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 seizures. Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: Missing a dose of phenytoin, an anticonvulsant, increases seizure risk, requiring provider notification. Sleeping normally, new prescriptions, or a 2-month seizure-free period are less urgent.
Question 2 of 5
A nurse is assessing a client who received hydromorphone 4 mg IV 15 min ago. The client has a respiratory rate of 10/min. The nurse should prepare to administer which of the following medications?
Correct Answer: D
Rationale: Naloxone, an opioid antagonist, reverses hydromorphone-induced respiratory depression, indicated by a rate of 10/min, preventing potential respiratory arrest. Diazepam would worsen sedation, and acetaminophen and ibuprofen don't address opioid overdose.
Question 3 of 5
A nurse is assisting with the care of a client who is receiving a unit of packed RBCs. Fifteen minutes after starting the transfusion, the client reports itching and hives. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Stopping the transfusion is the first action to prevent worsening of an allergic reaction, indicated by itching and hives. Notifying the provider, administering diphenhydramine, or collecting urine follow after stopping the transfusion.
Question 4 of 5
A nurse is collecting data from a client who has a history of chronic kidney disease. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Anemia is expected in chronic kidney disease due to decreased erythropoietin production. Hyperkalemia, decreased urine output, and hypertension are more common.
Question 5 of 5
A nurse is reinforcing teaching about hand hygiene with a newly licensed nurse. Which of the following information should the nurse include in the teaching?
Correct Answer: A
Rationale: Interlacing fingers during hand washing ensures cleaning between fingers and under nails, a key step in surgical hand hygiene. Friction should last 20-30 seconds, hot water is avoided to prevent skin damage, and drying starts at fingers.