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, aiding mucus clearance in cystic fibrosis. Eating risks vomiting, pancrelipase is for digestion, and oral hygiene is unrelated to drainage.
Question 2 of 5
A nurse is assisting with the care of a client who is postoperative following a total knee arthroplasty. Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: Swelling in the affected leg may indicate deep-vein thrombosis, requiring provider notification. Pain, mild fever, and normal heart rate are expected.
Question 3 of 5
A nurse manager is updating protocols for the use of belt restraints. Which of the following guidelines should the nurse manager include?
Correct Answer: B
Rationale: Documenting the client's condition every 15 minutes ensures close monitoring of safety and restraint necessity. PRN restraint prescriptions are inappropriate; restraints require specific orders. Attaching restraints to side rails risks injury. Removal frequency depends on assessment, not a fixed 4-hour schedule.
Question 4 of 5
A nurse is preparing to administer dopamine hydrochloride 4 mcg/kg/min via continuous infusion. Available is dopamine hydrochloride in a solution of 800 mg in a 250 mL bag. The client weighs 80 kg. The nurse should set the IV infusion to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies.)
Correct Answer: C
Rationale: Calculate: 4 mcg/kg/min × 80 kg = 320 mcg/min = 0.32 mg/min. Hourly: 0.32 mg/min × 60 = 19.2 mg/hr. Solution: 800 mg/250 mL = 3.2 mg/mL. Volume: 19.2 mg ÷ 3.2 mg/mL = 6 mL/hr.
Question 5 of 5
A nurse is collecting data from a client who has a history of hypothyroidism. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: Constipation is expected in hypothyroidism due to slowed metabolism. Weight gain, cold intolerance, and bradycardia are more common.