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 budesonide. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: Rinsing the mouth after budesonide, an inhaled corticosteroid, prevents oral thrush. It's taken regularly, not as needed, relief is not immediate, and food is unrelated.
Extract:
Diagnostic Results
Day 1,1000:
Appearance cloudy (clear).
Color yellow (yellow). pH 5.9 (4.6 to 8).
Protein 3+ (negative).
Specific gravity 1.013 (1.005 to 1.03).
Leukocyte esterase negative (negative).
Nitrites negative (negative).
Ketones negative (negative).
Crystals negative (negative).
Casts negative (negative).
Glucose trace (negative).
WBC 5 (0 to 4). WBC casts none (none).
RBC 1 (less than or equal to 2). RBC casts none (none).
Day 1, 1030:
CBC: Hemoglobin 18.0 g/dL (12 to 16 g/dL).
Hematocrit 35% (37 to 47%).
Platelets 98,000/mm (150,000 to 400,000/mm).
Question 2 of 5
The nurse is initiating the client's plan of care. Which of the following interventions should the nurse plan to implement? Select all that apply.
Correct Answer: A,E,F
Rationale: Antihypertensives manage high blood pressure, 24-hour urine assesses proteinuria, and hourly intake/output monitors fluid status in preeclampsia. Vaginal exams are not routine, low-stimulation is for seizures, betamethasone is for preterm lung maturity, and bed rest (G) is not universally required.
Extract:
Question 3 of 5
A nurse is caring for a client who is in active labor. The nurse should notify the provider for which of the following findings?
Correct Answer: B
Rationale: Prolonged decelerations (>2 minutes) indicate potential fetal distress from causes like cord compression or placental insufficiency, requiring immediate provider notification. Moderate FHR variability is reassuring. Three contractions in 10 minutes is normal. A baseline FHR of 115/min is within the normal range (110-160 bpm).
Question 4 of 5
A nurse is collecting data from a client who has chronic kidney disease. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Hyperkalemia is expected in chronic kidney disease due to impaired potassium excretion. Hypertension, decreased urine output, and normal or elevated glucose are more common.
Question 5 of 5
A nurse is reinforcing teaching with a client who has a new prescription for insulin aspart. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: Storing insulin aspart in the refrigerator maintains potency. It's taken 5-10 minutes before meals, shaking is incorrect, and it's clear, not cloudy.