ATI RN
RN ATI Comprehensive Assessment Exam Retake 2023 V2 Questions
Extract:
Diagnostic Results
Day 1, 1000:
Appearance cloudy (clear)
Color yellow (yellow)
pH 5.9 (4.6 to 8)
Protein 3+ (negative)
Specific gravity 1.013 (1.005 to 1.03)
Leukocyte esterase negative (negative)
Nitrites negative (negative)
Ketones negative (negative)
Crystals negative (negative)
Casts negative (negative)
Glucose trace (negative)
WBC 5 (0 to 4)
WBC casts none (none)
RBC 1 (less than or equal to 2)
RBC casts none (none)
Day 1, 1030:
CBC:
Hemoglobin 18.0 g/dL (12 to 16 g/dL)
Hematocrit 35% (37 to 47%)
Platelets 98,000/mm³ (150,000 to 400,000/mm³)
Question 1 of 5
The nurse is initiating the client's plan of care. Which of the following interventions should the nurse plan to implement? Select all that apply
Correct Answer: A, B, C, D, E, F
Rationale: The correct interventions for the nurse to implement are A, B, C, D, E, and F. A low-stimulation environment helps promote healing and reduce stress. Bed rest may be necessary for certain conditions. Antihypertensive medication is crucial for managing high blood pressure. Betamethasone may be prescribed for various conditions. Monitoring intake and output is essential for assessing fluid balance. Obtaining a 24-hr urine specimen helps evaluate kidney function.
Choices G is incorrect as performing vaginal examinations every 12 hours is not a routine nursing intervention and may be invasive and unnecessary in many cases.
Extract:
Question 2 of 5
A nurse is conducting an initial assessment of a client and notices a discrepancy between the client's current IV infusion and the information received during the shift report. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Compare the current infusion with the prescription in the client's medication record. This action is essential to verify the accuracy of the IV infusion and ensure patient safety. By comparing the current infusion with the prescription in the medication record, the nurse can identify any discrepancies and take appropriate action, such as adjusting the infusion rate or notifying the healthcare provider if necessary. Contacting the charge nurse (choice
A) may be helpful but does not directly address the discrepancy. Completing an incident report (choice
B) is premature without confirming the discrepancy first. Submitting a written warning (choice
C) is not appropriate without a thorough investigation. The other choices are incomplete, and only comparing the infusion with the prescription will provide the necessary information to address the issue effectively.
Question 3 of 5
A nurse is caring for a client who is near the end of life and is on complete bed rest. The client states that he needs to have a bowel movement, and the nurse offers a bed pan. The client states, 'I've always used the bathroom.' Which of the following responses should the nurse make?
Correct Answer: A
Rationale: The correct answer is A: "Tell me what concerns you have about using a bed pan." This response demonstrates empathy and encourages the client to express their feelings, fostering open communication. By understanding the client's concerns, the nurse can address them effectively, promoting a sense of control and dignity for the client.
Option B is incorrect as it disregards the client's request to not use the bed pan. Option C is incorrect as it assumes the client can be ambulated to the bathroom, which may not be feasible. Option D is incorrect as it is authoritarian and dismisses the client's autonomy. It is essential to prioritize the client's comfort and emotional well-being in end-of-life care.
Question 4 of 5
A nurse is collecting a sputum specimen from a client who has tuberculosis. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D because sputum specimens for tuberculosis testing should be collected in the morning upon waking up. This is because sputum is most concentrated in the morning, making it easier to detect tuberculosis bacilli. Waiting 1 day for the specimen (choice
A) can delay treatment. Wearing sterile gloves (choice
B) is important for infection control but not specifically for sputum collection. Asking for 15 to 20 mL of sputum (choice
C) is appropriate, but the timing of collection is crucial.
Question 5 of 5
A nurse enters a client's room and sees a small fire in the client's bathroom. Identify the sequence of steps the nurse should take.
Correct Answer: B, A, C, D
Rationale: B: Activating the facility's fire alarm system is crucial to alert other staff members and ensure the safety of all individuals in the building. A: Transporting the client to another area is necessary to move them away from the fire hazard. C: Closing windows and doors helps contain the fire and prevent it from spreading. D: Using the fire extinguisher should only be done if it's safe to do so and if the nurse has been trained in its proper use.
Choices E, F, and G are incorrect as they do not prioritize the immediate safety of the client and others in the building.