ATI RN
RN ATI Comprehensive Assessment Exam Retake 2023 V2 Questions
Extract:
Question 1 of 5
A nurse is teaching a client about advance directive. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: A
Rationale: Correct answer: A
Rationale: A is the correct answer because a living will is indeed a document that includes an individual's wishes about health care decisions. It allows the individual to specify their preferences regarding medical treatment in case they become unable to communicate their desires. This demonstrates an understanding of advance directives.
Incorrect answers:
B is incorrect because advance directives do not give the provider the authority to make healthcare decisions for the individual.
C is incorrect because advance directives are not related to inheritance of material possessions.
D is incorrect because a partner being present as a witness when signing a living will is not a requirement for it to be valid.
Question 2 of 5
A nurse is assessing a client who received hydromorphone 4 mg IV 15 min ago. The client has a respiratory rate of 10/min. The nurse should prepare to administer which of the following medications?
Correct Answer: C
Rationale: The correct answer is C: Naloxone. Naloxone is a reversal agent for opioid overdose, including hydromorphone. The client's respiratory rate of 10/min is a sign of opioid overdose and respiratory depression, which can be reversed by naloxone. Administering naloxone will help reverse the effects of hydromorphone and improve the client's respiratory function.
Acetylcysteine (choice
A) is used as an antidote for acetaminophen overdose. Protamine (choice
B) is used to reverse the effects of heparin. Flumazenil (choice
D) is a reversal agent for benzodiazepines, not opioids. The other choices are not relevant to the situation described.
Extract:
Nurses' Notes
Day 1, 0915:
The client's adult child reports the client has not slept for 2 days and has become obsessed with cleaning the house and hosting parties. At times the client is overly joyous and has a very elevated sense of self-confidence. The adult child states that the client has also demonstrated very impulsive spending habits and expresses concern about the client giving away large sums of money to others.
The client's speech is very pressured, disorganized, and loud. Client unable to recall the last time they ate.
Day 1, 0930:
Client questioned about their hallucinations and states that the same person has been following them around inside and outside the house for days. Client asks the person what they want but never receives an answer. Client states that this person has never told them to do anything; they just stare and smile
Question 3 of 5
For each assessment finding, click to specify if the finding is consistent with psychosis or mania. Each finding may support more than one diagnosis.
Correct Answer: A: Psychosis; B, C, D, E: Mania
Rationale: Hallucinations are typically associated with psychosis, where individuals experience sensory perceptions that are not real. Lack of sleep, excessive spending habits, disorganized thought process, and pressured speech are hallmark features of mania, a state of elevated mood and energy often seen in bipolar disorder. These symptoms reflect the impulsivity, racing thoughts, and increased activity levels characteristic of manic episodes.
Therefore, the correct answer is A for psychosis and B, C, D, E for mania.
Extract:
Question 4 of 5
A nurse is planning care for a group of clients and is working with one licensed practical nurse (LPN) and one assistive personnel (AP). Which of the following actions should the nurse take first to manage her time effectively?
Correct Answer: B
Rationale: The correct answer is B: Determine goals of the day. This is the first step the nurse should take to manage her time effectively. By setting clear goals, the nurse can prioritize tasks, allocate resources efficiently, and establish a plan for the day. This helps in organizing and structuring the workload, ensuring that critical tasks are addressed first.
Choice A: Delegating tasks to the AP can come after determining the goals of the day.
Choice C: Developing an hourly time frame for tasks is important but should come after setting goals to ensure tasks align with the overall objectives.
Choice D: Scheduling daily activities is essential, but without first determining the goals, it may lead to inefficient time management.
In summary, determining the goals of the day is the initial step in effective time management as it provides a strategic framework for prioritizing tasks and allocating resources appropriately.
Question 5 of 5
A nurse is teaching a client about family planning using the basal body temperature method. Which of the following instructions should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A: "Take your temperature immediately after waking and before getting out of bed." This instruction is crucial for accurately tracking basal body temperature, as it helps minimize external factors that could affect the reading. Taking the temperature before getting out of bed ensures consistency in the readings, as any physical activity or movement can influence the results. By measuring the temperature at the same time each morning, variations can be detected, which is essential for determining ovulation and fertile periods.
Choice B is incorrect as waiting 30 minutes after waking can introduce inaccuracies due to possible activities during that time.
Choice C is incorrect because taking the temperature an hour after waking can lead to fluctuations in readings.
Choice D is incorrect as taking the temperature before going to bed does not capture the basal body temperature accurately.