RN COMPREHENSIVE ATI PROCTORED NEWEST
2024 LATEST QUESTIONS 180 REAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+(COMPLETE EXAM)
A nurse is providing preoperative teaching for a client who will undergo
laser-assisted in situ keratomileusis (LASIK) surgery. Which of the
following information should the nurse include? - ANSWER- "You
might need glasses after surgery." [LASIK is a type of refractive laser
eye surgery ophthalmologists perform to correct myopia, hyperopia, and
astigmatism, which are common causes of nearsightedness. However,
overcorrection or undercorrection of refractive errors is possible, so
some clients will need prescription eyeglasses despite having had
LASIK surgery.]
A nurse is monitoring the electrocardiogram of a client who has
hypocalcemia. Which of the following findings should the nurse expect?
- ANSWER- Prolonged Q-T intervals [Manifestations of hypocalcemia
include tingling, numbness, tetany, seizures, prolonged Q-T intervals,
and laryngospasm. Causes include hypoparathyroidism, chronic kidney
disease, and diarrhea.]
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A nurse is caring for a client who had a precipitous delivery. The nurse
should identify which of the following assessments as the priority during
the fourth stage of labor? - ANSWER- Palpating the client's fundus
Rationale: to reduce the risk of hemmorhage in a precipitous
delivery. in these deliveries rapid delivery occurs and can cause
uterine atony leading to postpartum hemmorhage .
A hospice nurse is visiting with the family member of a client. The
family member states that the client has insomnia almost nightly. Which
of the following practices should the nurse identify as contributing to the
client's insomnia? - ANSWER- The client watches television in her bed
during the day.
A nurse at a long-term care facility hears an assistive personnel (AP)
talking with an older adult client who has dementia with periods of
confusion. Which of the following statements should indicate that the
AP requires further teaching? - ANSWER- "Its almost time for your
appointment. Let me do your hair for you and brush your teeth."
Rationale: promote independance and prevent her from becoming
agitated by allowing time for her to do it herself
A nurse in the labor and delivery suite is planning care for a group of
four clients. Which of the following clients should the nurse see first? -
ANSWER- A client who is in active labor and has late decelerations on
the fetal heart monitor's strip
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A nurse is teaching a client who has chronic kidney disease about
predialysis dietary recommendations. The nurse should include
information about restricting his intake of which of the following
nutrients? - ANSWER- Protein
Rationale: - limit protein intake helps preserve kidney function in
kidney pts
A nurse participating in a community health fair is providing
information to a client who has a BP of 150/90 mmHg during a blood
pressure screening. Which of the following actions should the nurse
take? - ANSWER- Give the client a written record of his BP to bring to
their provider.
A nurse on an oncology unit receives report at the beginning of her shift
about four clients who are postoperative. Which of the following clients
should the nurse see first? - ANSWER- A client who is 2 days
postoperative following a colectomy d/t colorectal cancer and has an
ostomy bag full of bright red, bloody drainage.
Rationale: - an ostomy bag full of bloos indicates that the bowel is
hemmoraging and the surgeon should be called asap.
pt 2- 2 days post op with wound suction with 20ml serosang
drainage = normal
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pt 3- 1 day post op with bladder tumor and a continues bladder
irrigation w 300ml red pink urine= normal
pt 4- 1 day post lobectomy with chest tube ith 35 ml bright red
drainage= normal
A community health nurse is conducting a class about body mechanics
for county office workers. Which of the following instructions should
the nurse include? (Select all that apply.) - ANSWER- 1. Sit with your
back supported 2. Keep your knees at hip level 3. Use ergonomically
designed computer keyboard
A provider tells a client who reports practicing Hinduism that at 12-
weeks of gestation she needs more protein in her diet and suggest eating
more meat. After the provider leaves the examination room, the client
tells the nurse that eating animal products will cause her to miscarry.
Which of the following responses should the nurse make? - ANSWER-
"Let's discuss other foods that are also high in protein that you could
substitute for meat."
A nurse is preparing to administer medications to a client who is
unconscious. The nurse should bring the medication administration
record (MAR) to the client's bedside and perform which of the following
verification procedures? - ANSWER- Compare the medical record
number and name on the MAR with the client's identification band.
A nurse is teaching a client who has coronary artery disease about the
difference between angina pectoris and a myocardial infarction. Which