ATI RN
RN ATI Comprehensive Assessment Exam Retake 2023 V2 Questions
Extract:
Question 1 of 5
A nurse is inserting an indwelling urinary catheter for a male client. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Lift the penis so that it is perpendicular to the client's body. By lifting the penis perpendicular to the client's body during catheter insertion, the nurse straightens the urethra, making the insertion easier and reducing the risk of injury. This position also helps in maintaining proper alignment for successful catheterization.
A: Performing the cleansing procedure with a fresh swab two times is not directly related to the correct technique of lifting the penis perpendicular to the body.
B: Picking up the catheter 13 cm from its tip is not a necessary step for proper catheter insertion.
C: Cleansing the tip of the penis in a side-to-side motion is not as crucial as lifting the penis for successful catheterization.
In summary, the other choices are incorrect as they do not address the crucial step of lifting the penis perpendicular to the client's body during catheter insertion.
Question 2 of 5
A nurse is providing teaching about home safety to the adult child of an older adult client who is postoperative following hip replacement surgery. Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: The correct answer is D: Ensure that area rugs have rubber backs. This instruction is important because rubber-backed area rugs can prevent slipping and falling accidents, which is crucial for a postoperative hip replacement patient. It provides stability and reduces the risk of injuries.
Choice A is incorrect because wearing shoes at home can actually increase the risk of falls due to potential slipping hazards.
Choice B is incorrect as placing a throw rug over electrical cords can create a tripping hazard.
Choice C is incorrect as marking the edges of the doorway with tape does not address the main safety concern of preventing falls related to the rugs.
By selecting choice D, the nurse addresses the specific safety need of the postoperative hip replacement patient and promotes a safer home environment.
Question 3 of 5
A nurse is caring for a client who is receiving radiation therapy and is experiencing anorexia. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Provide the client with cold foods rather than hot foods. Cold foods tend to have less odor, which can help reduce nausea and improve appetite in clients undergoing radiation therapy. Hot foods tend to have stronger smells, which can exacerbate anorexia. A: Encouraging low-protein supplements may not address the client's specific issue of anorexia. B: Drinking water with meals may not directly address the client's anorexia. C: Serving the largest meal in the evening may not be as effective in improving the client's appetite as changing the temperature of the foods.
Question 4 of 5
A nurse is caring for a client who is receiving brachytherapy for endometrial cancer. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Keep visitors at least 6 feet (1.8 m) away from the client. This is crucial in brachytherapy as the client is radioactive. Keeping visitors at a safe distance minimizes their exposure to radiation. Discarding the radioactive source in the client's trash can (
A) is hazardous. Placing soiled bed linens in a biohazard bag (
B) is necessary but not specific to radiation precautions. Wearing an isolation gown (
C) does not provide sufficient protection from radiation.
Question 5 of 5
A nurse is assessing a client who received hydromorphone 4 mg IV 15 min ago. The client has a respiratory rate of 10/min. The nurse should prepare to administer which of the following medications?
Correct Answer: C
Rationale: The correct answer is C: Naloxone. Naloxone is a reversal agent for opioid overdose, including hydromorphone. The client's respiratory rate of 10/min is a sign of opioid overdose and respiratory depression, which can be reversed by naloxone. Administering naloxone will help reverse the effects of hydromorphone and improve the client's respiratory function.
Acetylcysteine (choice
A) is used as an antidote for acetaminophen overdose. Protamine (choice
B) is used to reverse the effects of heparin. Flumazenil (choice
D) is a reversal agent for benzodiazepines, not opioids. The other choices are not relevant to the situation described.