ATI RN
RN Comprehensive Predictor Questions
Extract:
Question 1 of 5
A nurse is monitoring a client who is receiving a transfusion of packed RBCs. The client reports chills, headache, low-back pain, and a feeling of 'tightness' in his chest. The nurse should identify that the client has developed which of the following types of transfusion reactions?
Correct Answer: C
Rationale: Symptoms like chills, headache, low-back pain, and chest tightness indicate an acute hemolytic reaction, a medical emergency due to blood type mismatch.
Question 2 of 5
A nurse is caring for a client who has given informed consent for electroconvulsive therapy. Just before the procedure, the client tells the nurse she is considering not going forward with the treatment. Which of the following statements by the nurse is appropriate?
Correct Answer: A
Rationale: Respecting the client's autonomy, the nurse should affirm her right to refuse treatment, even after consent.
Question 3 of 5
A nurse is caring for a client who has a new diagnosis of glaucoma. Which of the following medications should the nurse expect to administer?
Correct Answer: B
Rationale: Latanoprost, a prostaglandin analog, reduces intraocular pressure in glaucoma by increasing aqueous humor outflow.
Question 4 of 5
A nurse is caring for a client who has depression and reports, 'I'm feeling much better.' The client reports difficulty sleeping and frequent headaches. Which of the following findings indicate an adverse effect of the client's medication?
Correct Answer: C
Rationale: Difficulty sleeping is a potential adverse effect of fluoxetine, indicating the need for further evaluation.
Question 5 of 5
A nurse is caring for a client who is postoperative following a lumbar laminectomy. Which of the following instructions should the nurse provide to promote recovery?
Correct Answer: A
Rationale: Log rolling maintains spinal alignment and prevents strain on the surgical site, promoting recovery.