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Renee
ATI Comprehensive Predictor 2023 Exit exam A Share this
Total Questions : 139 Showing 139 questions
Question 1: Report an Issue Report Wrong Answer Explanation
Correct Answer: {A:{answers:A},B:
A nurse is caring for a postoperative client
{answers:B},C:{answers:B},D:
following a perineal prostatectomy.
{answers:B},E:{answers:B}}
Exhibits
The correct answer is choice A. Applying
For each potential provider’s prescription, click
warm compresses to the incision site is
to specify if the potential prescription is
anticipated for the client, as it can help
anticipated or contraindicated for the client.
reduce swelling and pain.
Potential Order:.
The other choices are contraindicated for
Exhibit 1 the following reasons:
Postoperative day 2 Choice B: Maintaining bed rest for 2
days postoperatively is
0600:
contraindicated, as it can increase the
Urine output over 12 hr was 750 mL pink urine. risk of complications such as deep
Fluid intake over 12 hr was 800 mL vein thrombosis, pulmonary embolism,
and pneumonia. The client should be
1800: encouraged to ambulate as soon as
possible after surgery.
Urine output over 12 hr was 500 mL pink urine.
Choice C: Irrigating indwelling urinary
Fluid intake over 12 hr was 1500 mL.
catheter with 50 mL of normal saline is
Options contraindicated, as it can introduce
A . Apply warm compresses to the incision site. bacteria into the bladder and cause
infection. The catheter should be kept
B . Maintain bed rest for 2 days postoperatively.
patent and draining without irrigation
C . Irrigate indwelling urinary catheter with 50 mL
unless there is a specific order from
D . Administer enema to relieve constipation.
the provider.
E . Place a blanket roll under the client’s knees w
Choice D: Administering enema to
relieve constipation is contraindicated,
as it can increase the pressure in the
Hide Correct Answer and Explanation pelvic area and cause bleeding or
damage to the surgical site. The client
should be given stool softeners and
laxatives to prevent constipation.
Choice E: Placing a blanket roll under
the client’s knees while in bed is
contraindicated, as it can impair blood
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circulation and cause
Renee thrombophlebitis. The client should
avoid flexing the knees excessively
and elevate the legs slightly when
lying down.
Discussion Section
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Question 2: Report an Issue Report Wrong Answer Explanation
Correct Answer: {A:{answers:A},B:
The nurse reviews the entries in the medical
{answers:B},C:{answers:A},D:
record.
{answers:A},E:{answers:B}}
Exhibits
Answer is… Stay with the client for the
The nurse is ready to begin the blood
transfusion. For each potential nursing action, first 15 min of the transfusion and
Document the blood product
click to specify if the action is indicated or not
indicated for the client. transfusion in the client’s medical
record are indicated nursing actions for
the client. Obtain the first unit of packed
Admission Assessment Laboratory Results
RBCs from the blood bank is also
Vital Signs indicated, but it should be done before
starting the transfusion. Titrate the rate of
0900:
infusion to maintain the client’s blood
Client reports, "I'm bloated and my stomach hurts." pressure at least 90/60 mm Hg and Start
an IV bolus of lactated Ringer’s solution
History of prior illness: Client reports a 3-week
are not indicated nursing actions for the
history of gnawing abdominal pain. Client states, "It's
client.
a burning sensation that radiates to my back. I think
I've lost a little weight too." Reports one episode of Explanation:.
dark, tarry stool. No vomiting. Client reports pain is
worse about 1 hr after eating a meal. Staying with the client for the first 15
min of the transfusion is indicated
Past medical history: Osteoarthritis. because this is when most adverse
reactions occur and the nurse should
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Social history: Recently divorced, drinks in monitor the client’s vital signs and
moderation (3 to 4 drinks per week), smokes Renee symptoms closely.
tobacco. Documenting the blood product
transfusion in the client’s medical
Current medications: Ibuprofen 800 mg three record is indicated because this is part
times daily PRN arthritis pain. of the legal and ethical responsibility of
the nurse and it provides a record of
Physical Examination:
the type, amount, duration, and
General: client appears uncomfortable, outcome of the transfusion.
diaphoretic. Obtaining the first unit of packed
Head, ears, eyes, nose, and throat (HEENT): RBCs from the blood bank is indicated
oropharynx clear, mucous membranes moist because this is part of the preparation
and pale. for the transfusion and it ensures that
Respiratory: bilateral breath sounds clear. the blood product is compatible, fresh,
Gastrointestinal: epigastric tenderness to and available. However, this should be
palpation, no rebound tenderness or guarding done before starting the transfusion,
Neurological: oriented x 3 (person, place, and not after.
time). Titrating the rate of infusion to
Options maintain the client’s blood pressure at
A. Stay with the client for the first 15 min of the t least 90/60 mm Hg is not indicated
B. Titrate the rate of infusion to maintain the clie because this may cause fluid overload
C. Document the blood product transfusion in th or hemolysis in the client who already
has a low blood pressure and a high
D. Obtain the first unit of packed RBCs from the
heart rate. The rate of infusion should
E. Start an IV bolus of lactated Ringer's solution.
be based on the client’s condition,
weight, and response to the
transfusion, not on a fixed target.
Hide Correct Answer and Explanation Starting an IV bolus of lactated
Ringer’s solution is not indicated
because this may cause electrolyte
imbalance or hemolysis in the client
who already has a positive H. pylori
test and a history of gastrointestinal
bleeding. The only fluid that should be
infused with blood products is 0.9%
NaCl (normal saline) because it has a
similar osmolarity and pH as blood
and it prevents clotting or hemolysis.
Discussion Section
A Post here.