ATI RN
RN Comprehensive Predictor 2023 Questions
Extract:
History and Physical
Vital signs
Nurses' Notes
Laboratory Results
3 days ago:
Past medical history: Type 2 diabetes mellitus, hypertension. Surgical history: Cesarean birth x 2 as a young adult
Social history. Has smoked 1 pack of cigarettes per day for 40 years, drinks socially, does not exercise. Weight: 121.3 kg (267.4 lb)
Question 1 of 5
Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.
| Implement rest, ice, elevation compression (RICE) |
| Check for pedal pulses and signs of ischemia. |
| Request a prescription for IV furosemide. |
| Request a prescription for a lower-extremity Doppler flow study. |
| Assess for Homan's sign. |
| Signs of bleeding after anticoagulation initiation |
| PT/INR and platelet count |
Correct Answer: C
Rationale: Condition: Deep vein thrombosis. Actions: Request Doppler study, Assess for Homan's sign. Parameters: Signs of bleeding, PT/INR and platelet count. The client's history and symptoms suggest DVT.
Extract:
Question 2 of 5
A nurse is caring for a client who is postoperative following a mastectomy. Which of the following interventions should the nurse include to promote comfort?
Correct Answer: A
Rationale: Elevating the affected arm reduces edema and promotes comfort.
Question 3 of 5
A nurse is assessing a client who has heart failure and is taking digoxin. Which of the following findings should the nurse report to the provider?
Correct Answer: C
Rationale: Yellow-tinged vision is a sign of digoxin toxicity, requiring immediate reporting.
Extract:
Nurses' Notes
Vital Signs
Provider Prescriptions
1100:
The client reports shortness of breath and difficulty sleeping. The client feels tired very quickly and occasionally feels nauseous. The client reports experiencing intermittent chest tightness and a cough that is aggravated by exercise. The client has a productive cough and irregular breathing pattern. Crackles and wheezing present on auscultation. The client has a history of smoking a pack of cigarettes per day for the past 35 years. There is no clubbing of the fingers. The client appears anxious.
1130:
Administered albuterol and oxygen per provider's prescription. The client is instructed to perform pursed-lip breathing.
1230:
The client is breathing with minimal effort and coughing has decreased.
Question 4 of 5
Which of the following interventions should the nurse include in the plan of care? Select all that apply.
Correct Answer: A,C,D
Rationale: Chest percussion: Mobilizes mucus. Diaphragmatic breathing: Improves lung expansion. Assess breath sounds: Monitors respiratory status.
Extract:
Question 5 of 5
A nurse is caring for a client who has a new diagnosis of pancreatitis. Which of the following laboratory findings should the nurse expect?
Correct Answer: A
Rationale: Pancreatitis causes elevated serum amylase due to pancreatic inflammation and enzyme release.