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 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.
Question 2 of 5
A nurse is caring for a client who repeatedly refuses meals. The nurse overhears an assistive personnel (AP) telling the client, 'If you don't eat, I'll put restraints on your wrists and feed you.' The nurse should intervene and explain to the AP that this statement constitutes which of the following torts?
Correct Answer: A
Rationale: The AP's threat to restrain and force-feed the client constitutes assault, as it creates fear of harmful contact without consent. Malpractice involves professional negligence, battery is actual unconsented contact, and negligence is failure to meet care standards, none of which apply here.
Question 3 of 5
A nurse is assisting with the care of a client who is in labor. The client's labor is not progressing, and oxytocin is prescribed. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Continuous fetal heart rate monitoring is essential when administering oxytocin to detect fetal distress from hyperstimulation. Oxygen, amnioinfusion, or semi-Fowler's position are not routinely indicated without specific complications.
Question 4 of 5
A nurse is assisting with the care of a client who is receiving a blood transfusion. Which of the following actions should the nurse take if a transfusion reaction is suspected?
Correct Answer: C
Rationale: Stopping the transfusion is the first action if a reaction is suspected to prevent further harm. Increasing the rate worsens the reaction, acetaminophen is secondary, and leg elevation is not indicated.
Question 5 of 5
A nurse is assisting with the care of a client who is receiving total parenteral nutrition (TPN). Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Checking blood glucose is essential with TPN due to high dextrose content, which can cause hyperglycemia. IV sites are changed per protocol, TPN requires central access, and weight is monitored daily.