ATI RN
ATI RN Comprehensive Predictor 2023 Retake 1 Questions
Extract:
Question 1 of 5
A nurse is reviewing the medical history of a client who asks about the use of warfarin. The nurse should identify which of the following findings as a contraindication for the administration of this medication?
Correct Answer: B
Rationale: Recent eye surgery is a contraindication for warfarin due to increased bleeding risk in delicate ocular tissues, which could cause severe complications like vision loss. Warfarin is used post-myocardial infarction and for thrombophlebitis to prevent clots. Breast cancer is not a direct contraindication but requires careful consideration.
Question 2 of 5
A nurse is assessing a 5-year-old child who has diabetes insipidus and is receiving desmopressin. Which of the following findings should the nurse identify as an indication that the medication is effective?
Correct Answer: B
Rationale: Cessation of nocturnal enuresis indicates desmopressin is reducing excessive urination, a key symptom of diabetes insipidus. Heart rate, capillary refill, and hypoglycemia are unrelated to desmopressin's action on water balance.
Question 3 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.
Question 4 of 5
A nurse is caring for a client who has an abdominal surgical incision and notes an evisceration. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: For evisceration, lying supine with knees flexed reduces wound tension, preventing further protrusion. A moist sterile dressing is used, not dry or transparent, and semi-Fowler's increases abdominal pressure, worsening the condition.
Question 5 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.