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 pyelonephritis and is receiving gentamicin via IV infusion. Which of the following manifestations should the nurse identify as an adverse effect of the treatment?
Correct Answer: B
Rationale: Gentamicin is ototoxic, causing new-onset hearing loss by damaging inner ear structures. Hypotension, hyperthermia, and slurred speech are not typical adverse effects; nephrotoxicity is another concern.
Question 2 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 3 of 5
A nurse is preparing to administer dopamine hydrochloride 4 mcg/kg/min via continuous infusion. Available is dopamine hydrochloride in a solution of 800 mg in a 250 mL bag. The client weighs 80 kg. The nurse should set the IV infusion to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies.)
Correct Answer: C
Rationale: Calculate: 4 mcg/kg/min × 80 kg = 320 mcg/min = 0.32 mg/min. Hourly: 0.32 mg/min × 60 = 19.2 mg/hr. Solution: 800 mg/250 mL = 3.2 mg/mL. Volume: 19.2 mg ÷ 3.2 mg/mL = 6 mL/hr.
Question 4 of 5
A nurse is assisting with the care of a client who is postoperative following a total hip arthroplasty. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: An abduction pillow prevents dislocation by maintaining hip alignment post-hip arthroplasty. Crossing legs or warm compresses increase dislocation risk, and weight-bearing follows protocol.
Question 5 of 5
A nurse is caring for a client who is undergoing electroconvulsive therapy. Which of the following tasks should the nurse delegate to an assistive personnel?
Correct Answer: B
Rationale: Assisting with ambulation is within the assistive personnel's scope, requiring no clinical judgment. Checking condition, witnessing consent, and administering medication require nursing expertise.