ATI RN
ATI RN Comprehensive Predictor 2023 Retake 1 Questions
Extract:
Question 1 of 5
A nurse is reinforcing teaching about hand hygiene with a newly licensed nurse. Which of the following information should the nurse include in the teaching?
Correct Answer: A
Rationale: Interlacing fingers during hand washing ensures cleaning between fingers and under nails, a key step in surgical hand hygiene. Friction should last 20-30 seconds, hot water is avoided to prevent skin damage, and drying starts at fingers.
Question 2 of 5
A nurse enters a client's room and sees a small fire in the client's bathroom. Identify the sequence of steps the nurse should take.
Correct Answer: D,C,B,A
Rationale: Following the RACE protocol: Rescue transports the client to safety first; Alarm activates the fire alarm; Confine closes windows and doors to contain the fire; Extinguish attempts to put out the fire if safe. This prioritizes client safety and fire containment.
Question 3 of 5
A nurse is reinforcing teaching with a client who has a new prescription for metformin. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Avoiding alcohol is critical with metformin to reduce the risk of lactic acidosis, a rare but serious complication. Taking with meals reduces GI upset, but blood pressure monitoring and vitamin C are unrelated.
Question 4 of 5
A nurse is implementing seizure precautions for a client who has had a tonic-clonic seizure. Which of the following interventions should the nurse include in the plan of care?
Correct Answer: D
Rationale: Inserting an IV saline lock allows rapid administration of antiepileptic medications, essential for seizure management. A tracheostomy tray is unnecessary; airway management uses positioning or suctioning. Supine positioning risks aspiration; semi-prone is preferred.
Tongue depressors are dangerous and can cause injury during seizures.
Question 5 of 5
A nurse is assisting with the care of a client who is receiving a continuous IV infusion of 0.9% sodium chloride. The nurse notes that the IV site is red and swollen. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Stopping the infusion is the first action to prevent further tissue damage from phlebitis, indicated by redness and swelling. Notifying the provider, administering antihistamines, or applying a compress follow after stopping the infusion.