ATI RN
RN Comprehensive Predictor 2023 Questions
Extract:
Question 1 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.
Question 2 of 5
A nurse is conducting an initial assessment of a client and notices a discrepancy between the client's current IV infusion and the report received during the shift report. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The nurse should first compare the current infusion with the prescription in the client's medication record to ensure the client is receiving the correct medication and dosage.
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 3 of 5
For each assessment finding, click to specify if the finding is consistent with placenta previa or abruptio placenta. Each finding may support more than 1 disease process or none at all.
| Options | Placenta previa | Abruptio placenta |
|---|---|---|
| Pain | ||
| Vaginal bleeding | ||
| Hemoglobin | ||
| Hematocrit | ||
| Abdominal assessment | ||
| Blood Pressure | ||
| Fetal Heart Rate |
Correct Answer: A,D
Rationale: Pain: Abruptio placenta - Pain is severe due to placental separation. Vaginal bleeding: Abruptio placenta - Dark red bleeding is typical. Hemoglobin: Both - Indicates blood loss. Hematocrit: Both - Indicates blood loss. Abdominal assessment: Abruptio placenta - Rigid, tender abdomen. Blood Pressure: Abruptio placenta - Hypotension due to blood loss. Fetal Heart Rate: Both - Minimal variability indicates distress.
Extract:
Question 4 of 5
A nurse is assessing a client who has chronic kidney disease. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Hyperkalemia is common in chronic kidney disease due to impaired potassium excretion.
Question 5 of 5
A nurse is teaching a client who has osteoporosis about calcium supplements. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Dividing the dose improves absorption and reduces gastrointestinal side effects.