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 deep-vein thrombosis. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Unilateral leg swelling is typical in deep-vein thrombosis due to venous obstruction. Bilateral edema suggests heart failure, hypotension is not specific, and fever may occur but is less common.
Question 2 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 3 of 5
A nurse is reinforcing teaching with a client who has a new prescription for warfarin. Which of the following foods should the nurse instruct the client to avoid?
Correct Answer: B
Rationale: Spinach, high in vitamin K, can reduce warfarin's anticoagulant effect, so intake should be consistent or limited. Oranges, chicken, and potatoes have minimal impact.
Question 4 of 5
A nurse is assisting in the care of a client who is to receive a transfusion of packed RBCs. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Checking the client's blood type and crossmatch in the medical record ensures compatibility, preventing transfusion reactions. Blood should not be kept at room temperature, dextrose causes hemolysis, and vital signs are checked before, at 15 minutes, and after, not hourly.
Question 5 of 5
A nurse is planning care for a client who is receiving continuous enteral tube feedings through an open system. Which of the following interventions should the nurse include in the plan of care?
Correct Answer: B
Rationale: Flushing the tubing with 30 mL of water every 4 hours prevents clogging and maintains tube patency. Bed elevation should be 30-45 degrees to prevent aspiration. Gastric residual should be checked every 4-6 hours, not 12. Formula should not exceed 4-8 hours to avoid bacterial growth.