Which of the following techniques should the nurse use when providing perineal care?

Correct Answer: B

Rationale: After cleaning the urethral meatus, the nurse should discard the washcloth or use a different part of it to prevent the spread of bacteria.

Question 2 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 report received during the shift report. Which of the following actions should the nurse take?

Correct Answer: B

Rationale: The nurse should first compare the current infusion with the prescription in the client's medication record to ensure the client is receiving the correct medication and dosage.

Extract:

History and Physical
Vital Signs
Nurses' Notes
Laboratory Results
0700:
Majority of client's history is obtained from client's parent who presents with client today. According to the parent, client has been acting strangely for a few months. Client's symptoms have been progressively worsening.
In the last month, the client has been seeing things that are not present and believes that they are in a close relationship with "a powerful spirit." Client has not been bathing regularly for the last few weeks.
Client has no significant health history. Client reports that they do not take illicit substances or drink alcohol. Client's grandparent has a history of schizophrenia.


Question 3 of 5

For each potential action, click to specify if the action is indicated or contraindicated for the client.

OptionsIndicatedContraindicated
Ask the client about the content of their hallucinations
Instruct the client on expected hygiene practices
Allow the client to watch TV at a high volume
Assess the client for suicidal ideation
Place the client in a room near the activity

Correct Answer: A,B,C,D,E

Rationale: Ask about hallucinations: Indicated - Assesses severity. Instruct on hygiene: Indicated - Promotes well-being. Allow high volume TV: Contraindicated - May exacerbate symptoms. Assess for suicidal ideation: Indicated - Ensures safety. Place near activity: Contraindicated - Reduces overstimulation.

Extract:


Question 4 of 5

A nurse is caring for a client who is postoperative following a cholecystectomy. Which of the following dietary instructions should the nurse provide?

Correct Answer: A

Rationale: A low-fat diet reduces stress on the digestive system post-cholecystectomy.

Question 5 of 5

A nurse is teaching a client who has a new prescription for atorvastatin. Which of the following instructions should the nurse include?

Correct Answer: B

Rationale: Atorvastatin can cause myopathy; muscle pain may indicate rhabdomyolysis, requiring immediate reporting.

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