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ATI Predictor Questions - Practice 2023 with well defined and 100% well elaborated answers

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Rationale: This response by the nurse offers to provide information, which can reduce anxiety and enhance decision making. This response creates a safe environment, fosters trust and respect, and is appropriate.

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  • March 19, 2024
  • 35
  • 2023/2024
  • Exam (elaborations)
  • Questions & answers

Subjects

  • increased appetite
  • elevated temperature

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  • ATI
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ATI Predictor Questions - Practice 2023 with well defined and 100% well elaborated
answers
A nurse is caring for a client who was admitted for acute alcohol delirium withdrawal 2
days ago. Which of the following findings is associated with this diagnosis?



A. Increased appetite

B. Elevated Temperature

C. Bradycardia

D. Drowsiness - correct answer-Elevated Temperature



Rationale: The content of this question emphasizes the concept of client-centered care
through identifying findings associated with a client's diagnosis. Client-centered care
focuses on the client and emphasizes the client's cultural, ethnic, and social values. The
identification of expected and unexpected findings associated with a client's diagnosis
assists the nurse to distinguish possible unrelated complications the client might be
experiencing, which indicates the need for further investigation. The specific focus on the
client enhances the provision of safe, quality nursing care. An elevated temperature is a
finding associated with acute alcohol delirium.

A nurse working in a hospice facility is talking to a client's son who is distressed because
his mother cries frequently and says she wants to die. Which of the following responses by
the nurse is appropriate?



A. "I know this must be difficult, but your mother will calm down soon."



B. "Lets discuss some strategies you can use when this happens again."



C. Individuals near death are ready to let go toward the end."



D. "Have you determined why she is crying and saying she is ready to die?" - correct
answer-" Let's discuss some strategies you can use when this happens again."

,Rationale: This response by the nurse offers to provide information, which can reduce
anxiety and enhance decision making. This response creates a safe environment, fosters
trust and respect, and is appropriate.

A nurse is caring for a client who had cerebrovascular accident 2 days ago. Which of the
following is the first sign of increased intracranial pressure (ICP)?



A. pupil dilation

B. Ataxia

C. Lethargy

D Bradycardia - correct answer-Lethargy



rationale: Lethargy occurs when pressure is placed on the reticular activating system
within the brainstem. Along with other indicators of a change in level of consciousness,
such as restlessness, irritability, and disorientation. Lethargy is the first sign of increased
ICP.

A nurse working in a provider's office is reinforcing teaching with a client who is 14 weeks of
gestation. The nurse should instruct the client to immediately notify the provider if she
experiences which of the following?

A. facial edema

b. urinary frequency

c. acid indigestion

d. breast leakage - correct answer-Facial edema



rationale: facial edema is an indication of pregnancy-induced hypertension and should be
reported immediately to the provider.

A nurse is caring for a client who is receiving parenteral nutrition through a nontunneled
central venous catheter and reports hearing a gurgling sound on the side of the catheter.
The nurse suspects the catheter has migrated to the jugular vein. Which of the following
actions should the nurse take first?

,A. Notify the provider

B. Obtain a chest x-ray

C. Flush the catheter.

D. Stop the infusion. - correct answer-Stop the infusion



Rationale: This prevents further damage to vessel and minimizes any additional harm to
the client

A nurse is reinforcing teaching with a caregiver who has aphasia. The nurse should include
which of the following communication strategies in the teaching?

A. Cue the client by providing picture cards that portray common needs.

B. Increase the volume of the voice when speaking to a client.

C. Encourage the client to limit hand gestures when communicating.

D. Vary the use of phrases and terminology in discussions. - correct answer-Cue the client
by providing picture cards that portray common needs.



Rationale: Using picture cards enhances communication. The nurse should include this
communication strategy in the teaching.

A nurse is caring for a client who has a urinary tract infection and is prescribed
ciprofloxacin (Cipro). The client exhibits urticaria and angioedema following administration
of the medication. Which of the following is the first action the nurse should take?

A. Administer epinephrine (Adrenaline)

B. Elevate the lower extremities

C. Determine respiratory status

D. Apply oxygen via non-rebreather mask. - correct answer-Determine respiratory status



Rationale: The client is experiencing angioedema indicating a possible anaphylactic
reaction, which is life-threatening; therefore, the nurse should first determine the client's
respiratory status.

, A nurse is caring for a client who has an acid-base imbalance. For which of the following
manifestations is metabolic alkalosis a possible complications?

A. Hyperkalemia

B. Severe diarrhea

C. Atelectasis

D. Excessive vomiting - correct answer-Excessive vomiting



rationale: Metabolic alkalosis is a potential complication of excessive vomiting because of
loss of acid from the body.

A nurse is caring for neonate who was delivered at 30 weeks of gestation after his mother
received two injections of betamethasone (Celestone). because of administration of
betamethasone to the client's mother, the nurse should monitor the neonate for which of
the following effects?

A. Tachycardia

B. Sternal retractions

C. Hypoglycemia

D. Hypothermia - correct answer-hypoglycemia



rationale: Betamethasone is a glucocorticoid used in the prevention of respiratory distress
syndrome in premature infants. Betamethasone causes hyperglycemia in the mother,
which predisposes the neonate to hypoglycemia in the first hours after delivery.

A nurse is reinforcing teaching about client consent to treatment with a group of newly
licensed nurses. Which of the following statements by a newly licensed nurse indicates a
need for further teaching?

A. "It is necessary to have written consent for invasive procedures"

B. "Implied consent is appropriate for some aspects of nursing care"

C. It is the responsibility of the provider to obtain express consent"

D. "Informed consent should be obtained separately for each surgical procedure" - correct
answer-" It is the responsibility of the provider to obtain express consent"

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