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 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 2 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 3 of 5
A nurse is reinforcing teaching with a client who has a new prescription for venlafaxine. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Reporting increased sweating is important with venlafaxine, an SNRI, as it's a common side effect. Antacids are unrelated, mood improvement takes weeks, and stopping abruptly risks withdrawal.
Question 4 of 5
A nurse on a medical-surgical unit is planning care for four clients. The nurse should plan to use sterile gloves when performing which of the following procedures?
Correct Answer: C
Rationale: Sterile gloves are required for changing a central venous catheter dressing to prevent infection at the site, which accesses major veins. Ophthalmic ointment, NG tube insertion, and IM injections use clean gloves.
Extract:
A nurse is caring for a newborn.
Vital Signs.
0640:. Temperature 36.7°C (98.1° F) axillary.
Heart rate 154/min.
Respiratory rate 68/min.
BP 72/48 mm Hg. 0650:. Heart rate 156/min.
Respiratory rate 72/min.
0700:. Temperature 37° C (98.6° F) axillary.
Heart rate 156/min.
Respiratory rate 76/min.
Admission Assessment.
0630:. Newborn delivered via cesarean birth under spinal anesthesia at. 0630.
Amniotic fluid clear.
0631:. 1-min Apgar score 7. 0636:. 5-min Apgar score 9. Newborn transferred to nursery.
Nurses' Notes.
0640:. Weight 4200 gm (9 Ib 4 oz), head circumference 35.5 cm (14 in). Respiratory rate 68/min, with mild grunting.
0650:. Respiratory rate 72/min, with mild grunting.
0700:. Respiratory rate 76/min, with moderate grunting and mild.
intercostal retractions.
Question 5 of 5
Drag words from the choices below to fill in each blank in the following. sentence. The client is at risk for developing Target 1 and Target 2.
Correct Answer: C
Rationale: Transient tachypnea of the newborn is likely due to increased respiratory rate, grunting, and cesarean delivery, indicating fluid in the lungs. Hypoglycemia, BPD, and tachycardia are not supported by the symptoms.