ATI RN
RN Comprehensive Predictor 2023 Questions
Extract:
Question 1 of 5
A nurse is teaching a client about advance directives. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: D
Rationale: A living will is a type of advance directive that outlines the client's preferences for medical care in the event they become unable to communicate their decisions.
Question 2 of 5
A nurse is caring for a client who has a stool culture that is positive for Clostridium difficile. Which of the following infection control precautions should the nurse take?
Correct Answer: D
Rationale: Contact precautions for C. difficile require the nurse to remove the protective gown and gloves inside the client's room to prevent contamination of outside areas.
Question 3 of 5
A nurse is caring for a client who has a new diagnosis of hyperkalemia. Which of the following medications should the nurse expect to administer?
Correct Answer: B
Rationale: Sodium polystyrene sulfonate binds potassium in the gut, reducing serum potassium levels.
Extract:
Nurses' Notes
Vital Signs
0900:
Contractions occurring every 3 to 4 min, lasting 80 to 90
seconds. Client rates pain with contractions as 10 on a scale of 0 to 10 and requests an epidural. Contractions approximately 4 min apart. Vaginal examination reveals cervix dilated 5 cm, 80% effaced, -1 station, vertex presentation. FHR baseline 142/min with moderate variability. IV fluid bolus initiated.
0930:
Epidural inserted by anesthesiology. Client reports pain as 2 on a scale of 0 to 10.
0950:
Spontaneous rupture of membranes with clear fluid.
Question 4 of 5
Select the 5 actions the nurse should take.
| Exert upward pressure on the presenting part. |
| Place the client in a Trendelenburg position. |
| Administer oxygen at 10 L/min via nonrebreather face mask. |
| Attempt to push the umbilical cord back into the cervix. |
| Have the charge nurse notify the provider. |
| Increase the flow rate of the maintenance IV fluid. |
Correct Answer: A,B,C,E,F
Rationale: Exert pressure: Relieves cord compression. Trendelenburg: Reduces cord pressure. Oxygen: Improves fetal oxygenation. Notify provider: Ensures timely intervention. Increase IV fluid: Supports maternal circulation.
Extract:
Question 5 of 5
A nurse is caring for a client who is postoperative following a cesarean birth. Which of the following findings should the nurse report to the provider?
Correct Answer: C
Rationale: A temperature of 38.5°C suggests possible infection, requiring immediate reporting.