ATI RN
ATI RN Comprehensive Predictor 2023 Updated Questions
Extract:
Nurses’ Notes
Vital signs
Laboratory results
Day 2, 0800:
Client rates lower back pain a 0 on a scale from 0 to 10. No reports of vaginal discharge. Membranes intact.
No uterine contractions noted.
FHR baseline 138, minimal variability.
Cervical exam indicates 2 cm, 50% effaced, 0 station. No further reports of burning with urination.
Question 1 of 5
Click to highlight the findings that indicate improvement in the client's condition.
| Client rates lower back pain a 0 on a scale from 0 to 10. |
| No reports of vaginal discharge. |
| No uterine contractions noted. |
| No further reports of burning with urination. |
| WBC 12,000/mm2 (5,000 to 10,000/mm3) |
| Temperature 37.1°C (98.7°F) |
Correct Answer: A,B,C,D,E,F
Rationale: Resolved pain, discharge, contractions, burning, lower WBC, and normal temperature indicate improvement.
Extract:
Question 2 of 5
A nurse is caring for a client who has a new diagnosis of gastroesophageal reflux disease (GERD). Which of the following recommendations should the nurse include in the teaching?
Correct Answer: B
Rationale: Avoiding meals before bedtime reduces acid reflux during sleep.
Question 3 of 5
A nurse is providing teaching to a client who is prescribed digoxin for heart failure. Which of the following symptoms should the nurse instruct the client to report?
Correct Answer: B
Rationale: Blurred vision is a sign of digoxin toxicity and should be reported immediately.
Question 4 of 5
A nurse is caring for a client who is receiving a blood transfusion. Which of the following actions should the nurse take if the client develops a transfusion reaction?
Correct Answer: B
Rationale: Stopping the transfusion immediately prevents further exposure to the allergen causing the reaction.
Extract:
Nurses' notes
Vital Signs
Laboratory results
0900:
The client reports experiencing a loss of appetite and shortness of breath within the last month or so. The client reports experiencing weakness, abdominal pain, severe itching, and mood changes. The client has had alcohol use disorder for the past 10 years and sometimes drinks alcohol uncontrollably.
The client is alert but disoriented to time. Their abdomen is bloated and they have redness of the palms of the hands. Excoriated areas on the upper thorax and shoulders are present. Sclera are yellow.
1230:
Administered antacids, spironolactone, and colchicine per provider's prescription
Question 5 of 5
Select the 5 actions the nurse should take.
| Restrict the client's sodium intake. |
| Provide frequent rest periods for the client. |
| Assess the client's level of orientation. |
| Instruct the client to avoid blowing their nose forcefully. |
| Place the client on a low-carbohydrate diet. |
| Place the client under contact isolation. |
| Advise the client to avoid the use of soap and alcohol-based lotions. |
Correct Answer: A,B,C,G
Rationale: Sodium restriction manages ascites, rest periods address fatigue, orientation assessment monitors hepatic encephalopathy, and gentle skin care reduces pruritus.