ATI RN
RN ATI Comprehensive Assessment Exam Retake 2023 V2 Questions
Extract:
Question 1 of 5
A nurse is reading a tuberculin skin test for a client who received a purified protein derivative test 72 hr ago. Which of the following findings indicates a positive test?
Correct Answer: A
Rationale: The correct answer is A: An induration measuring 10 mm. This indicates a positive test for tuberculosis. A positive PPD test is determined by the size of the induration, not erythema. An induration of 10 mm or greater at 72 hours is considered positive for most individuals, indicating exposure to TB.
Choices B, C, and D are incorrect because they do not meet the criteria for a positive PPD test. An induration of 5 mm is considered positive only in certain high-risk populations, such as individuals with HIV or recent contacts with TB. Reddened areas do not determine a positive PPD test; only the size of the induration does.
Question 2 of 5
A nurse in a clinic is planning care for a child who has ADHD and is taking atomoxetine. Which of the following laboratory values should the nurse monitor?
Correct Answer: A
Rationale: The correct answer is A: Liver function tests. Atomoxetine, used for ADHD, can cause liver injury. Monitoring liver function tests helps detect any abnormalities early. B, kidney function tests, are not directly affected by atomoxetine. C, hemoglobin and hematocrit, are not typically monitored for this medication. D, serum sodium and potassium, are not specific to atomoxetine. E, F, G are not provided.
Question 3 of 5
A nurse is assessing a client who received hydromorphone 4 mg IV 15 min ago. The client has a respiratory rate of 10/min. The nurse should prepare to administer which of the following medications?
Correct Answer: C
Rationale: The correct answer is C: Naloxone. Naloxone is a reversal agent for opioid overdose, including hydromorphone. The client's respiratory rate of 10/min is a sign of opioid overdose and respiratory depression, which can be reversed by naloxone. Administering naloxone will help reverse the effects of hydromorphone and improve the client's respiratory function.
Acetylcysteine (choice
A) is used as an antidote for acetaminophen overdose. Protamine (choice
B) is used to reverse the effects of heparin. Flumazenil (choice
D) is a reversal agent for benzodiazepines, not opioids. The other choices are not relevant to the situation described.
Question 4 of 5
A nurse is caring for a client who has an implanted venous access port. Which of the following should the nurse use to access the port?
Correct Answer: A
Rationale: The correct answer is A: A noncoring needle. A noncoring needle is specifically designed for accessing implanted venous access ports as it prevents coring of the septum, ensuring proper access without causing damage. An angiocatheter is typically used for peripheral IV access, not for accessing ports. A butterfly needle is not suitable for accessing ports as it may cause damage to the septum. A 25 gauge needle is too small and may not provide adequate access to the port.
Therefore, the most appropriate choice for accessing an implanted venous access port is a noncoring needle.
Question 5 of 5
A charge nurse is teaching a newly licensed nurse about medication administration. Which of the following information should the charge nurse include?
Correct Answer: C
Rationale: The correct answer is C: Inform clients about the action of each medication prior to administration. This is essential to ensure informed consent, promote patient autonomy, and enhance medication adherence. Educating clients about their medications allows them to understand why they are taking them and what to expect. This fosters a collaborative patient-provider relationship and empowers clients to actively participate in their care.
Choices A, B, and D are important aspects of medication administration but do not directly involve educating clients about the medication's actions. Avoiding preparing medications for more than two clients at a time (
A) is important for accuracy and safety, completing an incident report for vomiting after medication (
B) is crucial for documentation and follow-up, and reading medication labels twice before administration (
D) is necessary for verification and error prevention. However, these choices do not address the educational aspect of informing clients about their medications.