ATI RN
ATI RN Comprehensive Predictor 2023 Updated Questions
Extract:
Nurses' notes
Postoperative day 2
0900:
Client reports history of deep vein thrombosis (DVT) after cholecystectomy 15 years ago.
Client reports pain of 5 on a scale of 0 to 10 at perineal surgical incision site and bladder fullness. Perineal dressing intact with minimal serosanguinous drainage.
Reports hard, painful bowel movement on postoperative day 1.
Client transferring out of bed to chair independently. Extremities cool and dry with 2+ peripheral pulses.
1300:
Client reports abdominal cramping and small, hard, painful bowel movement after lunch. Ambulating independently in hallway. Reports pain of 8 on a scale of 0 to 10 in perineum.
Question 1 of 5
For each potential provider's prescription, click to specify if the potential prescription is anticipated or contraindicated for the client.
| Options | Anticipated | Contraindicated |
|---|---|---|
| Apply warm compresses to the incision site | ||
| Administer enema to relieve constipation | ||
| Irrigate indwelling urinary catheter with 50 mL of normal saline | ||
| Place a blanket roll under the client's knees while in bed | ||
| Maintain bed rest for 2 days postoperatively |
Correct Answer: B,C,D
Rationale: Enema, catheter irrigation, and knee support are anticipated, while warm compresses and bed rest are contraindicated.
Extract:
Question 2 of 5
A nurse is admitting a client who is hesitant to create advance directives due to concerns about affording legal representation. Which of the following statements should the nurse make?
Correct Answer: C
Rationale: Advance directives can be legally valid without the need for an attorney, reassuring the client.
Question 3 of 5
A nurse in an acute care mental health facility is participating in a medication education group. The leader of the group uses a laissez-faire leadership style. Which of the following actions should the nurse expect from the leader during the session?
Correct Answer: D
Rationale: The laissez-faire leadership style allows group members to discuss topics freely without much interference.
Question 4 of 5
A nurse is caring for a client who is receiving a continuous IV infusion of magnesium sulfate for preterm labor. Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: Absent deep tendon reflexes indicate magnesium toxicity, requiring immediate intervention.
Question 5 of 5
A nurse is caring for a client who repeatedly refuses meals. The nurse overhears an assistive personnel (AP) telling the client, 'If you don't eat, I'll put restraints on your wrists and feed you.' The nurse should intervene and explain to the AP that this statement constitutes which of the following torts?
Correct Answer: D
Rationale: The AP's statement is a verbal threat creating fear of imminent harm, constituting assault.