ATI RN
RN Comprehensive Predictor 2023 Questions
Extract:
Question 1 of 5
A nurse is assessing a client who has a suspected anaphylactic reaction. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Epinephrine is the first-line treatment for anaphylaxis to reverse airway constriction and hypotension.
Question 2 of 5
A nurse is assessing a child who has bacterial pneumonia. Which of the following manifestations should the nurse expect?
Correct Answer: D
Rationale: Fever is a common symptom of bacterial pneumonia due to the body's response to infection.
Question 3 of 5
A nurse is providing an in-service about client evacuation during a fire. Which of the following clients should the nurse instruct the staff to evacuate first?
Correct Answer: C
Rationale: A client who is ambulatory and receiving oxygen is at risk of immediate danger if the oxygen supply poses a fire hazard. They can be evacuated quickly and independently.
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 4 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 5 of 5
A nurse is creating a plan of care for a client who has paranoid personality disorder and refuses to take their medication. Which of the following interventions should the nurse include in the plan?
Correct Answer: B
Rationale: Speaking in a neutral tone helps build trust and reduces perceived threats in clients with paranoid personality disorder, who may be suspicious of others' intentions.