ATI RN
RN ATI Comprehensive Assessment Exam Retake 2023 V2 Questions
Extract:
Question 1 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 2 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 3 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.
Question 4 of 5
A nurse is caring for a client who has an implanted venous access port. Which of the following should the nurse use to access the port?
Correct Answer: A
Rationale: The correct answer is A: A noncoring needle. A noncoring needle is specifically designed for accessing implanted venous access ports as it prevents coring of the septum, ensuring proper access without causing damage. An angiocatheter is typically used for peripheral IV access, not for accessing ports. A butterfly needle is not suitable for accessing ports as it may cause damage to the septum. A 25 gauge needle is too small and may not provide adequate access to the port.
Therefore, the most appropriate choice for accessing an implanted venous access port is a noncoring needle.
Extract:
Nurses' Notes
0900:
Contractions occurring every 3 to 4 min, lasting 80 to 90 seconds. Client rates pain with contractions as 10 on a scale of 0 to 10 and requests an epidural. Contractions approximately 4 min apart. Vaginal examination reveals cervix dilated 5 cm, 80% effaced, -1 station, vertex presentation. FHR baseline 142/min with moderate variability, IV fluid bolus initiated
0930:
Epidural inserted by anesthesiology. Client reports pain as 2 on a scale of 0 to 10,
0950:
Spontaneous rupture of membranes with clear fluid
1000:
Variable decelerations noted on the electronic fetal heart rate monitor tracing. FHR baseline 140/min. Deceleration 90/min, lasting 30 seconds. Loop of umbilical cord visible at vaginal introitus.
Vital Signs
0900:
Temperature 36.5°C (97.7°F)
BP 130/84 mm Hg
Heart rate 108/min
Respiratory rate 18/min
Oxygen saturation 98% on room air
0930:
BP 120/78 mm Hg
Heart rate 96/min
Respiratory rate 18/min
Oxygen saturation 98% on room air
1000:
BP 118/84 mm Hg
Heart rate 95/min
Respiratory rate 19/min
Oxygen saturation 97% on room air
Question 5 of 5
Select the 5 actions the nurse should take.
Correct Answer: B, C, D, E, F
Rationale: The correct actions are B, C, D, E, and F. B is crucial for timely provider notification. C helps improve placental perfusion. D can alleviate cord compression. E can prevent cord prolapse complications. F ensures adequate oxygenation. A is incorrect as it doesn't address the immediate issue. G is omitted.