ATI RN
ATI RN Comprehensive Predictor 2023 Updated Questions
Question 1 of 5
A nurse is obtaining a client's manual blood pressure and is having difficulty auscultating sounds. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Use the palpatory method to determine blood pressure. This method involves feeling for the radial pulse while slowly deflating the cuff to estimate the systolic pressure. This is appropriate when auscultation is challenging. Applying the largest cuff (
A) may lead to inaccurate readings. Placing the arm above heart level (
C) can alter readings. Deflating the cuff quickly (
D) can lead to inaccurate results. The palpatory method allows for a rough estimate of blood pressure when sounds are difficult to hear.
Question 2 of 5
A nurse is conducting health promotion education regarding contraindications to combination oral contraceptive use to a group of women. Which of the following conditions should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct answer is D: Hypertension. Hypertension is a contraindication to combination oral contraceptive use due to the increased risk of cardiovascular events. Elevated blood pressure can be exacerbated by estrogen in the contraceptives, leading to serious complications like stroke or heart attack. Fibromyalgia (
A), fibrocystic breast disease (
B), and renal calculi (
C) are not contraindications to combination oral contraceptives. Summary: Hypertension is the correct choice due to cardiovascular risks; the other conditions are not contraindications.
Question 3 of 5
A nurse is planning care for a school-age child who is 4 hr postoperative following appendicitis. Which of the following actions should the nurse include in the plan of care?
Correct Answer: B
Rationale: The correct answer is B: Administer analgesics on a scheduled basis for the first 24 hr. After appendectomy, pain management is crucial for the child's comfort and recovery. Administering analgesics on a scheduled basis helps maintain consistent pain relief, preventing peaks and valleys in pain levels. This approach ensures that the child remains comfortable and can participate in activities necessary for recovery. Offering small amounts of clear liquids 6 hr postoperative (choice
A) may not be appropriate due to potential postoperative ileus. Applying a warm compress once daily (choice
C) may not be indicated, as it could increase the risk of infection. Giving cromolyn nebulized solution every 8 hr (choice
D) is not relevant for postoperative pain management.
Question 4 of 5
A nurse is caring for a client who has acute glomerulonephritis. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Hematuria. In acute glomerulonephritis, the glomeruli in the kidneys become inflamed, leading to blood and proteins leaking into the urine, resulting in hematuria. This is a hallmark sign of the condition. Hypotension (
A) is unlikely as fluid retention and hypertension are more common. Weight loss (
C) is not a typical finding as edema and fluid retention are common. Polyuria (
D) is not a typical finding as the kidneys' ability to concentrate urine is impaired.
Question 5 of 5
A quality control nurse is reviewing medication prescriptions for a group of clients. Which of the following medication prescriptions should the nurse identify as being complete?
Correct Answer: A
Rationale: The correct answer is A: Digoxin 0.25 mg PO daily. This prescription includes the medication name (Digoxin), dosage (0.25 mg), route (PO), and frequency (daily). Each component is crucial for a complete medication prescription.
Choice B lacks the frequency of administration, choice C lacks the route of administration, and choice D lacks the frequency and route. By including all necessary details, choice A ensures clarity and accuracy in medication administration, making it the complete prescription.