ATI RN
ATI RN Comprehensive Predictor 2023 Retake 1 Questions
Extract:
Question 1 of 5
A nurse is implementing seizure precautions for a client who has had a tonic-clonic seizure. Which of the following interventions should the nurse include in the plan of care?
Correct Answer: D
Rationale: Inserting an IV saline lock allows rapid administration of antiepileptic medications, essential for seizure management. A tracheostomy tray is unnecessary; airway management uses positioning or suctioning. Supine positioning risks aspiration; semi-prone is preferred.
Tongue depressors are dangerous and can cause injury during seizures.
Question 2 of 5
A home health nurse is planning care for a client who has Alzheimer's disease. Which of the following actions should the nurse include in the plan of care?
Correct Answer: B
Rationale: Placing locks at the tops of exterior doors prevents wandering, a common and dangerous behavior in Alzheimer's patients, ensuring safety. Zippers versus buttons don't address safety. Hardwood floors may reduce falls but aren't specific to Alzheimer's. Physical activity before bed may disrupt sleep, not enhance safety.
Question 3 of 5
A nurse on a medical-surgical unit is planning care for four clients. The nurse should plan to use sterile gloves when performing which of the following procedures?
Correct Answer: C
Rationale: Sterile gloves are required for changing a central venous catheter dressing to prevent infection at the site, which accesses major veins. Ophthalmic ointment, NG tube insertion, and IM injections use clean gloves.
Question 4 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 5 of 5
A nurse is reinforcing teaching with a client who has a new prescription for enalapril. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: Reporting a persistent cough is important with enalapril, an ACE inhibitor, as it may require discontinuation. Grapefruit juice is unrelated, weight gain is not expected, and potassium intake needs monitoring.