ATI RN
RN ATI Comprehensive Assessment Exam Retake 2023 V2 Questions
Extract:
Nurses' Notes
1100:
The client reports shortness of breath and difficulty sleeping. The client feels tired very quickly and occasionally feels nauseous. The client reports experiencing intermittent chest tightness and a cough that is aggravated by exercise. The client has a productive cough and irregular breathing pattern. Crackles and wheezing present on auscultation. The client has a history of smoking a pack of cigarettes per day for the past 35 years. There is no clubbing of the fingers. The client appears anxious.
1130:
Administered albuterol and oxygen per provider's prescription.
The client is instructed to perform pursed-lip breathing.
1230:
The client is breathing with minimal effort and coughing has decreased.
Vital Signs
1100:
Temperature 35.8°C (98.2°F)
Heart rate 92/min
Respiratory rate 28/min
BP 145/90 mm Hg
Oxygen saturation 87% on room air
1145:
Temperature 36.2°C (97.2°F)
Heart rate 88/min
Respiratory rate 22/min
BP 140/90 mm Hg
Oxygen saturation 92% on room air
Question 1 of 5
Which of the following interventions should the nurse include in the plan of care? Select all that apply.
Correct Answer: A, B, F
Rationale: The correct answers are A, B, and F. Increasing oxygen flow rate to 4 L/min helps improve oxygenation. Assessing breath sounds helps monitor respiratory status. Instructing the client to perform diaphragmatic breathing promotes effective breathing.
Choices C and D are incorrect because chest percussion, vibration, and placing the client in a supine position are not appropriate interventions for respiratory care.
Choice E is incorrect as fluid restriction may worsen respiratory conditions.
Extract:
Question 2 of 5
A nurse is caring for a client who is postoperative following a liver biopsy. In which of the following positions should the nurse place the client immediately following the procedure?
Correct Answer: D
Rationale: The correct answer is D: Right lateral. Placing the client in a right lateral position post-liver biopsy helps prevent bleeding or hemorrhage by exerting pressure on the biopsy site, aiding in hemostasis. This position also reduces the risk of complications such as pneumothorax. Placing the client in a prone position (
A) could increase the risk of bleeding. Trendelenburg position (
B) may increase intra-abdominal pressure and the risk of bleeding. High-Fowler's position (
C) is not ideal for post-liver biopsy care as it does not provide the necessary pressure to the biopsy site.
Question 3 of 5
A nurse is caring for a client who states he recently purchased lavender oil to use when he gets the flu. The nurse should recognize which of the following findings as a potential contraindication for using lavender?
Correct Answer: B
Rationale: The correct answer is B. Lavender oil can exacerbate asthma symptoms due to its potential to irritate the respiratory system. Asthma is a contraindication because it can trigger or worsen asthma attacks. Alcohol use disorder (
A), vitamin C intake (
C), and furosemide use (
D) are not contraindications for using lavender oil. Alcohol use disorder does not directly interact with lavender oil. Vitamin C intake and furosemide use do not have known interactions with lavender oil that would contraindicate its use.
Question 4 of 5
A nurse is providing discharge teaching to a client following a total gastrectomy. The nurse should instruct the client about which of the following medications?
Correct Answer: B
Rationale: The correct answer is B: Vitamin B12. Following a total gastrectomy, the client will have reduced intrinsic factor production, leading to vitamin B12 deficiency. Supplementing with Vitamin B12 is crucial to prevent pernicious anemia. Ranitidine (
A) is a gastric acid reducer and is not necessary after gastrectomy. Vitamin K (
C) is primarily produced in the intestines and is not directly impacted by gastrectomy. Metoclopramide (
D) is a prokinetic agent used for gastric motility and is not essential post-gastrectomy.
Question 5 of 5
A nurse is teaching a newly licensed nurse about caring for clients in the emergency department. Which of the following actions should the nurse include when teaching about interacting with a client who is aggravated, pacing, and speaking loudly?
Correct Answer: C
Rationale: The correct answer is C. When a client is aggravated, pacing, and speaking loudly, it is important to acknowledge their feelings. By telling the client, "You seem to be very upset," the nurse shows empathy and validates the client's emotions. This can help de-escalate the situation by demonstrating understanding and openness to communication. It also allows the nurse to assess the client's needs and concerns effectively.
Choice A is incorrect as initiating seclusion protocol should only be considered for extreme cases where the client poses a danger to themselves or others.
Choice B is unnecessary in this situation as it does not address the client's emotional state.
Choice D, engaging the panic alarm, is premature and could escalate the situation further.