ATI RN
RN ATI Comprehensive Assessment Exam Retake 2023 V2 Questions
Extract:
Question 1 of 5
A nurse is providing teaching to a client who is at 14 weeks of gestation about findings to report to the provider. Which of the following findings should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct answer is D: Swelling of the face. At 14 weeks of gestation, facial swelling could indicate preeclampsia, a serious condition characterized by high blood pressure. This finding should be reported to the provider immediately for further evaluation and management to prevent complications.
Incorrect choices:
A: Bleeding gums - Common during pregnancy due to hormonal changes, usually not a significant concern.
B: Faintness upon rising - Could be related to postural hypotension, common in pregnancy but typically not urgent.
C: Urinary frequency - Normal in pregnancy due to increased blood flow to the kidneys, not typically a concerning issue at this stage.
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 2 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.
Extract:
Question 3 of 5
A nurse is inserting an indwelling urinary catheter for a male client. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Lift the penis so that it is perpendicular to the client's body. By lifting the penis perpendicular to the client's body during catheter insertion, the nurse straightens the urethra, making the insertion easier and reducing the risk of injury. This position also helps in maintaining proper alignment for successful catheterization.
A: Performing the cleansing procedure with a fresh swab two times is not directly related to the correct technique of lifting the penis perpendicular to the body.
B: Picking up the catheter 13 cm from its tip is not a necessary step for proper catheter insertion.
C: Cleansing the tip of the penis in a side-to-side motion is not as crucial as lifting the penis for successful catheterization.
In summary, the other choices are incorrect as they do not address the crucial step of lifting the penis perpendicular to the client's body during catheter insertion.
Question 4 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.
Question 5 of 5
A nurse is caring for a client who states he recently purchased lavender oil to use when he gets the flu. The nurse should recognize which of the following findings as a potential contraindication for using lavender?
Correct Answer: B
Rationale: The correct answer is B: The client has a history of asthma. Lavender oil can trigger respiratory issues in individuals with asthma due to its strong scent and potential irritant effects on the airways. Asthmatic individuals are more sensitive to respiratory irritants, making lavender oil a potential contraindication.
Incorrect choices:
A: The client has a history of alcohol use disorder - Alcohol use disorder does not directly interact with lavender oil use.
C: The client takes vitamin C daily - Vitamin C does not interact negatively with lavender oil.
D: The client takes furosemide twice daily - Furosemide is a diuretic and does not have a direct contraindication with lavender oil.