ATI RN
RN ATI Comprehensive Assessment Exam Retake 2023 V2 Questions
Extract:
Question 1 of 5
A nurse is preparing to initiate intravenous fluids via infusion pump for a client. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Check the expiration date on the safety inspection sticker of the pump. This is crucial to ensure the pump is safe for use. By checking the expiration date, the nurse can confirm that the pump has been recently inspected for safety and is functioning properly. This step is important for patient safety and to prevent any potential malfunctions or harm.
Choice A is incorrect because obtaining a surge protector is not directly related to the safe use of the infusion pump.
Choice B is incorrect as using an ungrounded extension cord can pose electrical hazards.
Choice C is incorrect because a frayed cord could lead to electrical or safety issues during the infusion.
By checking the expiration date on the safety inspection sticker, the nurse can ensure the pump is safe to use, promoting patient safety and preventing potential harm.
Question 2 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 3 of 5
A nurse is caring for a client who has severe hypertension and is to receive nitroprusside via continuous IV infusion. Which of the following actions should the nurse plan to take?
Correct Answer: C
Rationale: The correct answer is C: Protect the IV bag from exposure to light. Nitroprusside is light-sensitive and exposure to light can cause it to degrade, leading to potential harm to the patient. The nurse should take this action to maintain the integrity of the medication. Monitoring blood pressure every 2 hours (choice
A) is important but not specific to nitroprusside administration. Attaching an inline filter to the IV tubing (choice
B) may be unnecessary for nitroprusside administration. Keeping calcium gluconate at the client's bedside (choice
D) is not directly related to the administration of nitroprusside.
Question 4 of 5
A nurse is caring for a client who is in active labor and notes the FHR baseline has been 100/min for the past 15 min. The nurse should identify which of the following conditions as a possible cause of fetal bradycardia?
Correct Answer: C
Rationale: The correct answer is C: Fetal anemia. Fetal bradycardia (baseline <110/min) could indicate fetal distress. Fetal anemia decreases oxygen-carrying capacity, leading to compensatory bradycardia. Maternal hypoglycemia (
A) typically causes fetal tachycardia. Chorioamnionitis (
B) and maternal fever (
D) usually cause fetal tachycardia due to infection. Summarily, fetal anemia is the most likely cause of fetal bradycardia compared to the other options.
Extract:
Nurses' Notes
1100:
The client reports shortness of breath and difficulty sleeping. The client feels tired very quickly and occasionally feels nauseous. The client reports experiencing intermittent chest tightness and a cough that is aggravated by exercise. The client has a productive cough and irregular breathing pattern. Crackles and wheezing present on auscultation. The client has a history of smoking a pack of cigarettes per day for the past 35 years. There is no clubbing of the fingers. The client appears anxious.
1130:
Administered albuterol and oxygen per provider's prescription.
The client is instructed to perform pursed-lip breathing.
1230:
The client is breathing with minimal effort and coughing has decreased.
Vital Signs
1100:
Temperature 35.8°C (98.2°F)
Heart rate 92/min
Respiratory rate 28/min
BP 145/90 mm Hg
Oxygen saturation 87% on room air
1145:
Temperature 36.2°C (97.2°F)
Heart rate 88/min
Respiratory rate 22/min
BP 140/90 mm Hg
Oxygen saturation 92% on room air
Question 5 of 5
Which of the following interventions should the nurse include in the plan of care? Select all that apply.
Correct Answer: A, B, F
Rationale: The correct interventions are A, B, and F. Increasing oxygen flow rate to 4 L/min helps improve oxygenation. Assessing breath sounds is crucial to monitor respiratory status. Instructing the client to perform diaphragmatic breathing aids in improving lung function. Chest percussion and vibration (
C) are not typically indicated for all respiratory conditions and may not be appropriate in this case. Placing the client in a supine position (
D) may worsen respiratory effort. Restricting fluid intake (E) may lead to dehydration and thicken respiratory secretions.