ATI RN
RN Comprehensive Predictor Questions
Question 1 of 5
A nurse is caring for a child who has cystic fibrosis and requires postural drainage. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Perform the procedure prior to meals. Postural drainage is most effective when done prior to meals to prevent aspiration during the procedure. Performing it after meals can increase the risk of vomiting or aspiration.
Choice A is incorrect because postural drainage is typically done 3-4 times a day.
Choice B is incorrect as the hand should be cupped, not flat, for percussions.
Choice C is incorrect as bronchodilators are usually administered before postural drainage to open up the airways.
Question 2 of 5
A nurse is developing a plan of care for a newborn whose mother tested positive for heroin during pregnancy. The newborn is experiencing neonatal abstinence syndrome. Which of the following actions should the nurse include in the plan?
Correct Answer: C
Rationale: The correct answer is C: Minimize noise in the newborn's environment. This is crucial in managing neonatal abstinence syndrome as newborns with this condition are hypersensitive to stimuli, including noise. Excessive noise can exacerbate their withdrawal symptoms, making them more irritable and difficult to console. By reducing noise levels, the nurse can create a calming environment that aids in comforting the newborn.
Choice A is incorrect because maintaining eye contact during feedings is not specifically related to managing neonatal abstinence syndrome.
Choice B is incorrect as swaddling the newborn with legs extended may not address the primary issue of sensitivity to noise.
Choice D is incorrect as naloxone is not indicated for neonatal abstinence syndrome but rather for opioid overdose reversal in adults.
Question 3 of 5
A nurse is admitting a client to a medical-surgical unit. When performing medication reconciliation for the client, which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D because comparing new prescriptions with the list of medications the client reports is essential for medication reconciliation to ensure accuracy and safety. By cross-referencing the client's reported medications with newly prescribed ones, the nurse can identify any discrepancies, potential interactions, or duplications, preventing medication errors.
Option A is incorrect as it focuses on adverse effects rather than the core task of reconciling medications. Option B is incorrect because nutritional supplements should be included in the reconciliation process. Option C is incorrect as the client may not accurately recall all medications.
Question 4 of 5
A school nurse is teaching a parent about absence seizures. Which of the following information should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: This type of seizure can be mistaken for daydreaming. Absence seizures are brief episodes of staring or unresponsiveness that can be mistaken for daydreaming. This is important for the parent to be aware of to recognize and differentiate the seizures from normal behavior. Other choices are incorrect because: A: Absence seizures typically do not have an aura. C: Absence seizures are usually shorter, lasting around 10-20 seconds. D: Absence seizures have a sudden onset, not gradual.
Question 5 of 5
A nurse is planning care for an older adult client who has dementia. Which of the following interventions should the nurse include in the plan of care? (Select all that apply.)
Correct Answer: A,C,D
Rationale: Correct Answer
Explanation:
A: Reinforcing orientation helps maintain familiarity and reduce confusion.
C: Giving one direction at a time prevents overwhelming the client with information.
D: Eye contact enhances communication and connection with the client.
Summary of Incorrect
Choices:
B: While choice B promotes autonomy, too many choices can be overwhelming for a client with dementia.
E: Refuting delusions with logic can cause distress and worsen symptoms.