Questions 179

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ATI RN Comprehensive Predictor 2023 Updated 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 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.

expressing concern over memory and thought process, appetite, and self-care
lost about 8 lb in the past month
Why don't you just leave me? I am of no use.
Heart rate 68/min

Correct Answer: A,B,C

Rationale: Cognitive decline, weight loss, and potential suicidal ideation require urgent follow-up.

Extract:


Question 2 of 5

A nurse is providing teaching to a client who has a new diagnosis of chronic kidney disease. Which of the following dietary recommendations should the nurse include?

Correct Answer: B

Rationale: Limiting phosphorus intake helps prevent complications in chronic kidney disease.

Question 3 of 5

A nurse is caring for a client who has a new prescription for heparin. Which of the following laboratory values should the nurse monitor?

Correct Answer: A

Rationale: Heparin can cause thrombocytopenia, so monitoring platelet count is essential.

Question 4 of 5

A nurse is caring for a client who is receiving a continuous IV infusion of alteplase for an acute ischemic stroke. Which of the following actions should the nurse take?

Correct Answer: A

Rationale: Alteplase is a thrombolytic, so monitoring for bleeding is critical.

Question 5 of 5

A nurse is assessing a client who has a suspected myocardial infarction. Which of the following findings should the nurse expect?

Correct Answer: B

Rationale: Chest pain radiating to the left arm is a classic symptom of myocardial infarction.

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