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 interventions are A, B, and F. Increasing oxygen flow rate to 4 L/min helps improve oxygenation. Assessing breath sounds is crucial to monitor respiratory status. Instructing the client to perform diaphragmatic breathing aids in improving lung function. Chest percussion and vibration (
C) are not typically indicated for all respiratory conditions and may not be appropriate in this case. Placing the client in a supine position (
D) may worsen respiratory effort. Restricting fluid intake (E) may lead to dehydration and thicken respiratory secretions.
Extract:
Question 2 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: The correct answer is C: Shuffling gait. Haloperidol is an antipsychotic medication that can cause extrapyramidal symptoms like shuffling gait, which is a serious adverse effect requiring immediate medical attention to prevent further complications. A: Weight gain is a common side effect but not urgent. B: Dry mouth is a common side effect that can be managed with oral hygiene. D: Sedation is a common side effect that may resolve over time.
Question 3 of 5
A nurse in a clinic is planning care for a child who has ADHD and is taking atomoxetine. Which of the following laboratory values should the nurse monitor?
Correct Answer: A
Rationale: The correct answer is A: Liver function tests. Atomoxetine, used for ADHD, can cause liver injury. Monitoring liver function tests helps detect any abnormalities early. B, kidney function tests, are not directly affected by atomoxetine. C, hemoglobin and hematocrit, are not typically monitored for this medication. D, serum sodium and potassium, are not specific to atomoxetine. E, F, G are not provided.
Question 4 of 5
A nurse is planning care for a client who has acute appendicitis. Which of the following actions should the nurse plan to take?
Correct Answer: C
Rationale:
Correct Answer: C - Keep the client on NPO status
Rationale: In acute appendicitis, the client may require urgent surgery to remove the inflamed appendix. Keeping the client NPO (nothing by mouth) is essential to avoid potential complications during surgery, such as aspiration of stomach contents. This action also helps prevent delays in the surgical intervention and minimizes the risk of infection.
Incorrect
Choices:
A: Placing the client's head of bed flat can increase intra-abdominal pressure and worsen the client's condition.
B: Applying heat to the client's abdomen can exacerbate inflammation and may mask the symptoms, delaying appropriate treatment.
D: Administering a laxative can be dangerous as it may cause the appendix to rupture due to increased pressure from fecal matter.
Question 5 of 5
A home health nurse is planning care for a client who has Alzheimer's disease. Which of the following actions should the nurse include in the plan of care?
Correct Answer: D
Rationale: The correct answer is D: Place locks at the tops of exterior doors. This is important for the safety of a client with Alzheimer's disease who may wander and get lost. Placing locks at the tops of doors can help prevent the client from leaving the house unattended.
Choice A is incorrect as changing flooring may not directly impact the client's safety.
Choice B is incorrect as physical activity before bedtime may disrupt sleep patterns.
Choice C is incorrect as zippers or buttons on clothing are not directly related to the client's safety.