ATI RN
RN Comprehensive Predictor 2023 Questions
Extract:
History and Physical
Nurses' Notes
Vital Signs
2 months ago:
Client states, "My depression has been getting a little worse lately."
Client reports increased fatigue, sadness, and hypersomnia over the last few months. Client reports their manifestations have been well-controlled "for years" on fluoxetine, but "it seems to have stopped working." Client denies any physical complications or suicidal ideation.
Client has history of depression and hyperlipidemia.
Client lives at home with partner and 4-year-old child. Denies alcohol, illicit drug, or tobacco use. Exercises occasionally.
Question 1 of 5
Click to highlight the findings that indicate the client is experiencing adverse effects of the medication.
| difficulty sleeping |
| frequent headaches |
| BP 169/91 mm Hg |
Correct Answer: A,B,C
Rationale: Difficulty sleeping, frequent headaches, and elevated BP are common side effects of fluoxetine.
Extract:
Question 2 of 5
A nurse is teaching a client who has a new prescription for insulin aspart. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: Insulin aspart is a rapid-acting insulin and should be administered 15 minutes before meals to control postprandial glucose.
Question 3 of 5
A nurse in a prenatal clinic is teaching a client about nonpharmacological pain management during labor. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: A
Rationale: Using an ultrasound picture as a focal point is an effective nonpharmacological distraction technique for managing labor pain.
Question 4 of 5
A nurse is teaching a client who has a new prescription for alendronate. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: Alendronate should be taken with a full glass of water and the client should remain upright to prevent esophageal irritation.
Question 5 of 5
A nurse is assessing a client who has type 1 diabetes mellitus and was. Which of the following clients should the nurse instruct the staff to indicates that the client might be experiencing hypoglycemia?
Correct Answer: A
Rationale: Confusion is a key symptom of hypoglycemia due to the brain's lack of glucose.