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 left-sided pneumothorax and a chest tube in place with a closed drainage system. Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: Continuous bubbling in the water seal chamber indicates an air leak, requiring immediate provider notification. Tidaling is normal, 100 mL output is expected, and absent left-sided breath sounds are consistent with pneumothorax.
Question 2 of 5
A nurse is reinforcing teaching with a client who has a new prescription for lisinopril. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: Reporting a persistent dry cough is important with lisinopril, an ACE inhibitor, as it may require discontinuation. Grapefruit juice is unrelated, weight gain is not expected, and potassium intake needs monitoring, not reduction.
Question 3 of 5
A nurse is providing site care for a child who has a gastrostomy enteral tube. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Securing the tubing to the abdomen prevents dislodgement of the gastrostomy tube. Taping to the cheek risks irritation, lubricants aren't needed, and extension tubes are used for feeding, not routine care.
Question 4 of 5
A nurse is reinforcing teaching with a client who is at 36 weeks of gestation and has a prescription for a nonstress test. Which of the following statements should the nurse include?
Correct Answer: C
Rationale: Pressing a button when the baby moves during a nonstress test records fetal movements, helping assess fetal well-being by correlating movement with heart rate accelerations. Drinking water, a 2-hour duration, or an empty bladder are not standard requirements.
Question 5 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.