retake 2023 correct ati rn comprehensive
predictor retake VERSION 1 AND 2
A nurse notices smoke coming from a client's room and discovers a fire in the
wastebasket. After moving the client to safety, which of the followings is the priority
action? - CORRECT ANSWER notify the facility operator
wrong dosage of medication was given - CORRECT ANSWER fidelity
A nurse is caring for a client who is racing a controlled epidural analgesia infusion.
Which of the following nursing action is appropriate? - CORRECT ANSWER
Replacing the infusion tubing every 72 hrs
A nurse is caring for a school age child who has a blood pressure of 68/50 mm Hg and
develop sepsis shock. Which of the following medication should the nurse expect to be
prescribed? - CORRECT ANSWER Dopamine
A nurse is caring for a toddler who has RSV. Which of the following actions should the
nurse plan to take? - CORRECT ANSWER use a designated stethoscope when caring
for the toddler
A nurse is precepting a nursing student who brings the following client observations to
the nurse's attention. Which of the following client should the nurse assess first? -
CORRECT ANSWER a client who is coughing up pink-tinged sputum following a
bronchoscopy and lung biopsy 1 hr ago
, A nurse is assessing a client who has pneumonia. Which of the following findings is the
priority for the nurse to report to the provider? - CORRECT ANSWER Weight loss of
4lbs in 1 month
A nurse manager is making staffing assignments for the medical-surgical unit. Which of
the following clients is appropriate to assign to a float nurse from the postpartum unit? -
CORRECT ANSWER A client who is 2 days post following a colon resection.
A nurse is assessing a client who is gravida 2, para 1. This client is at 41 weeks of
gestation and is receiving oxytocin for the augmentation of labor. The nurse should
decrease the infusion rate for which of the following findings? - CORRECT ANSWER
Contractions are strong to palpatation
A nurse is caring for a client who has fractured ribs, has developed thrombophlebitis,
and is being treated with a heparin drip. The client develops hematuria and has an
activated ptt of 100 seconds. Which of the following actions should the nurse take first ?
- CORRECT ANSWER Turn of the heparin drip
A nurse in a mental health facility is interviewing a newly admitted client. Which of the
following actions should the nurse take when conducting the interview? - CORRECT
ANSWER Seat the client at least 12 feet from the nurse
atrial fibrillation - CORRECT ANSWER C
A nurse is assessing a client who has minor injuries following a motor-vehicle crash and
appears agitated and apprehensive. The nurse identifies that the client is in the alarm
stage of general adaption syndrome and should expect which of the following findings?
- CORRECT ANSWER tachycardia