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 stroke. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Unilateral arm weakness is typical post-stroke due to hemispheric brain damage. Bilateral weakness, fever, or abdominal pain are not specific to stroke.
Question 2 of 5
A nurse in an emergency department is caring for a client who is actively bleeding from a stab wound to the thigh. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Applying direct pressure with thick dressing material is the first action to control active bleeding from a stab wound, promoting clot formation. A tourniquet is used only if pressure fails and should be proximal, not distal. Irrigation is secondary, and transparent dressings don't control heavy bleeding.
Question 3 of 5
A nurse caring for the family of a client who recently died. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Encouraging the family to express feelings of loss supports grieving. Instructing them to leave, limiting time, or restricting touch is insensitive and disregards cultural or personal needs.
Question 4 of 5
A nurse is collecting data from a client who has a history of migraines. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Visual disturbances, like auras, are common in migraines, often preceding headache. Leg pain, chest tightness, and abdominal cramping are not typical migraine symptoms.
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.