Questions 180

ATI RN

ATI RN Test Bank

ATI Comprehensive Predictor 2023 Questions

Extract:


Question 1 of 5

A nurse is contributing to the plan of care for a client who had prolonged exposure to cold weather and has a core body temperature of 32.5°C (90.5° F). Which of the following data is the priority for the nurse to monitor?

Correct Answer: D

Rationale: Hypothermia can cause cardiac dysrhythmias, which are life-threatening and require priority monitoring.

Question 2 of 5

A nurse is reinforcing teaching to a newly licensed nurse about bowel sounds. Which of the following characteristics should the nurse use to describe hyperactive bowel sounds?

Correct Answer: D

Rationale: Hyperactive bowel sounds are high-pitched and frequent, indicating increased intestinal motility.

Question 3 of 5

A nurse is caring for a client who has depressive disorder. The client states, 'Everyone would be better off if I were not around.' Which of the following responses should the nurse make?

Correct Answer: B

Rationale: Directly asking about suicidal thoughts assesses the client's risk, prioritizing their safety and guiding further interventions.

Question 4 of 5

A nurse is preparing to administer eye drops to a child. Which of the following actions should the nurse take?

Correct Answer: A

Rationale: Applying pressure to the lacrimal punctum prevents systemic absorption of the medication, reducing potential side effects.

Question 5 of 5

A nurse is caring for a client who is receiving continuous IV fluids. Which of the following findings indicates fluid overload?

Correct Answer: A

Rationale: Crackles in the lungs indicate pulmonary edema, a sign of fluid overload from excessive IV fluid administration.

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