ATI RN
ATI RN Comprehensive Predictor 2023 Retake 1 Questions
Extract:
Question 1 of 5
A nurse is planning care for a client who is receiving continuous enteral tube feedings through an open system. Which of the following interventions should the nurse include in the plan of care?
Correct Answer: B
Rationale: Flushing the tubing with 30 mL of water every 4 hours prevents clogging and maintains tube patency. Bed elevation should be 30-45 degrees to prevent aspiration. Gastric residual should be checked every 4-6 hours, not 12. Formula should not exceed 4-8 hours to avoid bacterial growth.
Question 2 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: D
Rationale: Naloxone, an opioid antagonist, reverses hydromorphone-induced respiratory depression, indicated by a rate of 10/min, preventing potential respiratory arrest. Diazepam would worsen sedation, and acetaminophen and ibuprofen don't address opioid overdose.
Question 3 of 5
A nurse is collecting data from a client who has a new diagnosis of rheumatoid arthritis. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Morning stiffness, lasting over 30 minutes, is a hallmark of rheumatoid arthritis due to joint inflammation. Pain is bilateral, fever may occur but is less specific, and weight loss is more common.
Question 4 of 5
A nurse is assisting with the care of a client who is receiving a continuous heparin infusion. Which of the following laboratory tests should the nurse monitor?
Correct Answer: B
Rationale: Partial thromboplastin time (PTT) monitors heparin's anticoagulant effect, ensuring therapeutic dosing. PT/INR is for warfarin, and platelet counts are monitored for heparin-induced thrombocytopenia.
Question 5 of 5
A nurse is assisting with the care of a client who is receiving a blood transfusion. Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: A temperature of 38.2°C (100.8°F) during a transfusion suggests a febrile reaction, requiring provider notification. Normal blood pressure, pulse, and respiratory rate are not urgent.