ATI RN
RN ATI Comprehensive Assessment Exam Retake 2023 V2 Questions
Extract:
Question 1 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 rub against the implantable cardioverter/defibrillator site, leading to irritation or damage. It is crucial to protect the device and the incision site to prevent complications.
A: Expecting to have a rapid pulse rate for the first few weeks is incorrect as it does not relate to the care of the implantable cardioverter/defibrillator.
C: Returning in two weeks for a follow-up MRI is not necessary for routine follow-up care after implantation.
D: Resuming tub baths and swimming after 74 hours is incorrect as water exposure should be avoided initially to prevent infection.
Question 2 of 5
A nurse is providing teaching about home safety to the adult child of an older adult client who is postoperative following hip replacement surgery. Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: The correct answer is D: Ensure that area rugs have rubber backs. This instruction is important because rubber-backed area rugs can prevent slipping and falling accidents, which is crucial for a postoperative hip replacement patient. It provides stability and reduces the risk of injuries.
Choice A is incorrect because wearing shoes at home can actually increase the risk of falls due to potential slipping hazards.
Choice B is incorrect as placing a throw rug over electrical cords can create a tripping hazard.
Choice C is incorrect as marking the edges of the doorway with tape does not address the main safety concern of preventing falls related to the rugs.
By selecting choice D, the nurse addresses the specific safety need of the postoperative hip replacement patient and promotes a safer home environment.
Question 3 of 5
A hospice nurse is visiting with the son of a client who has terminal cancer. The son reports sleeping very little during the past week due to caring for his mother. Which of the following responses should the nurse make?
Correct Answer: D
Rationale: The correct answer is D: "I can give you information about respite care if you are interested." This response shows empathy and offers a practical solution to address the son's sleep deprivation. Respite care can provide temporary relief for caregivers, allowing them to rest and recharge. This option acknowledges the son's challenges and offers support without assuming he needs medication or providing generic comments. Option A is not ideal as it jumps to prescribing medication without exploring other options. Option B is a general statement that doesn't address the son's specific situation. Option C, while positive, does not offer a solution to his sleep deprivation.
Question 4 of 5
A charge nurse is monitoring a newly licensed nurse who is caring for a client who is receiving total parenteral nutrition (TPN). Which of the following statements by the newly licensed nurse indicates an understanding of the procedure?
Correct Answer: A
Rationale: The correct answer is A: "I will hang a new bag of TPN and IV tubing every 24 hours." This statement indicates an understanding of the proper procedure for TPN administration. TPN solutions are typically changed every 24 hours to reduce the risk of bacterial contamination. By changing the TPN bag and tubing daily, the nurse is following best practice guidelines to maintain the sterility and integrity of the TPN infusion, ultimately reducing the risk of infection for the client.
Choices B, C, and D are incorrect:
B: "I will obtain the client's weight every other day." While monitoring the client's weight is important for assessing fluid status and nutritional needs, it is not directly related to the procedure of administering TPN.
C: "I will monitor the client's blood glucose level every 8 hours." Monitoring blood glucose levels is important in clients receiving TPN, but the frequency of monitoring can vary depending on the client's condition and the healthcare provider's orders. It
Question 5 of 5
A nurse is assessing a client who is postoperative and has a history of pulmonary embolism. Which of the following findings is the priority for the nurse to report to the provider?
Correct Answer: C
Rationale: The correct answer is C: Dyspnea. Dyspnea in a postoperative client with a history of pulmonary embolism is a critical finding indicating potential respiratory distress. This could be a sign of a recurrent pulmonary embolism or worsening respiratory status, requiring immediate intervention. Tachycardia (
A) can be a normal response postoperatively. Dry cough (
B) may be indicative of irritation but is not as urgent as dyspnea. Hypotension (
D) is concerning but not as immediately life-threatening as respiratory distress.