ATI RN
RN Comprehensive Predictor 2023 Questions
Extract:
Question 1 of 5
A nurse is conducting an initial assessment of a client and notices a discrepancy between the client's current IV infusion and the report received during the shift report. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The nurse should first compare the current infusion with the prescription in the client's medication record to ensure the client is receiving the correct medication and dosage.
Question 2 of 5
A nurse is assessing a 5-year-old child who has diabetes insipidus and is receiving desmopressin. Which of the following findings should the nurse identify as an indication that the medication is effective?
Correct Answer: D
Rationale: Desmopressin reduces excessive urine output, and a cessation of nocturnal enuresis (bedwetting) indicates improved fluid balance and medication effectiveness.
Question 3 of 5
A nurse is teaching a client who has a new prescription for alendronate. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: Alendronate should be taken with a full glass of water and the client should remain upright to prevent esophageal irritation.
Extract:
History and Physical
Nurses' Notes
Vital Signs
Client diagnosed with traumatic brain injury (TBI) from car crash 7 years ago and a concussion 5 years ago following a fall. Client brought in by partner who says, "They struggle every day now around the house. I'm worried to leave them alone." Client says, "Lately, I've had a hard time writing and I get lost a lot." Partner states, "The last year, they seem off. They have become socially withdrawn and refrain from going out with friends. Difficulty speaking began approximately 6 months ago." Client agrees and states, "I frequently misplace things around the house too."
Question 4 of 5
Select 1 condition and 1 client finding to fill in each blank in the following sentence. The client may be prescribed ___ to treat ___ .
| gabapentin 100 mg PO three times daily |
| memantine 5 mg PO twice daily |
| haloperidol 1 mg PO twice daily |
| citalopram 20 mg PO once daily |
| lithium 300 mg PO three times daily |
| pain level |
| cognitive changes |
Correct Answer: B
Rationale: The client may be prescribed memantine 5 mg PO twice daily to treat cognitive changes. Symptoms suggest cognitive decline.
Extract:
Question 5 of 5
A nurse is caring for a client who has a new diagnosis of cirrhosis. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: Cirrhosis causes ascites due to portal hypertension and hypoalbuminemia due to impaired liver protein synthesis.