ATI RN
ATI RN Comprehensive Predictor 2023 Retake 1 Questions
Extract:
Question 1 of 5
An older client with a history of heart failure is admitted with influenza and requests assistance to sit up in bed to eat lunch. The nurse observes the unlicensed assistive personnel (UAP) wearing a gown and gloves to assist the client. Which action should the nurse take?
Correct Answer: A
Rationale: The client has influenza, a droplet-transmitted respiratory illness. The UAP is in close contact with the client, so a face mask is necessary in addition to a gown and gloves to prevent virus spread, per CDC guidelines. A fitted respirator mask is not required for influenza, as it is not airborne like tuberculosis. Reassigning the UAP is unnecessary since adding a face mask completes the PPE. Instructing the UAP to report respiratory changes is good practice but does not address the immediate PPE need.
Question 2 of 5
A nurse in an emergency department is assessing a client who reports ingesting thirty diazepam tablets 20 minutes ago. The client is lethargic and has a respiratory rate of 10/min. After securing the client's airway and initiating an IV, which of the following actions should the nurse take next?
Correct Answer: B
Rationale: Administering flumazenil, a benzodiazepine antagonist, is the priority to reverse diazepam overdose effects, such as lethargy and respiratory depression, by blocking GABA receptor binding. This prevents further respiratory compromise. Evaluating suicidal behavior is important but not urgent. Monitoring the IV site is secondary to reversing the overdose. Seizure precautions may be needed later but are not the immediate priority.
Question 3 of 5
A nurse is providing discharge instructions to a client who has a new prescription for haloperidol. Which of the following adverse effects should the nurse instruct the client to report to the provider?
Correct Answer: C
Rationale: Shuffling gait, a sign of parkinsonism, is an extrapyramidal symptom of haloperidol, indicating potential tardive dyskinesia, a serious neurological condition requiring prompt reporting. Weight gain, dry mouth, and sedation are common side effects but not as critical as extrapyramidal symptoms.
Question 4 of 5
A nurse is caring for an adolescent client who has cystic fibrosis. Which of the following actions should the nurse instruct the client to take prior to initiating postural drainage?
Correct Answer: C
Rationale: Using an albuterol inhaler before postural drainage opens airways, aiding mucus clearance in cystic fibrosis. Eating risks vomiting, pancrelipase is for digestion, and oral hygiene is unrelated to drainage.
Question 5 of 5
A hospice nurse is visiting with the son of a client who has terminal cancer. The son reports sleeping very little during the past week due to caring for his mother. Which of the following responses should the nurse make?
Correct Answer: B
Rationale: Offering respite care information provides practical support, allowing the son temporary relief from caregiving to rest, addressing his sleep deprivation. General empathy doesn't solve the issue. Suggesting sleeping pills requires a provider's assessment. Praise is supportive but doesn't address the immediate need.