ATI RN
RN Comprehensive Predictor 2023 Questions
Extract:
Question 1 of 5
A school nurse is performing scoliosis screenings. The nurse should recognize which of the following clinical manifestations as an indication of scoliosis?
Correct Answer: B
Rationale: Uneven shoulder and pelvic heights are classic signs of scoliosis.
Question 2 of 5
A nurse is assessing a client who is receiving IV chemotherapy. Which of the following findings should the nurse report immediately?
Correct Answer: C
Rationale: Fever during chemotherapy may indicate neutropenia or infection, requiring immediate reporting.
Extract:
Nurses' Notes
Provider Prescriptions
Laboratory Results
Prior Day Intake and Output
Graphic Record
Nurses' Notes
0800:
A client who has bipolar disorder is admitted to the inpatient psychiatric unit. During the morning assessment, the client reports blurred vision and an increase in urine output. It is noted that the client is having clonic jerking of upper extremities. Provider notified and laboratory tests ordered. Skin is warm and dry without rash.
Question 3 of 5
Complete the following sentence by using the lists of options. The nurse understands that the patient has likely developed ___ and will need to be monitored for ___ .
| neuroleptic malignant syndrome |
| metabolic syndrome |
| urinary tract infection |
| lithium toxicity |
| symptoms of infection |
| blood glucose levels |
| seizure activity |
Correct Answer: D
Rationale: The nurse understands that the patient has likely developed lithium toxicity and will need to be monitored for seizure activity. Elevated lithium levels and symptoms indicate toxicity.
Extract:
History and Physical
Vital Signs
Nurses' Notes
Laboratory Results
0700:
Majority of client's history is obtained from client's parent who presents with client today. According to the parent, client has been acting strangely for a few months. Client's symptoms have been progressively worsening.
In the last month, the client has been seeing things that are not present and believes that they are in a close relationship with "a powerful spirit." Client has not been bathing regularly for the last few weeks.
Client has no significant health history. Client reports that they do not take illicit substances or drink alcohol. Client's grandparent has a history of schizophrenia.
Question 4 of 5
For each potential action, click to specify if the action is indicated or contraindicated for the client.
| Options | Indicated | Contraindicated |
|---|---|---|
| Ask the client about the content of their hallucinations | ||
| Instruct the client on expected hygiene practices | ||
| Allow the client to watch TV at a high volume | ||
| Assess the client for suicidal ideation | ||
| Place the client in a room near the activity |
Correct Answer: A,B,C,D,E
Rationale: Ask about hallucinations: Indicated - Assesses severity. Instruct on hygiene: Indicated - Promotes well-being. Allow high volume TV: Contraindicated - May exacerbate symptoms. Assess for suicidal ideation: Indicated - Ensures safety. Place near activity: Contraindicated - Reduces overstimulation.
Extract:
Question 5 of 5
A nurse is providing an in-service about client evacuation during a fire. Which of the following clients should the nurse instruct the staff to evacuate first?
Correct Answer: C
Rationale: A client who is ambulatory and receiving oxygen is at risk of immediate danger if the oxygen supply poses a fire hazard. They can be evacuated quickly and independently.