ATI RN
RN Comprehensive Predictor 2023 Questions
Extract:
Question 1 of 5
A nurse is reviewing the medication administration record of a client. Which of the following prescriptions should the nurse clarify?
Correct Answer: B
Rationale: The prescribed dose of Digoxin 250 mcg is unusually high for a daily dose. Typically, digoxin is prescribed in lower doses, and the nurse should clarify this prescription with the provider to ensure it is correct.
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 2 of 5
Which of the following findings indicate an improvement in the client's condition? Select all that apply.
Correct Answer: B,C,E,F
Rationale: Heart rate: Decrease indicates stabilization. Pain level: Reduction shows effective management. Vaginal bleeding: Decrease indicates controlled bleeding. Blood pressure: Stabilization shows improved circulation.
Extract:
Question 3 of 5
A nurse is teaching a newly licensed nurse about caring for clients in the emergency department. Which of the following actions should the nurse include when teaching about interacting with a client who is aggravated, pacing, and speaking loudly?
Correct Answer: A
Rationale: Verbal de-escalation by acknowledging the client's emotions helps to diffuse tension and can prevent further agitation.
Question 4 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.
Question 5 of 5
A nurse is preparing to administer a unit of packed red blood cells (RBCs). Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Verifying the client's identity with another nurse ensures safe administration and prevents transfusion errors.