ATI RN
ATI RN Comprehensive Predictor 2023 Updated Questions
Extract:
Question 1 of 5
A staff nurse is observing a newly licensed nurse suction a client's tracheostomy. Which of the following actions by the newly licensed nurse requires intervention by the staff nurse?
Correct Answer: A
Rationale: The correct answer is A because suctioning a client's tracheostomy for 15 seconds is too long and can lead to hypoxia. The optimal suctioning time for a tracheostomy is usually 5-10 seconds to prevent hypoxia. Encouraging the client to cough during suctioning (choice
B) helps to remove secretions effectively. Waiting for 2 minutes between suctions (choice
C) allows the client to recover and prevents damage to the airway. Inserting the catheter without applying suction (choice
D) indicates the nurse is not effectively clearing secretions.
Question 2 of 5
A nurse is preparing to reposition a client who had a stroke. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Discuss the client's preferences for determining a repositioning schedule. This is important because involving the client in decision-making empowers them and promotes autonomy. It also ensures that the repositioning schedule aligns with the client's needs and preferences, increasing compliance and overall satisfaction. Option A is incorrect because using assistive devices may be necessary depending on the client's condition. Option C is incorrect as the nurse should assess the client's ability but ultimately the decision should involve the client. Option D is incorrect as raising side rails is not directly related to repositioning the client but rather for safety measures.
Question 3 of 5
A nurse is planning care for a client who has a prescription for continuous enteral feedings through an NG tube. Which of the following actions should the nurse plan to take?
Correct Answer: A
Rationale: The correct answer is A: Measure gastric residual volumes every 4 hr. This is important to monitor for tolerance of enteral feedings and to prevent complications such as aspiration. Checking residuals helps determine if the stomach is emptying properly and if the feeding rate should be adjusted.
Option B is incorrect because flushing the NG tube with saline before and after medication administration is unnecessary for continuous enteral feedings.
Option C is incorrect because advancing the rate of feeding every 2 hr can lead to complications such as diarrhea or aspiration.
Option D is incorrect because maintaining the head of the bed at a 20 angle is important for preventing aspiration but is not specific to enteral feedings.
Question 4 of 5
A nurse is providing discharge teaching to the partner of a client who has a tracheostomy. Which of the following information should the nurse include in the teaching?
Correct Answer: B
Rationale: The correct answer is B: How to change the tracheostomy dressing using clean technique. This is important to prevent infection and promote healing. First, wash hands and gather supplies. Remove the old dressing, clean the stoma site with sterile saline, and apply a new sterile dressing. The other choices are incorrect: A is incorrect because securing the tracheostomy tube should be done at the side, not the back, to prevent pressure on the trachea. C is incorrect as operating the suction machine is usually done by healthcare professionals. D is incorrect because changing the non-disposable tube daily is unnecessary and can increase the risk of infection.
Question 5 of 5
A nurse is preparing to insert an IV catheter for a client. Which of the following actions should the nurse plan to take?
Correct Answer: D
Rationale: The correct answer is D: Choose a vein that is palpable and straight. This is important to ensure successful cannulation and reduce the risk of complications. Palpable veins are easier to access, reducing the chances of multiple attempts and discomfort for the client. Straight veins allow for easier insertion and proper flow of IV fluids. Elevating the arm (choice
A) can help with vein distention but is not necessary for all clients. Applying a tourniquet (choice
B) is used to make veins more visible but should be released before inserting the catheter. Selecting a site on the dominant arm (choice
C) is not necessary and may not always be the best option for vein accessibility.