ATI RN
RN Comprehensive Predictor 2023 Questions
Extract:
Question 1 of 5
A nurse is providing preoperative teaching to an older adult client who is scheduled for surgery. Which of the following actions should the nurse take to promote learning?
Correct Answer: A
Rationale: Connecting new information with past experiences enhances understanding and retention in older adults.
Question 2 of 5
A nurse is teaching a client who has a new prescription for warfarin. Which of the following statements should the nurse include?
Correct Answer: D
Rationale: Warfarin increases bleeding risk; bruising may indicate excessive anticoagulation, requiring prompt reporting to the provider.
Extract:
Nurses' Notes
Vital Signs
Diagnostic Results
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 3 of 5
Complete the following sentence by using the list of options. The client is at risk for ___ as evidenced by ___ .
| hypostatic pneumonia |
| anemia |
| fluid volume overload |
| calorie deficiency |
| orthostatic hypotension |
| immobility |
Correct Answer: A
Rationale: The client is at risk for hypostatic pneumonia as evidenced by immobility. Immobility increases the risk of lung fluid accumulation.
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
Select the 2 actions that the nurse should take.
| Assist the provider with inserting a fetal scalp electrode (FSE) and intrauterine pressure catheter (IUCP) |
| Obtain serial H&H and clotting studies. |
| Administer misoprostol 600 mg rectally. |
| Place the client in a supine position. |
| Prepare to transfuse 2 units of packed RBCs. |
Correct Answer: B,E
Rationale: Obtain serial H&H and clotting studies: Monitors blood loss and coagulation status. Prepare to transfuse 2 units of packed RBCs: Addresses hypovolemic shock and blood loss.
Extract:
Question 5 of 5
A nurse is assessing a client who is postoperative following a lumbar laminectomy. Which of the following findings should the nurse report immediately?
Correct Answer: C
Rationale: Numbness in the lower extremities may indicate nerve compression or hematoma, requiring immediate reporting.