ATI RN
ATI RN Comprehensive Predictor 2023 Retake 1 Questions
Extract:
Question 1 of 5
A nurse is performing a neurological examination on a client as part of a complete physical assessment. The nurse should identify that cranial nerve XI is intact when the client performs which of the following actions?
Correct Answer: D
Rationale: Cranial nerve XI (spinal accessory nerve) controls neck and shoulder movements. Shrugging shoulders tests its function, indicating it is intact. Sticking out the tongue tests cranial nerve XII. Frowning symmetrically tests cranial nerve VII. Identifying a sour taste tests cranial nerves IX and X.
Question 2 of 5
A nurse is caring for a client who repeatedly refuses meals. The nurse overhears an assistive personnel (AP) telling the client, 'If you don't eat, I'll put restraints on your wrists and feed you.' The nurse should intervene and explain to the AP that this statement constitutes which of the following torts?
Correct Answer: A
Rationale: The AP's threat to restrain and force-feed the client constitutes assault, as it creates fear of harmful contact without consent. Malpractice involves professional negligence, battery is actual unconsented contact, and negligence is failure to meet care standards, none of which apply here.
Question 3 of 5
A nurse is assisting in the care of a client who is to receive a transfusion of packed RBCs. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Checking the client's blood type and crossmatch in the medical record ensures compatibility, preventing transfusion reactions. Blood should not be kept at room temperature, dextrose causes hemolysis, and vital signs are checked before, at 15 minutes, and after, not hourly.
Question 4 of 5
A nurse is collecting data from a client who has chronic kidney disease. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Hyperkalemia is expected in chronic kidney disease due to impaired potassium excretion. Hypertension, decreased urine output, and normal or elevated glucose are more common.
Question 5 of 5
A nurse is reinforcing teaching with a client who has a new prescription for budesonide. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: Rinsing the mouth after budesonide, an inhaled corticosteroid, prevents oral thrush. It's taken regularly, not as needed, relief is not immediate, and food is unrelated.