ATI RN
RN ATI Comprehensive Assessment Exam Retake 2023 V2 Questions
Extract:
Question 1 of 5
A nurse is planning care for a client who sustained a major burn over 20% of the body. Which of the following interventions should the nurse include to support the client's nutritional requirements?
Correct Answer: C
Rationale: The correct answer is C: Keep a calorie count for foods and beverages. For a client with major burn injuries, accurate monitoring of calorie intake is crucial to support nutritional requirements for wound healing and metabolic demands. This intervention allows the nurse to adjust the diet as needed to meet the client's energy needs.
Choice A is incorrect as calorie intake requirements may vary based on individual needs.
Choice B is incorrect as a high-protein diet is essential for wound healing in burn patients.
Choice D is incorrect as frequent, smaller meals are typically recommended for burn patients to support healing and prevent muscle breakdown.
Question 2 of 5
A nurse is caring for a client who is receiving radiation therapy and is experiencing anorexia. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Provide the client with cold foods rather than hot foods. Cold foods may be more appealing to a client experiencing anorexia due to radiation therapy, as they often have less strong smells and flavors that can trigger nausea. Cold foods can also help soothe any oral mucositis or mouth sores that may be present. Encouraging the client to eat cold foods can help increase their overall intake and provide necessary nutrients.
Choice A is incorrect because low-protein supplements may not be sufficient in providing necessary nutrients for the client.
Choice B is incorrect as simply drinking water with meals may not address the underlying issue of anorexia.
Choice C is incorrect as there is no evidence to suggest that serving the largest meal in the evening will improve the client's appetite.
Question 3 of 5
A nurse is collecting a sputum specimen from a client who has tuberculosis. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Obtain the specimen immediately upon the client waking up. This is the correct action because sputum is most concentrated in the morning, making it easier to collect a good sample for testing. Waiting 1 day (
A) can delay treatment. Wearing sterile gloves (
B) is important but not specific to sputum collection. Asking for 15-20mL of sputum (
C) is appropriate, but the timing of collection is crucial.
Question 4 of 5
A nurse is planning teaching for a client who has a newly implanted implantable cardioverter/defibrillator. Which of the following information should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Wear loose-fitting clothing. This is important because tight clothing can put pressure on the implantable cardioverter/defibrillator site, leading to discomfort or dislodgement.
Choice A is incorrect because a rapid pulse rate is not expected post-implantation.
Choice C is incorrect as MRI is contraindicated due to the presence of the device.
Choice D is incorrect as tub baths and swimming should be avoided until the incision site is fully healed to prevent infection.
Question 5 of 5
A nurse is planning care for a client who has acute appendicitis. Which of the following actions should the nurse plan to take?
Correct Answer: C
Rationale: The correct answer is C: Keep the client on NPO status. This is essential to prevent exacerbation of appendicitis by reducing the risk of bowel obstruction or rupture. Allowing the intestine to rest helps decrease inflammation and pain. Placing the client's head of bed flat (
A) can increase intra-abdominal pressure, worsening the condition. Applying heat to the abdomen (
B) can mask symptoms and potentially lead to delay in diagnosis. Administering a laxative (
D) is contraindicated as it can increase the risk of perforation. In summary, maintaining NPO status is crucial for managing acute appendicitis effectively.