ATI RN
RN Comprehensive Predictor 2023 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has a new prescription for lisinopril. Which of the following findings should the nurse monitor?
Correct Answer: A
Rationale: Lisinopril, an ACE inhibitor, can cause hyperkalemia; monitoring potassium levels is essential.
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
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:
Vital Signs
Nurses' Notes
1930:
Temperature 38° C (100.4° F)
Blood pressure 138/72 mm Hg
Heart rate 86/min
Respiratory rate 20/min
Oxygen saturation 96% on room air
2300:
Temperature 39° C (102.2° F)
Blood pressure 156/82 mm Hg
Heart rate 110/min
Respiratory rate 24/min
Oxygen saturation 92% on room air
Question 3 of 5
Select the 4 interventions nurse should take.
Correct Answer: C,D,E,F
Rationale: Blood cultures: Identifies systemic infection. Sputum culture: Identifies respiratory pathogens. ABGs: Assesses oxygenation. Negative-pressure room: Prevents pathogen spread.
Extract:
Question 4 of 5
A nurse is caring for a client who has a new prescription for digoxin. Which of the following findings should the nurse report immediately?
Correct Answer: A
Rationale: An apical pulse below 60/min indicates bradycardia, a sign of digoxin toxicity, requiring immediate reporting.
Question 5 of 5
A nurse is caring for a client who is receiving chemotherapy. Which of the following laboratory values should the nurse report to the provider?
Correct Answer: A
Rationale: A WBC count of 2,000/mm³ indicates neutropenia, increasing infection risk, and requires immediate reporting.