ATI RN
RN Comprehensive Predictor 2023 Questions
Extract:
Question 1 of 5
A nurse is inserting an indwelling urinary catheter for a male client. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Lifting the penis perpendicular to the body helps straighten the urethra, making catheter insertion easier and reducing the risk of injury.
Question 2 of 5
A nurse is teaching a client who has a new prescription for nitroglycerin sublingual tablets. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Nitroglycerin is light-sensitive; storing in a dark, airtight container maintains its potency.
Question 3 of 5
A nurse is teaching a client who has a new prescription for sumatriptan. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: Sumatriptan is most effective when taken at the onset of a migraine to abort the attack.
Extract:
Nurses' Notes
Vital Signs
Laboratory results
Provider prescriptions
0900:
Client who is at 38 weeks of gestation presents to the antepartum unit with uterine contractions, dark red vaginal bleeding, and abdominal pain that started approximately 45 min prior to arrival. Rates abdominal pain a 7 on a scale of 0 to 10. Client reports, "My blood pressure has been high during the pregnancy."
Home Medications: prenatal multivitamin, methyldopa 250 mg PO twice daily
Physical Exam:
General: tearful, anxious
Cardiovascular: S1, S2, no murmur
Respiratory: bilateral breath sounds clear
Abdomen: Uterine hypertonicity with a board-like abdomen, tenderness noted upon palpation of left upper quadrant FHR: 116/min, minimal variability noted
Question 4 of 5
For each potential nursing action, click to specify if the nursing action is anticipated or contraindicated for the client.
| Options | Anticipated | Contraindicated |
|---|---|---|
| Obtain consent for cesarean birth | ||
| Provide intermittent fetal heart rate monitoring | ||
| Administer oxygen 10 L via face mask | ||
| Prepare the client for an amnioinfusion | ||
| Initiate IV bolus lactated Ringer's | ||
| Insert a urinary catheter |
Correct Answer: A,B,C,D
Rationale: Obtain consent: Anticipated - Potential need for cesarean due to complications. Provide monitoring: Anticipated - Essential for fetal well-being. Administer oxygen: Anticipated - Improves oxygenation. Prepare for amnioinfusion: Contraindicated - Increases risk in bleeding. Initiate IV bolus: Anticipated - Addresses hypovolemic shock. Insert catheter: Contraindicated - Not immediately necessary.
Extract:
Question 5 of 5
A nurse is teaching a client who has a new prescription for doxycycline. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Doxycycline increases photosensitivity; avoiding sun exposure prevents severe skin reactions.