ATI RN
RN ATI Comprehensive Assessment Exam Retake 2023 V2 Questions
Extract:
Question 1 of 5
A nurse is providing discharge teaching to a client following a total gastrectomy. The nurse should instruct the client about which of the following medications?
Correct Answer: B
Rationale: The correct answer is B: Vitamin B12. After a total gastrectomy, the client is at risk for developing pernicious anemia due to the lack of intrinsic factor production, which is essential for Vitamin B12 absorption. Vitamin B12 supplementation is crucial to prevent this deficiency.
Ranitidine (
A) is an H2 blocker that reduces stomach acid production and is not specifically necessary after a total gastrectomy. Vitamin K (
C) is essential for blood clotting but is not directly related to the client's condition post-total gastrectomy. Metoclopramide (
D) is a prokinetic agent used for gastroparesis and is not indicated for Vitamin B12 deficiency post-total gastrectomy.
Question 2 of 5
A nurse is providing discharge instructions to a client who has a new prescription for haloperidol. Which of the following adverse effects should the nurse instruct the client to report to the provider?
Correct Answer: C
Rationale: The correct answer is C: Shuffling gait. Haloperidol is an antipsychotic medication that can cause extrapyramidal symptoms like shuffling gait, which is a serious adverse effect requiring immediate medical attention to prevent further complications. A: Weight gain is a common side effect but not urgent. B: Dry mouth is a common side effect that can be managed with oral hygiene. D: Sedation is a common side effect that may resolve over time.
Question 3 of 5
A nurse is assessing a client who has histrionic personality disorder. Which of the following manifestations should the nurse expect?
Correct Answer: C
Rationale: The correct answer is C: Self-centered behavior. Individuals with histrionic personality disorder often display attention-seeking and exaggerated emotions, focusing on themselves to gain approval and admiration from others. This behavior is characterized by an excessive need for attention and a tendency to be overly dramatic in their interactions.
Choice A (Suspicious of others) is incorrect because suspicion is more commonly associated with paranoid personality disorder.
Choice B (Callousness) is incorrect as callousness is a trait often seen in individuals with antisocial personality disorder.
Choice D (Violates other's rights) is incorrect as it is a characteristic of individuals with antisocial personality disorder who commonly disregard the rights of others.
Extract:
Nurses' Notes
Day 1, 0915:
The client's adult child reports the client has not slept for 2 days and has become obsessed with cleaning the house and hosting parties. At times the client is overly joyous and has a very elevated sense of self-confidence. The adult child states that the client has also demonstrated very impulsive spending habits and expresses concern about the client giving away large sums of money to others.
The client's speech is very pressured, disorganized, and loud. Client unable to recall the last time they ate.
Day 1, 0930:
Client questioned about their hallucinations and states that the same person has been following them around inside and outside the house for days. Client asks the person what they want but never receives an answer. Client states that this person has never told them to do anything; they just stare and smile
Question 4 of 5
For each assessment finding, click to specify if the finding is consistent with psychosis or mania. Each finding may support more than one diagnosis.
Correct Answer: A: Psychosis; B, C, D, E: Mania
Rationale: Hallucinations are typically associated with psychosis, where individuals experience sensory perceptions that are not real. Lack of sleep, excessive spending habits, disorganized thought process, and pressured speech are hallmark features of mania, a state of elevated mood and energy often seen in bipolar disorder. These symptoms reflect the impulsivity, racing thoughts, and increased activity levels characteristic of manic episodes.
Therefore, the correct answer is A for psychosis and B, C, D, E for mania.
Extract:
Question 5 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