ATI RN
RN Comprehensive Predictor 2023 Questions
Extract:
Question 1 of 5
A nurse is assessing a client who has a new diagnosis of hypothyroidism. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Hypothyroidism slows metabolism, leading to fatigue and lethargy.
Question 2 of 5
A charge nurse is observing a newly licensed nurse provide care for a client who is postoperative. The newly licensed nurse tells the client that she will insert a urinary catheter if the client will not void. Which of the following torts should the charge nurse identify as having occurred?
Correct Answer: C
Rationale: Assault occurs when a person is threatened with harm or offensive contact, creating fear, even if no physical contact occurs. Telling the client that a catheter will be inserted without consent can be perceived as a threat.
Extract:
Nurses' Notes
Vital Signs
Laboratory results
Provider prescriptions
0900:
Client who is at 38 weeks of gestation presents to the antepartum unit with uterine contractions, dark red vaginal bleeding, and abdominal pain that started approximately 45 min prior to arrival. Rates abdominal pain a 7 on a scale of 0 to 10. Client reports, "My blood pressure has been high during the pregnancy."
Home Medications: prenatal multivitamin, methyldopa 250 mg PO twice daily
Physical Exam:
General: tearful, anxious
Cardiovascular: S1, S2, no murmur
Respiratory: bilateral breath sounds clear
Abdomen: Uterine hypertonicity with a board-like abdomen, tenderness noted upon palpation of left upper quadrant FHR: 116/min, minimal variability noted
Question 3 of 5
For each assessment finding, click to specify if the finding is consistent with placenta previa or abruptio placenta. Each finding may support more than 1 disease process or none at all.
| Options | Placenta previa | Abruptio placenta |
|---|---|---|
| Pain | ||
| Vaginal bleeding | ||
| Hemoglobin | ||
| Hematocrit | ||
| Abdominal assessment | ||
| Blood Pressure | ||
| Fetal Heart Rate |
Correct Answer: A,D
Rationale: Pain: Abruptio placenta - Pain is severe due to placental separation. Vaginal bleeding: Abruptio placenta - Dark red bleeding is typical. Hemoglobin: Both - Indicates blood loss. Hematocrit: Both - Indicates blood loss. Abdominal assessment: Abruptio placenta - Rigid, tender abdomen. Blood Pressure: Abruptio placenta - Hypotension due to blood loss. Fetal Heart Rate: Both - Minimal variability indicates distress.
Extract:
Question 4 of 5
A nurse is preparing to collect a sputum specimen from a client. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The best time to collect a sputum specimen is immediately upon waking because secretions accumulate overnight, making it easier to obtain a sample.
Extract:
Nurses' Notes
Vital Signs
Laboratory results
Provider prescriptions
0900:
Client who is at 38 weeks of gestation presents to the antepartum unit with uterine contractions, dark red vaginal bleeding, and abdominal pain that started approximately 45 min prior to arrival. Rates abdominal pain a 7 on a scale of 0 to 10. Client reports, "My blood pressure has been high during the pregnancy."
Home Medications: prenatal multivitamin, methyldopa 250 mg PO twice daily
Physical Exam:
General: tearful, anxious
Cardiovascular: S1, S2, no murmur
Respiratory: bilateral breath sounds clear
Abdomen: Uterine hypertonicity with a board-like abdomen, tenderness noted upon palpation of left upper quadrant FHR: 116/min, minimal variability noted
Question 5 of 5
Complete the following sentence by using the lists of options. The client is at risk of developing ___ due to the client ___ .
| hypovolemic shock |
| Fetal distress |
| Sepsis |
| Fetal heart rate |
| Numeric pain scale |
| Blood loss |
Correct Answer: E
Rationale: The client is at risk of developing hypovolemic shock due to the client Blood loss. The client has dark red vaginal bleeding and low hemoglobin and hematocrit, indicating significant blood loss.