ATI RN
ATI RN Comprehensive Predictor 2023 Retake 1 Questions
Extract:
Question 1 of 5
A nurse is collecting data from a client who has a history of heart failure. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: Orthopnea, difficulty breathing when lying flat, is typical in heart failure due to fluid overload. Tachycardia, weight gain, and productive cough are more common.
Question 2 of 5
A nurse is assisting with the care of a client who is postoperative following a laminectomy. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Encouraging turning every 2 hours prevents pressure injuries and promotes circulation post-laminectomy. Supine positioning is not required, heating pads are contraindicated, and weight-bearing follows protocol.
Extract:
Nurses' Notes
Vital Signs
Diagnostic Results
Day 1. 1400:
Client has paraplegia and reports, "I have had a cough the last few days.
I haven't had an appetite either." Denies nausea,. vomiting, or diarrhea.
Alert and oriented to person, place, and time.
Skin is intact.
Vital signs stable.
1830:
Client is experiencing tachycardia, productive cough, and confusion
Question 3 of 5
The client is at risk for ________ as evidenced by __________. Complete the following sentence by using the list of options.
| Hypostatic pneumonia. |
| Anemia. |
| Fluid volume overload. |
| Immobility. |
| Calorie deficiency. |
Correct Answer: A,D
Rationale: The client with paraplegia, cough, and reduced appetite is at risk for hypostatic pneumonia due to immobility, which impairs lung clearance and increases infection risk. Anemia, fluid overload, and calorie deficiency are not directly supported by the symptoms.
Extract:
Question 4 of 5
A nurse on a medical-surgical unit is planning care for four clients. The nurse should plan to use sterile gloves when performing which of the following procedures?
Correct Answer: C
Rationale: Sterile gloves are required for changing a central venous catheter dressing to prevent infection at the site, which accesses major veins. Ophthalmic ointment, NG tube insertion, and IM injections use clean gloves.
Question 5 of 5
A nurse is reinforcing teaching with a client who has a new prescription for doxycycline. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: Taking doxycycline with a full glass of water prevents esophageal irritation. Antacids reduce absorption, grapefruit juice is unrelated, and tooth discoloration is a risk in children, not adults.