ATI RN
RN Comprehensive Predictor 2023 Questions
Extract:
Question 1 of 5
A nurse is assessing a client who has bipolar disorder and is experiencing a depressive episode. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Inability to carry out simple tasks is a hallmark of a depressive episode due to low energy, poor concentration, and feelings of hopelessness.
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 2 of 5
Which of the following findings indicate an improvement in the client's condition? Select all that apply.
Correct Answer: B,C,E,F
Rationale: Heart rate: Decrease indicates stabilization. Pain level: Reduction shows effective management. Vaginal bleeding: Decrease indicates controlled bleeding. Blood pressure: Stabilization shows improved circulation.
Extract:
Question 3 of 5
A nurse is teaching a client about the use of a walker. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: Moving the walker forward before stepping ensures stability and prevents falls.
Extract:
Nurses' Notes
Vital Signs
0900:
Contractions occurring every 3 to 4 min, lasting 80 to 90
seconds. Client rates pain with contractions as 10 on a scale of 0 to 10 and requests an epidural. Contractions approximately 4 min apart. Vaginal examination reveals cervix dilated 5 cm, 80% effaced, -1 station, vertex presentation. FHR baseline 142/min with moderate variability. IV fluid bolus initiated.
0930:
Epidural inserted by anesthesiology. Client reports pain as 2 on a scale of 0 to 10.
0950:
Spontaneous rupture of membranes with clear fluid.
Question 4 of 5
Select the 5 actions the nurse should take.
| Exert upward pressure on the presenting part. |
| Place the client in a Trendelenburg position. |
| Administer oxygen at 10 L/min via nonrebreather face mask. |
| Attempt to push the umbilical cord back into the cervix. |
| Have the charge nurse notify the provider. |
| Increase the flow rate of the maintenance IV fluid. |
Correct Answer: A,B,C,E,F
Rationale: Exert pressure: Relieves cord compression. Trendelenburg: Reduces cord pressure. Oxygen: Improves fetal oxygenation. Notify provider: Ensures timely intervention. Increase IV fluid: Supports maternal circulation.
Extract:
Question 5 of 5
A nurse is caring for a male client who has a spinal cord injury. Which of the following techniques should the nurse use when providing perineal care?
Correct Answer: B
Rationale: After cleaning the urethral meatus, the nurse should discard the washcloth or use a different part of it to prevent the spread of bacteria.