ATI RN
RN Comprehensive Predictor 2023 Questions
Extract:
Vital Signs
Diagnostic Results
Client reports new onset of fever and discomfort in their joints and increase malaise. No relevant medical history. Client is alert to person, place, time, and situation. Reports generalized pain as 4 on a scale of 0 to 10. Macular rash present on cheeks bilateral. Lungs clear anterior and posterior. Bowel sounds active in all 4 quadrants. Last bowel movement 1 day ago. Skin warm, dry, and intact. Capillary refill less than 3 seconds. A 20 gauge IV saline lock inserted in back left hand.
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.
| Actions to Take: A. Maintain separate equipment for the client B. Provide a low sodium diet C. Monitor ketone levels D. Administer opioids for pain E. Monitor weight |
| Potential Condition A. Pancreatitis B. Cirrhosis C. HIV D. Diabetic ketoacidosis |
| Parameters to Monitor A. Lymphocyte counts B. Bleeding episodes C. Dyspnea D. Hypotension |
| Prepare client for light therapy |
| Ensure that client has intake of at least 200 mL/hr. |
| Vital signs every 4 hr |
| Erythrocyte sedimentation rate |
Correct Answer: A
Rationale: Condition: Systemic lupus erythematosus. Actions: Administer immunosuppressants, Avoid sunlight. Parameters: Vital signs, ESR. Symptoms and lab results suggest SLE.
Extract:
Question 2 of 5
A nurse is assessing a client who has a new diagnosis of glaucoma. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: Blurred vision is a common symptom of glaucoma due to increased intraocular pressure.
Question 3 of 5
A nurse is preparing to initiate intravenous fluids via infusion pump for a client. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The nurse should check the expiration date on the safety inspection sticker to ensure the infusion pump has passed recent safety inspections and is safe to use.
Question 4 of 5
A nurse manager is planning a staff in-service to address advocacy in client care. The nurse should promote which of the following practices during the in-service? (Select all that apply.)
Correct Answer: A,B,C
Rationale: Promoting health care access, encouraging clients to seek information, and addressing client needs are core elements of advocacy, ensuring client-centered care and empowerment.
Question 5 of 5
A nurse is caring for a client who has a new prescription for enoxaparin. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: Enoxaparin is administered subcutaneously into the abdomen to ensure proper absorption.