ATI RN
ATI Comprehensive Predictor 2023 Exit Exam B Questions
Extract:
0400:.
57-year-old male client presents to the emergency department with severe abdominal and epigastric pain that began about 12 hr ago. Client rates pain as a 7 on a 0 to 10 pain scale. Client reports pain worsens after eating and radiates into his back. States is nauseous and has had several episodes of vomiting, i Reports some shortness of air and increased pain when lying । flat.
Client is alert and oriented x4 but appears ill. Sclera and palate noted to be yellow. Abdomen distended, rigid, and tender to palpation. Skin turgor poor.
Client reports consuming 3 to 4 alcoholic drinks per day, denies use of other substances. No known allergies.
0730:.
Will admit to medical-surgical unit for treatment of pancreatitis. Treatment plan discussed with client.
Question 1 of 5
The nurse is providing teaching to the client about self-care. Select the 3 statements the nurse should include in the teaching.
Correct Answer: B,C,D
Rationale: The correct answers are B, C, and D. B is important for overall health and can prevent certain diseases. C is crucial as vomiting and diarrhea can lead to dehydration. D is essential as excessive alcohol intake can harm the body. A is incorrect because caffeine can worsen certain health conditions. E is incorrect as the statement does not specify the type of diet needed for the client.
Extract:
Question 2 of 5
A nurse is admitting an adolescent who has rubella. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Isolate the client from staff who are pregnant. Rubella is highly contagious and can be harmful to pregnant women, potentially leading to birth defects in their babies. By isolating the client from pregnant staff, the nurse can prevent transmission of the virus and protect the health of both the pregnant individuals and their unborn babies. Administering aspirin (
A) is contraindicated in rubella due to the risk of Reye's syndrome. Airborne precautions (
C) are not necessary for rubella as the virus is spread through droplets. Monitoring for Koplik spots (
D) is relevant for measles, not rubella.
Question 3 of 5
A nurse is setting up a sterile field to perform wound irrigation for a client. Which of the following actions should the nurse take when pouring the sterile solution?
Correct Answer: C
Rationale:
Correct
Answer: C
Rationale: When pouring the sterile solution, the nurse should remove the cap and place it sterile-side up on a clean surface to prevent contamination. Placing the cap sterile-side up ensures that the inner part of the cap, which will come into contact with the solution, remains sterile. This action helps maintain the sterility of the solution and prevents introducing contaminants into the wound during irrigation.
Summary of other choices:
A: Placing sterile gauze over spilled solution within the sterile field is incorrect because it could introduce non-sterile items into the field, compromising its sterility.
B: Holding the irrigation solution bottle with the label facing away from the palm of the hand is irrelevant to maintaining sterility during pouring.
D: Holding the bottle in the center of the sterile field when pouring the solution does not address the issue of maintaining the sterility of the cap or preventing contamination.
Question 4 of 5
A charge nurse is concerned about a recent increase in facility-acquired catheter infections. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: The correct answer is D. Identifying possible precipitating factors related to the infections should be the first action taken by the charge nurse. By identifying the factors contributing to the increase in catheter infections, the nurse can pinpoint the root cause and develop targeted interventions to address the issue effectively. This proactive approach allows for a systematic investigation to determine if specific behaviors, practices, or environmental factors are contributing to the infections. In contrast, the other options involve reactive measures that may not directly address the underlying cause of the problem. Scheduling staff training (
A) may be beneficial but should come after identifying the precipitating factors. Meeting with providers (
B) and revising policies (
C) are important steps but should be based on a thorough understanding of the problem.
Question 5 of 5
Complete the following sentence by using the list of options: After notifying the provider, the nurse should first:
Correct Answer: C
Rationale: The correct answer is C: administer sublingual nitroglycerin. This is the most appropriate initial action after notifying the provider because nitroglycerin helps in dilating blood vessels, increasing blood flow, and reducing chest pain in patients experiencing angina or myocardial infarction. Checking a STAT cardiac troponin (
A) is important for diagnosing a heart attack but not the immediate priority. Requesting a prescription for a beta-blocker (
B) and notifying the senior (
D) are important steps but should come after providing immediate care to the patient.