ATI RN
ATI RN Comprehensive Predictor 2023 Updated Questions
Extract:
Nurses' notes
0900:
A 16-year-old client reports to the clinic with their caregiver. The client's caregiver informs the nurse that the client has "not been themselves lately." The client's parents and a sibling passed away from injuries sustained when a tornado moved through their town 1 month ago. They were the only survivor and witnessed their family's deaths.
0910:
Client appears anxious but answers questions appropriately for age. They report experiencing nightmares that awaken them at night and startle easily during thunderstorm, but the client admits that they have always been afraid of thunderstorms. Client admits smoking marijuana for about 1 month because it helps clear their mind. They also admit that they have no desire to leave the house. They do attend school regularly and are on the honor roll.
Question 1 of 5
Based on the information in the client's medical record, which of the following findings require immediate follow-up? Select the 4 findings that require follow-up.
| Smoking marijuana to clear their mind |
| BP 122/80 mm Hg |
| Witnessing their family's death |
| Attends school regularly |
| Client experiences nightmares |
| Startles easy during thunderstorm |
| Caregiver reporting client acting differently than usual |
Correct Answer: A,C,E,F,H
Rationale: Marijuana use, witnessing trauma, nightmares, startling easily, and behavioral changes suggest potential mental health issues like PTSD requiring immediate follow-up.
Extract:
Question 2 of 5
A nurse is preparing to reposition a client who had a stroke. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Discussing the client's preferences ensures the repositioning schedule is tailored to their needs.
Question 3 of 5
A staff nurse is observing a newly licensed nurse suction a client's tracheostomy. Which of the following actions by the newly licensed nurse requires intervention by the staff nurse?
Correct Answer: A
Rationale: Suctioning should be applied for no more than 10-15 seconds to prevent hypoxia.
Extract:
Medical history
Laboratory Results
Vital signs
Nurses’ notes
Client is receiving chemotherapy for treatment of colon cancer
Question 4 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:
Question 5 of 5
A nurse is planning care for a client who has a prescription for continuous enteral feedings through an NG tube. Which of the following actions should the nurse plan to take?
Correct Answer: A
Rationale: Measuring gastric residual volumes every 4 hours assesses tolerance to feeding and prevents aspiration.