ATI RN
ATI RN Comprehensive Predictor 2023 Retake 1 Questions
Extract:
Question 1 of 5
A nurse is reinforcing teaching with a client who has a new prescription for spironolactone. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Reporting signs of hyperkalemia is critical with spironolactone, a potassium-sparing diuretic. Potassium intake should not increase, it's taken in the morning, and diuresis is not immediate.
Question 2 of 5
A nurse is reinforcing teaching with a client who has a new prescription for citalopram. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Reporting suicidal thoughts is critical with citalopram, an SSRI, due to increased risk early in treatment. It's taken in the morning, tyramine is unrelated, and mood improvement takes weeks.
Question 3 of 5
A nurse in a long-term care facility is caring for a client who has methicillin-resistant Staphylococcus aureus (MRSA). Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Wearing a gown during personal hygiene prevents MRSA contact transmission. PPE is removed before leaving, negative air pressure is for airborne infections, and visitors aren't restricted but need PPE education.
Question 4 of 5
A nurse is assisting with the care of a client who is receiving a continuous IV infusion of dopamine. Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: Infiltration at the IV site with dopamine, a vasopressor, risks tissue damage and requires immediate provider notification. Normal blood pressure, urine output, and heart rate are not urgent.
Question 5 of 5
A nurse is admitting a client to a medical-surgical unit. When performing medication reconciliation for the client, which of the following actions should the nurse take?
Correct Answer: B
Rationale: Comparing new prescriptions with the client's reported medications ensures accuracy, preventing errors, interactions, or omissions. Including potential adverse effects is not part of reconciliation. Excluding supplements risks missing interactions. Encouraging a home list is unreliable and unsafe.