ATI RN
RN ATI Comprehensive Assessment Exam Retake 2023 V2 Questions
Extract:
Question 1 of 5
A nurse is planning care for a group of clients and is working with one licensed practical nurse (LPN) and one assistive personnel (AP). Which of the following actions should the nurse take first to manage her time effectively?
Correct Answer: B
Rationale: The correct answer is B: Determine goals of the day. This is the first step the nurse should take to manage her time effectively. By setting clear goals, the nurse can prioritize tasks, allocate resources efficiently, and establish a plan for the day. This helps in organizing and structuring the workload, ensuring that critical tasks are addressed first.
Choice A: Delegating tasks to the AP can come after determining the goals of the day.
Choice C: Developing an hourly time frame for tasks is important but should come after setting goals to ensure tasks align with the overall objectives.
Choice D: Scheduling daily activities is essential, but without first determining the goals, it may lead to inefficient time management.
In summary, determining the goals of the day is the initial step in effective time management as it provides a strategic framework for prioritizing tasks and allocating resources appropriately.
Question 2 of 5
A charge nurse is teaching a newly licensed nurse about medication administration. Which of the following information should the charge nurse include?
Correct Answer: C
Rationale: The correct answer is C: Inform clients about the action of each medication prior to administration. This is essential to ensure informed consent, promote patient autonomy, and enhance medication adherence. Educating clients about their medications allows them to understand why they are taking them and what to expect. This fosters a collaborative patient-provider relationship and empowers clients to actively participate in their care.
Choices A, B, and D are important aspects of medication administration but do not directly involve educating clients about the medication's actions. Avoiding preparing medications for more than two clients at a time (
A) is important for accuracy and safety, completing an incident report for vomiting after medication (
B) is crucial for documentation and follow-up, and reading medication labels twice before administration (
D) is necessary for verification and error prevention. However, these choices do not address the educational aspect of informing clients about their medications.
Extract:
Graphic Record
Admission weight 74.8 kg (165 lb)
Current weight 74.38 kg (164 lb)
Provider Prescriptions
Lisinopril 10 mg daily
Lithium 600 mg BID
Omeprazole 40 mg daily
I&O
Prior Day Intake and Output
0800:
Intake 30 mL orange juice
Output 800 mL clear urine
1200:
Intake 60 ml water with lunch
Output 300 ml clear urine
1800
Intake 120 ml. water with dinner
Output 500 mL clear urine
2100:
Intake 30 ml dark soda
Output 200 ml. clear urine
Nurses Notes
0800:
A client who has bipolar disorder is admitted to the inpatient psychiatric unit. During the morning assessment, the client reports blurred vision and an increase in urine output. It is noted that the client is having clonic jerking of upper extremities. Provider notified and laboratory tests ordered. Skin is warm and dry without rash.
Laboratory Results
0900:
Creatinine 0.9 mg/dL (0.5 to 1.1 mg/dL)
Lithium level 2.5 mEq/L (0.6 to 1.2 mEq/L)
Fasting blood glucose 80 mg/dL (74 to 106 mg/dL)
Urinalysis:
Appearance: clear (clear)
Color: faint yellow (amber yellow)
Specific gravity 1.32 (adult client 1.01 to 1.025)
Nitrites: none (none)
Ketones: none (none)
Bilirubin: none (none)
Question 3 of 5
Complete the following sentence by using the lists of options. The nurse understands that the patient has likely developed-----and will need to be monitored for-------
Correct Answer: A,D
Rationale: The correct answer is A (Lithium toxicity) and D (nephrotoxicity). The nurse is likely considering lithium toxicity due to the patient's potential symptoms and the need for monitoring kidney function. Lithium toxicity can lead to nephrotoxicity, affecting kidney function. The other options are less likely based on the given information. Hyponatremia is a potential side effect of lithium, but not the primary concern here. Cardiac dysrhythmias, metabolic alkalosis, and hypertension are not typically associated with lithium toxicity.
Therefore, A and D are the most appropriate choices for the nurse to consider and monitor.
Extract:
Question 4 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 5 of 5
A nurse is caring for a client who has heart failure. Which of the following manifestations should the nurse expect?
Correct Answer: A
Rationale: The correct answer is A: Crackles in lungs. In heart failure, the heart is unable to effectively pump blood, leading to fluid accumulation in the lungs, causing crackles on auscultation due to pulmonary edema. Decreased thirst (
B) is not typical in heart failure as fluid overload often leads to increased thirst. Poor skin turgor (
C) is more indicative of dehydration. Tachycardia (
D) can occur in heart failure, but it is not specific to this condition.