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 scheduled to receive a transfusion of packed RBCs. Which of the following actions should the nurse plan to take?
Correct Answer: D
Rationale: Using 0.9% sodium chloride flushes transfusion tubing safely, as it's isotonic and compatible with RBCs, preventing hemolysis. Blood should not be at room temperature for 1 hour to avoid bacterial growth; transfusions should complete within 2-4 hours; a 22-gauge needle is too small, risking hemolysis.
Question 2 of 5
A nurse is preparing an in-service for a group of nurses about malpractice issues in nursing. Which of the following examples should the nurse include in the teaching as an example of malpractice?
Correct Answer: A
Rationale: Administering potassium via IV bolus is malpractice because it can cause fatal arrhythmias; potassium should be diluted and infused slowly. A clamped nasogastric tube may cause aspiration but is less severe. Using a fall risk bracelet is standard practice. Documenting provider communication is appropriate and not malpractice.
Question 3 of 5
A nurse is collecting data from a client who has a history of chronic obstructive pulmonary disease (COPD). Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Hypoxemia is expected in COPD due to impaired gas exchange. Weight loss, tachypnea, and no fever are more common.
Question 4 of 5
A nurse is reinforcing teaching with a client who has a new prescription for warfarin. Which of the following foods should the nurse instruct the client to avoid?
Correct Answer: B
Rationale: Spinach, high in vitamin K, can reduce warfarin's anticoagulant effect, so intake should be consistent or limited. Oranges, chicken, and potatoes have minimal impact.
Question 5 of 5
A nurse is admitting a client to a medical-surgical unit. When performing medication reconciliation for the client, which of the following actions should the nurse take?
Correct Answer: B
Rationale: Comparing new prescriptions with the client's reported medications ensures accuracy, preventing errors, interactions, or omissions. Including potential adverse effects is not part of reconciliation. Excluding supplements risks missing interactions. Encouraging a home list is unreliable and unsafe.