ATI RN
ATI RN Comprehensive Predictor 2023 Updated Questions
Extract:
Question 1 of 5
A nurse is teaching a new parent about breastfeeding her 2-week-old infant. Which of the following statements by the parent indicates an understanding of the teaching?
Correct Answer: C
Rationale: The correct answer is C: "The more my baby is at the breast sucking, the more milk I will produce." This statement indicates an understanding of the teaching because frequent and effective sucking stimulates milk production through the release of prolactin. As the baby feeds, it signals the body to produce more milk to meet the demand. This feedback loop helps establish and maintain milk supply.
Rationale for Incorrect
Choices:
A: Incorrect. Removing the baby before the breast is emptied can lead to insufficient milk removal, affecting milk supply.
B: Incorrect. Starting on the same breast every time can lead to uneven milk production and potential issues like engorgement.
D: Incorrect. Manually expressing milk can actually help increase milk supply by promoting milk removal and stimulating milk production.
Question 2 of 5
A nurse is preparing to admit a 6-year-old with varicella to the pediatric unit. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Assign the child to a negative air pressure room. Varicella, or chickenpox, is highly contagious and spread through the air. Placing the child in a negative air pressure room helps prevent the spread of the virus to other patients and healthcare workers. Using droplet precautions (choice
A) is not sufficient as airborne precautions are more appropriate for varicella. Administering aspirin (choice
B) is contraindicated in varicella due to the risk of Reye's syndrome. Assessing for Koplik spots (choice
D) is not relevant as they are associated with measles, not varicella.
Question 3 of 5
A nurse is reviewing the laboratory data of a client who received 2 units of packed RBCs. Which of the following laboratory findings should the nurse expect following the transfusion?
Correct Answer: C
Rationale: The correct answer is C: Increased Hct. When a client receives packed RBCs, the hematocrit (Hct) level is expected to increase as packed RBCs primarily contain red blood cells. The Hct measures the percentage of red blood cells in the blood. It would not be expected for the hemoglobin (Hgb) level to decrease as packed RBCs are rich in hemoglobin. Platelets are not directly affected by packed RBC transfusion, so an increase in platelets is not expected. The white blood cell (WB
C) count is also not directly impacted by packed RBC transfusion, so a decrease in WBC count is not anticipated.
Question 4 of 5
A nurse is caring for a client who is experiencing expressive aphasia and right hemiparesis following a stroke. Which of the following actions by the nurse best promotes communication among staff caring for the client?
Correct Answer: B
Rationale: The correct answer is B: Having interdisciplinary team meetings for the client on a regular basis. This promotes communication among staff by allowing different team members to discuss the client's care plan, progress, and any concerns. It ensures that all disciplines involved in the client's care are on the same page, leading to a holistic approach to care.
Option A is incorrect as recording progress in nurses' notes does not directly facilitate communication among staff members. Option C is incorrect as posting swallowing precautions may be important but does not specifically address promoting communication among the staff. Option D is incorrect as noting changes in the treatment plan in the client's medical record may not ensure effective communication among the staff caring for the client.
Question 5 of 5
A newly licensed nurse working at an HIV clinic is reviewing the responsibilities of her position at the clinic. Which of the following tasks should the nurse identify as tertiary prevention?
Correct Answer: C
Rationale: The correct answer is C because using an electronic messaging system to remind clients when to take medications is an example of tertiary prevention. Tertiary prevention focuses on managing and improving the quality of life for individuals with existing health conditions. This task helps clients adhere to their medication regimen, which is crucial in managing their HIV condition and preventing complications.
Choice A is related to primary prevention as it focuses on promoting wellness and preventing disease before it occurs.
Choice B is related to secondary prevention as it involves identifying and treating health issues at an early stage.
Choice D is more about health promotion and falls under primary prevention.