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 ipratropium. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Rinsing the mouth after ipratropium, an inhaler, prevents oral irritation or infection. It's used per schedule, relief is not immediate, and it's not taken with food.
Question 2 of 5
A home health nurse is planning care for a client who has Alzheimer's disease. Which of the following actions should the nurse include in the plan of care?
Correct Answer: B
Rationale: Placing locks at the tops of exterior doors prevents wandering, a common and dangerous behavior in Alzheimer's patients, ensuring safety. Zippers versus buttons don't address safety. Hardwood floors may reduce falls but aren't specific to Alzheimer's. Physical activity before bed may disrupt sleep, not enhance safety.
Question 3 of 5
A nurse in an emergency department is assessing a client who reports ingesting thirty diazepam tablets 20 minutes ago. The client is lethargic and has a respiratory rate of 10/min. After securing the client's airway and initiating an IV, which of the following actions should the nurse take next?
Correct Answer: B
Rationale: Administering flumazenil, a benzodiazepine antagonist, is the priority to reverse diazepam overdose effects, such as lethargy and respiratory depression, by blocking GABA receptor binding. This prevents further respiratory compromise. Evaluating suicidal behavior is important but not urgent. Monitoring the IV site is secondary to reversing the overdose. Seizure precautions may be needed later but are not the immediate priority.
Question 4 of 5
A charge nurse on a medical-surgical unit is assisting with the emergency response plan following an external disaster in the community. In anticipation of multiple client admissions, which of the following current clients should the nurse recommend for early discharge?
Correct Answer: B
Rationale: A client 1 day post-vertebroplasty is likely stable for discharge if uncomplicated, as it's a minor procedure. Heparin for DVT requires monitoring. Radiation implants need specialized care. COPD with a respiratory rate of 44/min indicates distress, requiring hospitalization.
Question 5 of 5
A nurse is assisting with the care of a client who is in labor. The client's labor is not progressing, and oxytocin is prescribed. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Continuous fetal heart rate monitoring is essential when administering oxytocin to detect fetal distress from hyperstimulation. Oxygen, amnioinfusion, or semi-Fowler's position are not routinely indicated without specific complications.