ATI RN
ATI RN Comprehensive Predictor 2023 Updated Questions
Question 1 of 5
A nurse is caring for a client who is receiving a continuous IV infusion of propofol for sedation. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Propofol can cause respiratory depression, so frequent respiratory monitoring is essential.
Question 2 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.
Question 3 of 5
A nurse is assessing a client who has a history of ulcerative colitis. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Hematochezia is a common symptom of ulcerative colitis due to mucosal bleeding.
Question 4 of 5
A nurse is assessing a client who has a history of multiple sclerosis. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Muscle spasticity is a common symptom of multiple sclerosis due to nerve damage.
Extract:
Nurses' notes
Postoperative day 2
0900:
Client reports history of deep vein thrombosis (DVT) after cholecystectomy 15 years ago.
Client reports pain of 5 on a scale of 0 to 10 at perineal surgical incision site and bladder fullness. Perineal dressing intact with minimal serosanguinous drainage.
Reports hard, painful bowel movement on postoperative day 1.
Client transferring out of bed to chair independently. Extremities cool and dry with 2+ peripheral pulses.
1300:
Client reports abdominal cramping and small, hard, painful bowel movement after lunch. Ambulating independently in hallway. Reports pain of 8 on a scale of 0 to 10 in perineum.
Question 5 of 5
For each potential provider's prescription, click to specify if the potential prescription is anticipated or contraindicated for the client.
| Options | Anticipated | Contraindicated |
|---|---|---|
| Apply warm compresses to the incision site | ||
| Administer enema to relieve constipation | ||
| Irrigate indwelling urinary catheter with 50 mL of normal saline | ||
| Place a blanket roll under the client's knees while in bed | ||
| Maintain bed rest for 2 days postoperatively |
Correct Answer: B,C,D
Rationale: [0, 1, 1]
The correct answer is B, C, D. Administering an enema to relieve constipation is appropriate postoperatively to prevent discomfort and complications. Irrigating an indwelling urinary catheter with 50 mL of normal saline helps maintain urinary catheter patency and prevent urinary tract infections. Placing a blanket roll under the client's knees while in bed helps prevent pressure ulcers. Applying warm compresses to the incision site may increase the risk of infection. Maintaining bed rest for 2 days postoperatively (E) may increase the risk of complications such as deep vein thrombosis.