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 methotrexate. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Reporting signs of infection is critical with methotrexate, an immunosuppressant, due to infection risk. Antacids are unrelated, pain relief is not immediate, and vitamin C is not specific.
Question 2 of 5
A nurse is planning care for a client who is receiving continuous enteral tube feedings through an open system. Which of the following interventions should the nurse include in the plan of care?
Correct Answer: B
Rationale: Flushing the tubing with 30 mL of water every 4 hours prevents clogging and maintains tube patency. Bed elevation should be 30-45 degrees to prevent aspiration. Gastric residual should be checked every 4-6 hours, not 12. Formula should not exceed 4-8 hours to avoid bacterial growth.
Question 3 of 5
A nurse is planning care for a client who is scheduled to receive a transfusion of packed RBCs. Which of the following actions should the nurse plan to take?
Correct Answer: D
Rationale: Using 0.9% sodium chloride flushes transfusion tubing safely, as it's isotonic and compatible with RBCs, preventing hemolysis. Blood should not be at room temperature for 1 hour to avoid bacterial growth; transfusions should complete within 2-4 hours; a 22-gauge needle is too small, risking hemolysis.
Question 4 of 5
A nurse is collecting data from a client who has pyelonephritis and is receiving gentamicin via IV infusion. Which of the following manifestations should the nurse identify as an adverse effect of the treatment?
Correct Answer: B
Rationale: Gentamicin is ototoxic, causing new-onset hearing loss by damaging inner ear structures. Hypotension, hyperthermia, and slurred speech are not typical adverse effects; nephrotoxicity is another concern.
Question 5 of 5
A nurse is caring for a client who repeatedly refuses meals. The nurse overhears an assistive personnel (AP) telling the client, 'If you don't eat, I'll put restraints on your wrists and feed you.' The nurse should intervene and explain to the AP that this statement constitutes which of the following torts?
Correct Answer: A
Rationale: The AP's threat to restrain and force-feed the client constitutes assault, as it creates fear of harmful contact without consent. Malpractice involves professional negligence, battery is actual unconsented contact, and negligence is failure to meet care standards, none of which apply here.