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 femoral-popliteal bypass. Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: Weak pedal pulses may indicate compromised circulation, requiring immediate intervention.
Extract:
Question 166: Report an IssueReport Wrong Answer
Nurses' notes
History and Physical
Vital signs
Today 0700:
Received change of shift report. Client is 2 days postoperative following a hysterectomy and they have not yet ambulated with physical therapy due to significant postoperative pain. Per change of shift report, pain medications have been adjusted and pain has improved. Client currently reports pain level as 2 on a scale of 0 to 10.
0900:
Ambulating in hallway with the assistance of physical therapy. 1000:
Return to bed with siderails up x 2, but not wearing sequential compression devices because they "hurt too much." Applied antiembolism stockings.
1400:
Question 2 of 5
Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.
| Deep vein thrombosis |
| Muscle strain |
| Cellulitis |
| Heart failure |
| Check for pedal pulses and signs of ischemia |
| Request a prescription for a lower-extremity Doppler flow study |
| Parameters to Monitor A. ECG changes B. PTINR and platelet count C. Temperature D. Brain natriuretic peptide (BNP) levels E. Signs of bleeding after anticoagulation Initiation |
Correct Answer: A,D,E,C
Rationale: Deep vein thrombosis is likely due to surgery and immobility; checking pulses and requesting a Doppler study are key actions, with bleeding signs and temperature monitored.
Extract:
Question 3 of 5
A nurse is providing teaching to a client who has a new prescription for alendronate for osteoporosis. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Remaining upright for 30 minutes prevents esophageal irritation from alendronate.
Extract:
Nurses' notes
0900:
A 16-year-old client reports to the clinic with their caregiver. The client's caregiver informs the nurse that the client has "not been themselves lately." The client's parents and a sibling passed away from injuries sustained when a tornado moved through their town 1 month ago. They were the only survivor and witnessed their family's deaths.
0910:
Client appears anxious but answers questions appropriately for age. They report experiencing nightmares that awaken them at night and startle easily during thunderstorm, but the client admits that they have always been afraid of thunderstorms. Client admits smoking marijuana for about 1 month because it helps clear their mind. They also admit that they have no desire to leave the house. They do attend school regularly and are on the honor roll.
Question 4 of 5
Based on the information in the client's medical record, which of the following findings require immediate follow-up? Select the 4 findings that require follow-up.
| Smoking marijuana to clear their mind |
| BP 122/80 mm Hg |
| Witnessing their family's death |
| Attends school regularly |
| Client experiences nightmares |
| Startles easy during thunderstorm |
| Caregiver reporting client acting differently than usual |
Correct Answer: A,C,E,F,H
Rationale: Marijuana use, witnessing trauma, nightmares, startling easily, and behavioral changes suggest potential mental health issues like PTSD requiring immediate follow-up.
Extract:
Question 5 of 5
A nurse is assessing a client who has a history of Addison's disease. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Hyperkalemia is a common finding in Addison's disease due to adrenal insufficiency.