ATI RN
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ATI RN Comprehensive Predictor 2023 Updated Questions
Extract:
Medical history
Laboratory Results
Vital signs
Nurses’ notes
Client is receiving chemotherapy for treatment of colon cancer
Question
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1 of 5
A nurse is reviewing the client's electronic medical record. Which of the following findings require follow up? Select all that apply.
Correct Answer: A,D,E
Rationale: Crackles, low WBC count, and fever require follow-up due to potential pulmonary issues and infection risk in a chemotherapy patient.
Extract:
Vital Signs
Diagnostic results
1330:
Temperature 36.8° C (98.2° F)
Heart rate 88/min
Respiratory rate 16/min
BP 110/64 mm Hg
Oxygen saturation 96% on oxygen 3 L/min via simple face mask
1345:
Temperature 37° C (98.6° F)
Heart rate 112/min
Respiratory rate 20/min
BP 108/60 mm Hg
Oxygen saturation 94% on oxygen 3 L/min via simple face mask
1400:
Temperature 38.3° C (101° F)
Heart rate 152/min
Respiratory rate 26/min
BP 90/54 mm Hg
Question 2 of 5
For each assessment finding, click to specify if the finding is consistent with malignant hyperthermia, latex allergy, or hypovolemic shock.
| Options | Malignant hyperthermia | Latex allergy | Hypovolemic shock |
|---|---|---|---|
| Hypercapnia | |||
| Wheezes | |||
| Urticaria | |||
| Tachycardia | |||
| Muscle rigidity |
Correct Answer: A,C,A,B,C
Rationale: Hypercapnia and muscle rigidity are consistent with malignant hyperthermia, wheezes and urticaria with latex allergy, and tachycardia with all three.
Extract:
Admission Assessment
Nurses' Notes
Vital signs
1200:
58-year-old client reporting chest pain is admitted to the emergency department. Client states chest pain began this morning after breakfast and chest pain radiates to left arm. Client rates chest pain as 4 on a scale of 0 to 10. Client has medical history of hypertension, type 2 diabetes mellitus, and hyperlipidemia.
Social history: denies alcohol use, has smoked a pack of cigarettes per day for 35 years Current medications:
Lisinopril 20 mg PO daily Glucophage 500 mg PO BID Simvastatin 40 mg PO daily
Question 3 of 5
Complete the following sentence by using the list of options.
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| administer oxygen at 2 L/min via nasal cannula |
| request a prescription for a beta-blocker |
| administer sublingual nitroglycerin |
| cardiac catheterization |
| request a prescription for an increase in statin medication |
| check a STAT cardiac troponin |
Correct Answer: A,C
Rationale: Oxygen addresses decreased saturation, and nitroglycerin relieves chest pain in a potential myocardial infarction.
Extract:
Question 4 of 5
A nurse is caring for a client who is receiving a continuous IV infusion of insulin. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Frequent blood glucose monitoring ensures the insulin dose is appropriate.
Question 5 of 5
A nurse is providing discharge teaching to the partner of a client who has a tracheostomy. Which of the following information should the nurse include in the teaching?
Correct Answer: B
Rationale: Changing the dressing using clean technique is critical to prevent infection.