ATI RN
RN Comprehensive Predictor Questions
Extract:
Question 1 of 5
A nurse is caring for a client with COPD admitted with pneumonia. Vital signs are heart rate 122/min, respiratory rate 28/min, and blood pressure 170/90 mmHg. Which finding warrants immediate intervention?
Correct Answer: B
Rationale: Shortness of breath on exertion indicates respiratory distress, requiring immediate intervention to prevent respiratory failure.
Question 2 of 5
A nurse is teaching the parents of a school-age child who has sickle cell anemia about managing the disease at home. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: Sudden, persistent headaches may indicate a stroke, a serious complication in sickle cell anemia, requiring immediate reporting.
Question 3 of 5
A nurse is monitoring a client who is receiving a transfusion of packed RBCs. The client reports chills, headache, low-back pain, and a feeling of 'tightness' in his chest. The nurse should identify that the client has developed which of the following types of transfusion reactions?
Correct Answer: C
Rationale: Symptoms like chills, headache, low-back pain, and chest tightness indicate an acute hemolytic reaction, a medical emergency due to blood type mismatch.
Question 4 of 5
A nurse is assessing a client who has a pressure ulcer. Which of the following findings indicates that the wound is healing?
Correct Answer: C
Rationale: Granulation tissue indicates healing, as it represents new tissue formation in the wound bed.
Question 5 of 5
A nurse is teaching a client about using transdermal scopolamine to treat motion sickness. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Applying the patch before travel ensures scopolamine is absorbed, preventing motion sickness effectively.