ATI RN
RN Comprehensive Predictor 2023 Questions
Extract:
Question 1 of 5
A nurse is performing a neurological examination on a client as part of a complete physical assessment. The nurse should identify that cranial nerve XI is intact when the client performs which of the following actions?
Correct Answer: B
Rationale: Cranial nerve XI (the spinal accessory nerve) controls the muscles involved in shoulder shrugging and head turning.
Question 2 of 5
A nurse is providing an in-service about client evacuation during a fire. Which of the following clients should the nurse instruct the staff to evacuate first?
Correct Answer: C
Rationale: A client who is ambulatory and receiving oxygen is at risk of immediate danger if the oxygen supply poses a fire hazard. They can be evacuated quickly and independently.
Question 3 of 5
A nurse is caring for a client who has a new prescription for albuterol via metered-dose inhaler. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: Shaking the inhaler ensures proper mixing of the medication for effective delivery.
Question 4 of 5
A nurse is caring for a client who has a nasogastric tube for decompression. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Checking the pH of aspirate confirms proper tube placement in the stomach.
Extract:
History and Physical
Vital Signs
Nurses' Notes
Laboratory Results
0700:
Majority of client's history is obtained from client's parent who presents with client today. According to the parent, client has been acting strangely for a few months. Client's symptoms have been progressively worsening.
In the last month, the client has been seeing things that are not present and believes that they are in a close relationship with "a powerful spirit." Client has not been bathing regularly for the last few weeks.
Client has no significant health history. Client reports that they do not take illicit substances or drink alcohol. Client's grandparent has a history of schizophrenia.
Question 5 of 5
For each potential action, click to specify if the action is indicated or contraindicated for the client.
| Options | Indicated | Contraindicated |
|---|---|---|
| Ask the client about the content of their hallucinations | ||
| Instruct the client on expected hygiene practices | ||
| Allow the client to watch TV at a high volume | ||
| Assess the client for suicidal ideation | ||
| Place the client in a room near the activity |
Correct Answer: A,B,C,D,E
Rationale: Ask about hallucinations: Indicated - Assesses severity. Instruct on hygiene: Indicated - Promotes well-being. Allow high volume TV: Contraindicated - May exacerbate symptoms. Assess for suicidal ideation: Indicated - Ensures safety. Place near activity: Contraindicated - Reduces overstimulation.