ATI RN
ATI RN Comprehensive Predictor 2023 Updated Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is postoperative following a mastectomy. Which of the following actions should the nurse take to promote comfort?
Correct Answer: A
Rationale: Elevating the affected arm reduces edema and promotes comfort post-mastectomy.
Extract:
Vital signs
0600:
Temperature 37.2° C (99° F)
Heart rate 66/min
Respiratory rate 16/min
BP 130/82 mm Hg
Pulse oximetry 96% on room air
1000:
Temperature 37.6° C (99.7° F)
Heart rate 70/min
Respiratory rate 20/min
BP 160/102 mm Hg
Pulse oximetry 96% on room air
Client reports pain as 10 on a scale of 0 to 10 from headache
Question 2 of 5
For each potential nursing action, click to specify if the action is anticipated or contraindicated for the client.
| Options | Anticipated | Contraindicated |
|---|---|---|
| Perform suctioning | ||
| Withhold pain medication for headache until other manifestations resolve | ||
| Assess blood pressure every 15 minutes | ||
| Administer nifedipine | ||
| Assess for urinary retention | ||
| Place client in supine position |
Correct Answer: C,E
Rationale: Frequent blood pressure checks and assessing urinary retention are anticipated to manage autonomic dysreflexia, while suctioning, withholding pain medication, nifedipine, and supine positioning are contraindicated.
Extract:
Question 3 of 5
A nurse is caring for a client who is experiencing a panic attack. Which of the following interventions should the nurse implement?
Correct Answer: B
Rationale: Staying with the client and speaking calmly helps reduce anxiety and provides reassurance.
Question 4 of 5
A nurse is providing teaching about immunizations to a client who is pregnant. Which of the following statements should the nurse include in the teaching?
Correct Answer: C
Rationale: The influenza vaccine is safe and recommended during any trimester of pregnancy.
Question 5 of 5
A nurse is caring for a client who has a new prescription for methotrexate for rheumatoid arthritis. Which of the following laboratory values should the nurse monitor?
Correct Answer: A
Rationale: Methotrexate can cause hepatotoxicity, so liver function tests must be monitored.