ATI RN
ATI RN Comprehensive Predictor 2023 Retake 1 Questions
Extract:
Question 1 of 5
A nurse on a medical-surgical unit is planning care for four clients. The nurse should plan to use sterile gloves when performing which of the following procedures?
Correct Answer: C
Rationale: Sterile gloves are required for changing a central venous catheter dressing to prevent infection at the site, which accesses major veins. Ophthalmic ointment, NG tube insertion, and IM injections use clean gloves.
Question 2 of 5
A nurse is reinforcing teaching with a client who has a new prescription for omeprazole. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: Taking omeprazole at bedtime maximizes acid suppression overnight. Grapefruit juice is unrelated, nausea should be reported, and relief may take days, not be immediate.
Question 3 of 5
A nurse is planning care for a client who is scheduled to receive a transfusion of packed RBCs. Which of the following actions should the nurse plan to take?
Correct Answer: D
Rationale: Using 0.9% sodium chloride flushes transfusion tubing safely, as it's isotonic and compatible with RBCs, preventing hemolysis. Blood should not be at room temperature for 1 hour to avoid bacterial growth; transfusions should complete within 2-4 hours; a 22-gauge needle is too small, risking hemolysis.
Question 4 of 5
A nurse in a long-term care facility is caring for a client who has methicillin-resistant Staphylococcus aureus (MRSA). Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Wearing a gown during personal hygiene prevents MRSA contact transmission. PPE is removed before leaving, negative air pressure is for airborne infections, and visitors aren't restricted but need PPE education.
Extract:
Nurses' Notes
Vital Signs
Diagnostic Results
Day 1. 1400:
Client has paraplegia and reports, "I have had a cough the last few days.
I haven't had an appetite either." Denies nausea,. vomiting, or diarrhea.
Alert and oriented to person, place, and time.
Skin is intact.
Vital signs stable.
1830:
Client is experiencing tachycardia, productive cough, and confusion
Question 5 of 5
The client is at risk for ________ as evidenced by __________. Complete the following sentence by using the list of options.
| Hypostatic pneumonia. |
| Anemia. |
| Fluid volume overload. |
| Immobility. |
| Calorie deficiency. |
Correct Answer: A,D
Rationale: The client with paraplegia, cough, and reduced appetite is at risk for hypostatic pneumonia due to immobility, which impairs lung clearance and increases infection risk. Anemia, fluid overload, and calorie deficiency are not directly supported by the symptoms.