ATI RN
RN ATI Comprehensive Assessment Exam Retake 2023 V2 Questions
Extract:
Question 1 of 5
A nurse is conducting an initial assessment of a client and notices a discrepancy between the client's current IV infusion and the information received during the shift report. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Compare the current infusion with the prescription in the client's medication record. This action is essential to verify the accuracy of the IV infusion and ensure patient safety. By comparing the current infusion with the prescription in the medication record, the nurse can identify any discrepancies and take appropriate action, such as adjusting the infusion rate or notifying the healthcare provider if necessary. Contacting the charge nurse (choice
A) may be helpful but does not directly address the discrepancy. Completing an incident report (choice
B) is premature without confirming the discrepancy first. Submitting a written warning (choice
C) is not appropriate without a thorough investigation. The other choices are incomplete, and only comparing the infusion with the prescription will provide the necessary information to address the issue effectively.
Question 2 of 5
A nurse is caring for a client who states he recently purchased lavender oil to use when he gets the flu. The nurse should recognize which of the following findings as a potential contraindication for using lavender?
Correct Answer: B
Rationale: The correct answer is B: The client has a history of asthma. Lavender oil can trigger respiratory issues in individuals with asthma due to its strong scent and potential irritant effects on the airways. Asthmatic individuals are more sensitive to respiratory irritants, making lavender oil a potential contraindication.
Incorrect choices:
A: The client has a history of alcohol use disorder - Alcohol use disorder does not directly interact with lavender oil use.
C: The client takes vitamin C daily - Vitamin C does not interact negatively with lavender oil.
D: The client takes furosemide twice daily - Furosemide is a diuretic and does not have a direct contraindication with lavender oil.
Question 3 of 5
A nurse is teaching a client who is trying to conceive. Which of the following should the nurse instruct the client to increase in her diet to prevent a neural tube defect?
Correct Answer: B
Rationale: The correct answer is B: Folate. Folate is crucial in preventing neural tube defects in a developing fetus. It helps in the formation of the neural tube, which develops into the brain and spinal cord. Adequate folate intake before and during pregnancy is essential for proper neural tube development. Calcium (
A), Iron (
C), and Zinc (
D) are important for overall health but do not specifically prevent neural tube defects. Folate supplementation is recommended for women of childbearing age to reduce the risk of neural tube defects.
Extract:
Nurses' Notes
Day 1, 0900:
Client is at 31 weeks of gestation and presents with a severe headache unrelieved by acetaminophen. Client also reports urinary frequency and decreased fetal movement. Client is a G3 P2 with one preterm birth.
Vital Signs
Day 1, 0900:
Temperature (oral) 36.9°C (98.4°F)
Heart rate 72/min
Respiratory rate 16/min
BP 162/112 mm Hg
Oxygen saturation 97% on room air
Diagnostic Results
Day 1, 1000:
Appearance cloudy (clear)
Color yellow (yellow)
pH 5.9 (4.6 to 8)
Protein 3+ (negative)
Specific gravity 1.013 (1.005 to 1.03)
Leukocyte esterase negative (negative)
Nitrites negative (negative)
Ketones negative (negative)
Crystals negative (negative)
Casts negative (negative)
Glucose trace (negative)
WBC 5 (0 to 4)
WBC casts none (none)
RBC 1 (less than or equal to 2)
RBC casts none (none)
Question 4 of 5
The nurse is reviewing the client's medical record. Select 4 findings that indicate a potential prenatal complication.
Correct Answer: A, B, C, F
Rationale:
Correct Answer: A, B, C, F
Rationale:
A: Urine protein indicates possible preeclampsia, a serious prenatal complication.
B: Decreased fetal activity can signal fetal distress or other issues.
C: Abnormal blood pressure levels may indicate gestational hypertension or preeclampsia.
F: Headaches can be a symptom of preeclampsia, requiring immediate attention to prevent complications.
Incorrect
Choices:
D: Urine ketones usually indicate dehydration or inadequate nutrition, not a prenatal complication.
E: Respiratory rate is not typically used to assess prenatal complications.
G: Gravida/parity information is important but does not directly indicate a prenatal complication.
Extract:
Question 5 of 5
A nurse is caring for a client who is near the end of life and is on complete bed rest. The client states that he needs to have a bowel movement, and the nurse offers a bed pan. The client states, 'I've always used the bathroom.' Which of the following responses should the nurse make?
Correct Answer: A
Rationale: The correct answer is A: "Tell me what concerns you have about using a bed pan." This response demonstrates empathy and encourages the client to express their feelings, fostering open communication. By understanding the client's concerns, the nurse can address them effectively, promoting a sense of control and dignity for the client.
Option B is incorrect as it disregards the client's request to not use the bed pan. Option C is incorrect as it assumes the client can be ambulated to the bathroom, which may not be feasible. Option D is incorrect as it is authoritarian and dismisses the client's autonomy. It is essential to prioritize the client's comfort and emotional well-being in end-of-life care.