ATI RN
ATI Clinical Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a patient who has a new prescription for gabapentin. Which of the following adverse effects should the nurse monitor for? Which adverse effect should the nurse monitor for gabapentin?
Correct Answer: A
Rationale: Gabapentin can cause drowsiness, a common side effect. Other options are not typical.
Question 2 of 5
A nurse in the emergency department is attending to a patient exhibiting symptoms of a myocardial infarction. Which of the following actions should the nurse prioritize? Which action should the nurse prioritize for myocardial infarction?
Correct Answer: A
Rationale: Oxygen therapy reduces myocardial oxygen demand, the priority. Blood samples, ECG, and IV follow.
Extract:
Medical History (0700 hrs)
• Gestational age: 42 weeks
• Delivery: Spontaneous vaginal birth
• Amniotic fluid: Dark brown-greenish color noted
• Apgar scores: 8 at 1 minute, 9 at 5 minutes
Vital Signs (0700 hrs)
• Axillary temperature: 36.9°C (98.4°F)
• Heart rate: 170/min
• Respiratory rate: 72/min
• Birth weight: 4025 gm (8 lb 14 oz) (Appropriate for Gestational Age)
Nurses' Notes (0700 hrs)
The newborn was placed on the birth parent's abdomen immediately following delivery. The mouth and nose were suctioned with a bulb syringe to clear secretions. The newborn was dried and stimulated, resulting in a strong cry. The newborn was moving all extremities with a flexed tone noted. Acrocyanosis was present. The newborn was alert and active. Respirations were rapid and shallow with occasional expiratory grunting. Fine crackles were auscultated throughout the lung fields. A small amount of green- stained vernix was present in skin folds. The newborn had fingernails stained green. Molding of the skull and generalized soft occipital swelling were noted.
Question 3 of 5
A nurse is caring for a newborn who is 30 minutes old following a spontaneous vaginal birth. The birth parent noted dark brown- greenish amniotic fluid during labor. The newborn was delivered at 42 weeks gestation. Apgar scores were 8 at 1 minute and 9 at 5 minutes. Exhibits After reviewing the information in the newborn's medical record, which of the following complications should the nurse identify as posing the greatest risk? Drag one condition and one client finding to fill in each blank in the following sentence.The condition that poses the greatest risk to the newborn is ---------------- due to -------------------
Correct Answer: A,B
Rationale: Dark brown-greenish amniotic fluid indicates meconium, increasing risk of meconium aspiration syndrome, a serious lung condition.
Extract:
Question 4 of 5
A nurse is educating a patient about the risk factors for osteoarthritis. Which factors should the nurse include in the education? Which factors should the nurse include for osteoarthritis risk?
Correct Answer: C,D
Rationale: Aging and obesity increase osteoarthritis risk due to joint wear and stress. Bacteria and diuretics are not risk factors.
Question 5 of 5
A nurse is attending to a patient with a wound infection. What should the nurse do when collecting a wound-drainage specimen for culture? What should the nurse do for wound culture collection?
Correct Answer: C
Rationale: Cleansing with saline removes surface bacteria for accurate culture. Swabbing skin, using antiseptic, or including intact skin risks contamination.