ATI RN
ATI RN Comprehensive Predictor 2023 Retake 1 Questions
Extract:
6-year-old child.
Vomited 3 times in the past 24 hr. Irritable behavior for the past 24 hr. The respiratory infection started 3 days ago.
Brudzinski's and Kernig's signs are positive.
Vital Signs.
Respiratory rate 28/min.
Pulse rate 120/min.
BP 108/64 mm Hg. Pain level of 6 on a scale from 0 to 10. Medication Administration Record.
Vancomycin 300 mg IV q 6 hr following blood cultures.
Acetaminophen 240 mg PO q 6 hr PRN fever.
Question 1 of 5
A nurse is planning care for a child during admission to the facility. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: Initiating seizure precautions is the priority due to positive Brudzinski's and Kernig's signs, suggesting meningitis and high seizure risk. Pain medication, blood cultures, and CT scans follow after addressing this immediate risk.
Extract:
Question 2 of 5
A nurse is caring for a client who has a new prescription for warfarin. Which of the following laboratory tests should the nurse plan to monitor?
Correct Answer: B
Rationale: Prothrombin time (PT/INR) monitors warfarin's anticoagulant effect, ensuring therapeutic levels. Hemoglobin, creatinine, and glucose are unrelated to warfarin's action.
Question 3 of 5
A nurse is assisting with the care of a client who is receiving a continuous IV infusion of insulin. Which of the following findings should the nurse monitor?
Correct Answer: A
Rationale: Monitoring blood glucose is essential with an insulin infusion to prevent hypoglycemia or hyperglycemia. Potassium, urine output, and blood pressure are secondary.
Question 4 of 5
A nurse is collecting data from a client who has heart failure and is taking furosemide. Which of the following findings should indicate to the nurse that the medication is effective?
Correct Answer: C
Rationale: Increased urinary output indicates furosemide is reducing fluid retention in heart failure. Decreased BUN may suggest overhydration, decreased hemoglobin indicates anemia, and weight gain suggests fluid overload.
Question 5 of 5
A nurse is reinforcing teaching with a client who has a new prescription for spironolactone. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Reporting signs of hyperkalemia is critical with spironolactone, a potassium-sparing diuretic. Potassium intake should not increase, it's taken in the morning, and diuresis is not immediate.