ATI RN
ATI Comprehensive Predictor 2023 Questions
Extract:
Question 1 of 5
A nurse is providing discharge teaching for a client who has a new implantable cardioverter defibrillator (ICD). Which of the following client statements demonstrates understanding of the teaching?
Correct Answer: C
Rationale: The correct answer is C: "I will wear loose clothing over my ICD." This statement demonstrates understanding as tight clothing can interfere with the ICD's function. Microwaves and cell phones do not affect ICDs, so answers A and B are incorrect. Showering is preferred over soaking in the tub to avoid infection, so answer D is incorrect.
Question 2 of 5
A nurse is assessing a child who has bacterial pneumonia. Which of the following manifestations should the nurse expect?
Correct Answer: C
Rationale: The correct answer is C: Fever. Bacterial pneumonia commonly presents with fever due to the body's immune response to the infection. Fever is a systemic response to inflammation caused by bacterial invasion. A high fever is a hallmark sign of bacterial pneumonia.
Choices A, B, D, and E are incorrect. Arch, drooling, steatorrhea, and tinnitus are not typical manifestations of bacterial pneumonia. An arch is seen in foot deformities like clubfoot, drooling can occur in conditions affecting swallowing, steatorrhea is associated with malabsorption disorders, and tinnitus is a symptom of ear-related issues.
Question 3 of 5
A nurse is providing teaching to a client who is undergoing radiation therapy and has stomatitis. Which of the following responses by the client indicates an understanding of the teaching?
Correct Answer: D
Rationale: The correct answer is D: "I should use a soft-bristle toothbrush to clean my teeth after meals." This response indicates an understanding of the teaching because stomatitis can cause irritation and sensitivity in the mouth, making it important to use a soft-bristle toothbrush to avoid further damage to the delicate oral tissues. By using a soft-bristle toothbrush, the client can gently clean their teeth without causing additional discomfort.
Choice A is incorrect because an alcohol-based mouthwash can further irritate the mouth and worsen stomatitis symptoms.
Choice B is unrelated to stomatitis and radiation therapy.
Choice C is incorrect as lemon-glycerine swabs may be too harsh and irritating for sensitive oral tissues.
In summary, the client's understanding of using a soft-bristle toothbrush demonstrates appropriate self-care for managing stomatitis during radiation therapy, while the other choices either exacerbate symptoms or are unrelated to the condition.
Question 4 of 5
A nurse is updating the plan of care for a client who has amyotrophic lateral sclerosis with dysphagia. Which of the following interprofessional team members should the nurse identify as the priority to consult?
Correct Answer: C
Rationale: The correct answer is C: Speech-language pathologist. The nurse should prioritize consulting the speech-language pathologist because they specialize in evaluating and treating swallowing difficulties (dysphagia), which is a significant concern for the client with amyotrophic lateral sclerosis. They can assess the client's swallowing function, recommend appropriate strategies, and help prevent complications such as aspiration pneumonia. The other options, while important in the overall care of the client, do not directly address the primary issue of dysphagia. The dietitian may provide guidance on modifying food textures, but the speech-language pathologist is the expert in managing dysphagia. The physical therapist and occupational therapist focus more on mobility and activities of daily living, which are not the primary concerns in this scenario.
Question 5 of 5
A nurse is assessing a 2-year-old toddler. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Nontender, protruding abdomen. In a 2-year-old toddler, a nontender, protruding abdomen is an expected finding due to the child's underdeveloped abdominal muscles and relatively large liver and spleen. This can give the appearance of a slightly rounded abdomen. It is a normal finding in toddlers and usually resolves as they grow older.
The other choices are incorrect because:
A: Natural loss of deciduous teeth typically begins around 6 years of age, not in a 2-year-old toddler.
C: In a 2-year-old toddler, the head circumference should be slightly larger than the chest circumference, not the other way around.
D: Fontanels should be closed in a 2-year-old toddler, so palpable fontanels would be abnormal.