ATI RN
RN ATI Comprehensive Assessment Exam Retake 2023 V2 Questions
Extract:
Nurses Notes
Today
0800:
Client reports not feeling well with headache, body aches, and chills. Left breast red and tender with swollen, tender lymph nodes in the left axilla. Incision edges well approximated without erythema or drainage. Small amount of lochia rubra noted.
0830
Provider notified of findings. Prescriptions received
Question 1 of 5
For each potential assessment finding, click to specify if the assessment finding is consistent with mastitis or endometritis. Each finding may support more than 1 disease process.
Correct Answer: B: Mastitis; A, C, D: Both
Rationale: The correct answer is B: Painful, tender breast for mastitis. Mastitis is an infection of the breast tissue, causing pain and tenderness. Foul-smelling lochia can be consistent with both mastitis and endometritis, as it indicates infection. Temperature and chills are non-specific findings that can be present in both mastitis and endometritis. In summary, the painful, tender breast is a specific finding for mastitis, while foul-smelling lochia, temperature, and chills can be seen in both conditions due to the presence of infection.
Extract:
Question 2 of 5
A nurse is teaching a prenatal class about infection prevention at a community center. Which of the following statements by a client indicates an understanding of the teaching?
Correct Answer: B
Rationale: The correct answer is B: "I can visit my nephew who has chickenpox 5 days after the sores have crusted." This statement shows understanding of infection prevention because chickenpox is contagious until the sores crust over, typically about 5-7 days after they appear. Visiting the nephew after this period reduces the risk of contracting the virus.
A: Incorrect. Antibiotics are for bacterial infections, not viruses.
C: Incorrect. Pregnant women should avoid cleaning cat litter due to the risk of toxoplasmosis.
D: Incorrect. Handwashing should last at least 20 seconds with soap and water for proper infection prevention.
Question 3 of 5
A nurse is planning care for a client who has acute appendicitis. Which of the following actions should the nurse plan to take?
Correct Answer: C
Rationale:
Correct Answer: C - Keep the client on NPO status
Rationale: In acute appendicitis, the client may require urgent surgery to remove the inflamed appendix. Keeping the client NPO (nothing by mouth) is essential to avoid potential complications during surgery, such as aspiration of stomach contents. This action also helps prevent delays in the surgical intervention and minimizes the risk of infection.
Incorrect
Choices:
A: Placing the client's head of bed flat can increase intra-abdominal pressure and worsen the client's condition.
B: Applying heat to the client's abdomen can exacerbate inflammation and may mask the symptoms, delaying appropriate treatment.
D: Administering a laxative can be dangerous as it may cause the appendix to rupture due to increased pressure from fecal matter.
Question 4 of 5
A nurse is discussing discharge plans with an older adult client who lives alone and has left-sided weakness following a stroke. Which of the following information is the priority for the nurse to discuss?
Correct Answer: B
Rationale: The correct answer is B: Obtaining an alert system to get help in case of a fall. This is the priority because the client has left-sided weakness following a stroke, making them at higher risk for falls and potential injuries. Having an alert system in place ensures quick assistance in case of a fall, potentially preventing serious consequences. Reviewing support groups (
A) is important for emotional support but not as urgent as fall prevention. Providing transportation resources (
C) can be discussed later once safety concerns are addressed. Choosing an agency for physical therapy (
D) is important but secondary to immediate safety needs.
Question 5 of 5
A nurse is assessing a client who has histrionic personality disorder. Which of the following manifestations should the nurse expect?
Correct Answer: C
Rationale: The correct answer is C: Self-centered behavior. Individuals with histrionic personality disorder often display attention-seeking and exaggerated emotions, focusing on themselves to gain approval and admiration from others. This behavior is characterized by an excessive need for attention and a tendency to be overly dramatic in their interactions.
Choice A (Suspicious of others) is incorrect because suspicion is more commonly associated with paranoid personality disorder.
Choice B (Callousness) is incorrect as callousness is a trait often seen in individuals with antisocial personality disorder.
Choice D (Violates other's rights) is incorrect as it is a characteristic of individuals with antisocial personality disorder who commonly disregard the rights of others.