Questions 179

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ATI RN Comprehensive Predictor 2023 Updated Questions

Extract:

Nurses' notes
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.
Day 2
1830:
Client is experiencing tachycardia, productive cough, and confusion


Question 1 of 5

Complete the following sentence by using the list of options.

hypostatic pneumonia
anemia
fluid volume overload
orthostatic hypotension
calorie deficiency

Correct Answer: A

Rationale: The client is at risk for hypostatic pneumonia due to immobility, as paraplegia and cough suggest respiratory complications.

Extract:

History and Physical
Nurses' Notes
G1P1, spontaneous vaginal delivery with median episiotomy at 39 weeks of gestation. Newborn 4,508 g (9 lb 15 oz). APGARs: 8 at 1 min, 9 at 5 min.
The client is at highest risk for developing Select... evidenced by the client's Select... Group B streptococcus B-hemolytic: positive (negative)
Received 2 doses of intravenous penicillin G while in labor.


Question 2 of 5

The client is at highest risk for developing Select... evidenced by the client's Select...

endometritis
mastitis
perineal hematoma
cracked nipple
group B streptococcus
large for gestational age newborn

Correct Answer: B,D

Rationale: Mastitis risk is high due to cracked nipples, allowing bacterial entry during breastfeeding.

Extract:


Question 3 of 5

A nurse is caring for a client who has generalized petechiae and ecchymoses. The nurse should expect a prescription for which of the following laboratory tests?

Correct Answer: C

Rationale: Petechiae and ecchymoses are signs of bleeding, often due to a low platelet count.

Question 4 of 5

A nurse is developing a care plan for a client who is in Buck's traction and is scheduled for surgery for a fractured femur of the right leg. Which of the following interventions should the nurse delegate to an assistive personnel?

Correct Answer: D

Rationale: Reminding the client to use the incentive spirometer is within the scope of assistive personnel.

Question 5 of 5

A nurse in a long-term care facility is providing care for a client who has been receiving donepezil. Which of the following findings indicates that the medication is effective?

Correct Answer: B

Rationale: Donepezil improves cognitive function, particularly memory, indicating effectiveness.

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