ATI RN
ATI RN Comprehensive Predictor 2023 Retake 1 Questions
Extract:
Question 1 of 5
A nurse is caring for an adolescent client who has cystic fibrosis. Which of the following actions should the nurse instruct the client to take prior to initiating postural drainage?
Correct Answer: C
Rationale: Using an albuterol inhaler before postural drainage opens airways, facilitating mucus clearance in cystic fibrosis patients. Eating a meal can cause discomfort or vomiting during drainage. Pancrelipase aids digestion but is unrelated to drainage preparation. Oral hygiene is not a specific pre-drainage requirement.
Question 2 of 5
A nurse is caring for a client who is postoperative following a cholecystectomy and reports pain. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Administering prescribed morphine addresses postoperative pain effectively, as it's a potent analgesic for moderate to severe pain. A back rub or repositioning may provide comfort but is less effective for surgical pain. A heating pad is contraindicated post-cholecystectomy due to risk of bleeding or tissue damage.
Question 3 of 5
A nurse is caring for a client who has a new diagnosis of breast cancer. The client states, 'I don't understand why this is happening to me.' Which of the following responses should the nurse make?
Correct Answer: A
Rationale: Acknowledging the client's feelings and offering to discuss them provides emotional support and encourages coping. Dismissing the concern, trivializing the diagnosis, or redirecting to treatment is dismissive.
Question 4 of 5
A nurse is collecting data from a client who has a left-sided pneumothorax and a chest tube in place with a closed drainage system. Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: Continuous bubbling in the water seal chamber indicates an air leak, requiring immediate provider notification. Tidaling is normal, 100 mL output is expected, and absent left-sided breath sounds are consistent with pneumothorax.
Question 5 of 5
A nurse is collecting data from a client who has a history of schizophrenia. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Flat affect, reduced emotional expression, is typical in schizophrenia. Hyperactivity, weight loss, or fever are not characteristic; disorganized behavior may occur.