ATI RN
ATI RN Comprehensive Predictor 2023 Updated Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is receiving a continuous IV infusion of propofol for sedation. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Propofol can cause respiratory depression, so frequent respiratory monitoring is essential.
Question 2 of 5
A nurse is caring for a client who has pneumonia and a prescription for oxygen therapy at 2 L/min via nasal cannula. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Monitoring oxygen saturation ensures the therapy is effective and detects hypoxia early.
Question 3 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:
Nurses' notes
Day 1
1400:
Client has paraplegia and reports, "I have had a cough the last few days. I haven't had an appetite either." Denies nausea, vomiting, or diarrhea. Alert and oriented to person, place, and time. Skin is intact. Vital signs stable.
Day 2
1830:
Client is experiencing tachycardia, productive cough, and confusion
Question 4 of 5
Complete the following sentence by using the list of options.
| hypostatic pneumonia |
| anemia |
| fluid volume overload |
| orthostatic hypotension |
| calorie deficiency |
Correct Answer: A
Rationale: The client is at risk for hypostatic pneumonia due to immobility, as paraplegia and cough suggest respiratory complications.
Extract:
Nurses' notes
Postoperative day 2
0900:
Client reports history of deep vein thrombosis (DVT) after cholecystectomy 15 years ago.
Client reports pain of 5 on a scale of 0 to 10 at perineal surgical incision site and bladder fullness. Perineal dressing intact with minimal serosanguinous drainage.
Reports hard, painful bowel movement on postoperative day 1.
Client transferring out of bed to chair independently. Extremities cool and dry with 2+ peripheral pulses.
1300:
Client reports abdominal cramping and small, hard, painful bowel movement after lunch. Ambulating independently in hallway. Reports pain of 8 on a scale of 0 to 10 in perineum.
Question 5 of 5
For each potential provider's prescription, click to specify if the potential prescription is anticipated or contraindicated for the client.
| Options | Anticipated | Contraindicated |
|---|---|---|
| Apply warm compresses to the incision site | ||
| Administer enema to relieve constipation | ||
| Irrigate indwelling urinary catheter with 50 mL of normal saline | ||
| Place a blanket roll under the client's knees while in bed | ||
| Maintain bed rest for 2 days postoperatively |
Correct Answer: B,C,D
Rationale: Enema, catheter irrigation, and knee support are anticipated, while warm compresses and bed rest are contraindicated.