ATI RN
RN Comprehensive Predictor 2023 Questions
Extract:
Nurses' Notes
0945:
Adult child accompanying parent reports cognitive and physical decline in the client, expressing concern over memory loss, thought processes, appetite, and self-care. Adult child states, "My sibling and I hired help at home for my parent. We thought that might help, but it has not. I found the title to the car today, signed over to me."
Client makes poor eye contact, speaks in a monotone voice, and has a lack of facial expression.
Client reports sleeping 7 hr a night and getting up "once or twice per night to go to the bathroom." Client reports not wanting to eat anymore. Client's child reports their parent has lost about 8 Ib in the past month.
1030:
Client found sitting in waiting room, head in hands. Client says, "Why don't you just leave me? I am of no use."
Question 1 of 5
Click to highlight the findings that require immediate follow-up.
| I found the title to the car today, signed over to me. |
| Client makes poor eye contact, speaks in a monotone voice, and has a lack of facial expression. |
| Client says, 'Why don't you just leave me? I am of no use.' |
| Client reports not wanting to eat anymore. Client's child reports their parent has lost about 8 Ib in the past month. |
Correct Answer: A,B,C,D
Rationale: These findings suggest significant cognitive decline, potential depression, and possible suicidal ideation, requiring immediate attention.
Extract:
Question 2 of 5
A nurse is caring for a client who has a new prescription for sertraline. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: Sertraline is often taken at bedtime to minimize daytime sedation and improve sleep.
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 caring for a client who has a new prescription for albuterol via metered-dose inhaler. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: Shaking the inhaler ensures proper mixing of the medication for effective delivery.
Question 5 of 5
A nurse is assessing a newborn who is 24 hours old. Which of the following findings should the nurse report to the provider?
Correct Answer: C
Rationale: Jaundice within 24 hours of birth may indicate pathological jaundice, requiring immediate evaluation.