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 prednisone. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: Prednisone suppresses the immune system, increasing infection risk; clients should monitor for signs of infection.
Question 2 of 5
A nurse is teaching a client who is trying to conceive. Which adolescent client. The nurse should expect the adolescent to be in which of the a neural tube defect?
Correct Answer: D
Rationale: Folate (also known as folic acid) is critical for preventing neural tube defects, such as spina bifida, during early pregnancy. It is recommended that women trying to conceive take folic acid supplements before conception and during the first trimester.
Question 3 of 5
A nurse is caring for a client who is receiving mechanical ventilation and has a tracheostomy. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Securing the tracheostomy tube prevents accidental dislodgement and ensures airway patency.
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
Select the 2 actions that the nurse should take.
| Assist the provider with inserting a fetal scalp electrode (FSE) and intrauterine pressure catheter (IUCP) |
| Obtain serial H&H and clotting studies. |
| Administer misoprostol 600 mg rectally. |
| Place the client in a supine position. |
| Prepare to transfuse 2 units of packed RBCs. |
Correct Answer: B,E
Rationale: Obtain serial H&H and clotting studies: Monitors blood loss and coagulation status. Prepare to transfuse 2 units of packed RBCs: Addresses hypovolemic shock and blood loss.
Extract:
Question 5 of 5
A nurse is assessing a client who has a new diagnosis of type 1 diabetes mellitus. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Polyuria is a classic symptom of type 1 diabetes due to osmotic diuresis from hyperglycemia.