ATI RN
RN ATI Comprehensive Assessment Exam Retake 2023 V2 Questions
Extract:
Question 1 of 5
A nurse is speaking with the caregiver of a client who has Alzheimer's disease. The caregiver states, 'Providing constant care is very stressful and is affecting all areas of my life.' Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Assist the caregiver to arrange for a daycare program for the client. This option addresses the caregiver's concerns by providing respite care and support for the client, allowing the caregiver time to attend to other aspects of their life. This can help reduce caregiver stress and prevent burnout.
A: Suggesting antipsychotic medication is not appropriate for addressing the caregiver's stress and can have potential risks for the client.
B: Allowing the client time alone does not address the caregiver's need for support and respite.
C: Discussing communication methods may help manage behaviors but does not directly address the caregiver's stress.
E, F, G: No information provided.
In summary, option D is the most appropriate as it directly supports the caregiver's well-being while ensuring the client's needs are met.
Question 2 of 5
A nurse and an assistive personnel (AP) are assigned a group of clients on the unit. Which of the following clients should the nurse instruct the AP to report to the nurse?
Correct Answer: B
Rationale:
Correct Answer: B
Rationale:
1. Safety: The client with a prescription for compression stockings needs them for circulation and to prevent complications. Not receiving them could lead to health risks.
2. Nursing responsibility: The nurse is accountable for ensuring that prescribed treatments are provided, making it crucial for the AP to report this issue.
3. Collaboration: By reporting to the nurse, the AP allows for timely intervention to address the missed prescription, promoting client safety and well-being.
Summary of other choices:
A: Requesting assistance with the commode is a routine task that the AP can handle independently.
C: Sitting in a chair does not pose a significant risk or indicate a change in condition requiring immediate attention.
D: Consuming all food is a positive sign of appetite and does not warrant immediate reporting unless there are dietary restrictions or concerns documented.
Question 3 of 5
A nurse is caring for a client who is in active labor and notes the FHR baseline has been 100/min for the past 15 min. The nurse should identify which of the following conditions as a possible cause of fetal bradycardia?
Correct Answer: C
Rationale: The correct answer is C: Fetal anemia. Fetal bradycardia (baseline <110/min) could indicate fetal distress. Fetal anemia decreases oxygen-carrying capacity, leading to compensatory bradycardia. Maternal hypoglycemia (
A) typically causes fetal tachycardia. Chorioamnionitis (
B) and maternal fever (
D) usually cause fetal tachycardia due to infection. Summarily, fetal anemia is the most likely cause of fetal bradycardia compared to the other options.
Extract:
Nurses Notes
Today
0800:
Client reports not feeling well with headache, body aches, and chills. Left breast red and tender with swollen, tender lymph nodes in the left axilla. Incision edges well approximated without erythema or drainage. Small amount of lochia rubra noted.
0830
Provider notified of findings. Prescriptions received
Question 4 of 5
For each potential assessment finding, click to specify if the assessment finding is consistent with mastitis or endometritis. Each finding may support more than 1 disease process.
Correct Answer: B: Mastitis; A, C, D: Both
Rationale: The correct answer is B: Painful, tender breast for mastitis. Mastitis is an infection of the breast tissue, causing pain and tenderness. Foul-smelling lochia can be consistent with both mastitis and endometritis, as it indicates infection. Temperature and chills are non-specific findings that can be present in both mastitis and endometritis. In summary, the painful, tender breast is a specific finding for mastitis, while foul-smelling lochia, temperature, and chills can be seen in both conditions due to the presence of infection.
Extract:
Question 5 of 5
A nurse is caring for a client who states he recently purchased lavender oil to use when he gets the flu. The nurse should recognize which of the following findings as a potential contraindication for using lavender?
Correct Answer: B
Rationale: The correct answer is B: The client has a history of asthma. Lavender oil can trigger respiratory issues in individuals with asthma due to its strong scent and potential irritant effects on the airways. Asthmatic individuals are more sensitive to respiratory irritants, making lavender oil a potential contraindication.
Incorrect choices:
A: The client has a history of alcohol use disorder - Alcohol use disorder does not directly interact with lavender oil use.
C: The client takes vitamin C daily - Vitamin C does not interact negatively with lavender oil.
D: The client takes furosemide twice daily - Furosemide is a diuretic and does not have a direct contraindication with lavender oil.