ATI RN
ATI RN Comprehensive Predictor 2023 Retake 1 Questions
Extract:
Nurses' Notes
Vital Signs
Diagnostic Results
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.
1830:
Client is experiencing tachycardia, productive cough, and confusion
Question 1 of 5
The client is at risk for ________ as evidenced by __________. Complete the following sentence by using the list of options.
| Hypostatic pneumonia. |
| Anemia. |
| Fluid volume overload. |
| Immobility. |
| Calorie deficiency. |
Correct Answer: A,D
Rationale: The client with paraplegia, cough, and reduced appetite is at risk for hypostatic pneumonia due to immobility, which impairs lung clearance and increases infection risk. Anemia, fluid overload, and calorie deficiency are not directly supported by the symptoms.
Extract:
Question 2 of 5
A nurse is assessing a 5-year-old child who has diabetes insipidus and is receiving desmopressin. Which of the following findings should the nurse identify as an indication that the medication is effective?
Correct Answer: B
Rationale: Cessation of nocturnal enuresis indicates desmopressin is reducing excessive urination, a key symptom of diabetes insipidus. Heart rate, capillary refill, and hypoglycemia are unrelated to desmopressin's action on water balance.
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 a client who has pneumonia and tells the nurse, 'I feel like an elephant is sitting on my chest.' The client is weak and unable to walk. After the nurse initiates chest pain protocol, which of the following is the priority diagnostic test?
Correct Answer: A
Rationale: A 12-lead ECG is the priority to assess for cardiac causes of chest pain, like myocardial infarction, given the client's description of heavy chest pressure. PT/INR, serum potassium, and chest x-ray are secondary, as cardiac issues are life-threatening and require immediate evaluation.
Question 5 of 5
A nurse is assisting with the care of a client who is postoperative following a mastectomy. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Range-of-motion exercises prevent lymphedema and maintain mobility post-mastectomy. Raising the arm is encouraged, warm compresses are not standard, and dependent positioning increases swelling.