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. This intervention is crucial in supporting the client's nutritional requirements as it allows for accurate monitoring of calorie intake, ensuring the client receives adequate nutrition for wound healing and metabolic demands. Maintaining calorie intake at a specific amount (
A) may not be appropriate as the client's needs can vary depending on their condition. Providing a low-protein, high-carbohydrate diet (
B) may not meet the increased protein requirements for tissue repair. Scheduling meals at 6-hr intervals (
D) may not be sufficient for meeting the client's increased metabolic needs.
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: C
Rationale: The correct answer is C: Naloxone. Naloxone is a reversal agent for opioid overdose, including hydromorphone. The client's respiratory rate of 10/min is a sign of opioid overdose and respiratory depression, which can be reversed by naloxone. Administering naloxone will help reverse the effects of hydromorphone and improve the client's respiratory function.
Acetylcysteine (choice
A) is used as an antidote for acetaminophen overdose. Protamine (choice
B) is used to reverse the effects of heparin. Flumazenil (choice
D) is a reversal agent for benzodiazepines, not opioids. The other choices are not relevant to the situation described.
Question 3 of 5
A nurse is planning care for a school-age child who is 4 hr postoperative following appendicitis. Which of the following actions should the nurse include in the plan of care?
Correct Answer: B
Rationale: The correct answer is B: Administer analgesics on a scheduled basis for the first 24 hr. Postoperative pain management is crucial to ensure the child's comfort and promote healing. Scheduled administration of analgesics helps maintain a consistent level of pain control, preventing the child from experiencing severe pain. This approach also helps in preventing the need for rescue doses when the pain becomes unbearable. Applying a warm compress (choice
A) may not be appropriate as it can increase the risk of infection at the operative site. Giving cromolyn nebulized solution (choice
C) is not indicated for postoperative pain management following appendicitis surgery. Offering clear liquids (choice
D) 6 hr post-surgery may not be recommended until the child has shown signs of bowel function recovery.
Question 4 of 5
A nurse in an emergency department is caring for a 3-year-old child who has suspected epiglottitis. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Prepare to assist with intubation. Epiglottitis is a serious condition that can rapidly progress to airway obstruction. Intubation may be necessary to secure the airway and maintain oxygenation. This intervention takes precedence over other actions such as obtaining a throat culture, suctioning the oropharynx, or preparing a cool mist tent, which are not immediate life-saving measures. Intubation ensures a patent airway and adequate gas exchange, which are essential in managing a child with suspected epiglottitis.
Therefore, preparing to assist with intubation is the priority in this situation to prevent respiratory compromise and potential respiratory arrest.
Question 5 of 5
A nurse is providing discharge teaching to a client following a total gastrectomy. The nurse should instruct the client about which of the following medications?
Correct Answer: B
Rationale: The correct answer is B: Vitamin B12. After a total gastrectomy, the client is at risk for developing pernicious anemia due to the lack of intrinsic factor production, which is essential for Vitamin B12 absorption. Vitamin B12 supplementation is crucial to prevent this deficiency.
Ranitidine (
A) is an H2 blocker that reduces stomach acid production and is not specifically necessary after a total gastrectomy. Vitamin K (
C) is essential for blood clotting but is not directly related to the client's condition post-total gastrectomy. Metoclopramide (
D) is a prokinetic agent used for gastroparesis and is not indicated for Vitamin B12 deficiency post-total gastrectomy.