ATI RN
ATI RN Comprehensive Predictor 2023 Updated Questions
Extract:
Nurses' Notes
1000:
Client admitted to behavioral health unit for prolonged weight loss and refusal to eat. Client collapsed at school. The client's parents were called. They contacted the primary care provider, who arranged for a direct admission.
Weight 37.2 kg (82 lb)
Height 157.5 cm (62 inches) BMI 15
1200:
Client observed during noon meal. Client pushed food around the plate. Intake 10% of meal. Offered nutritional supplement. Client declined. Reports feeling anxious due to admission and mealtime. Client states, "I cannot eat this with you watching me."
1500:
Snack provided. Client observed throwing snack into the trash can. When realized they had been observed, they admitted to their action and asked for a second snack. Client ate 10% of the snack.
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. Accept the client's belief about "forbidden foods." B. Focus on the clients underlying feelings of dysphoria and lack of control C. Encourage the client to limit fasting D. Provide a structure meal environment |
| Potential Condition A. Binge eating disorder B. Bulimia nervosa C. Avoidant restrictive food intake disorder D. Anorexia nervosa |
| Parameters to Monitor A. Cardiac function with ECG B. Calcium level C. Vital signs every 8 hours D. Weight on a daily basis |
Correct Answer: D,B,D,A
Rationale: Anorexia nervosa is indicated by low BMI and food refusal; addressing dysphoria, structured meals, weight, and cardiac function are key.
Extract:
Question 2 of 5
A nurse is providing teaching to a client who has a new prescription for lorazepam for anxiety. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: Lorazepam can cause drowsiness, so avoiding driving is necessary for safety.
Question 3 of 5
A nurse is conducting health promotion education regarding contraindications to combination oral contraceptive use to a group of women. Which of the following conditions should the nurse include in the teaching?
Correct Answer: D
Rationale: Hypertension is a contraindication because it increases the risk of cardiovascular complications when using combination oral contraceptives.
Extract:
Vital signs
0600:
Temperature 37.2° C (99° F)
Heart rate 66/min
Respiratory rate 16/min
BP 130/82 mm Hg
Pulse oximetry 96% on room air
1000:
Temperature 37.6° C (99.7° F)
Heart rate 70/min
Respiratory rate 20/min
BP 160/102 mm Hg
Pulse oximetry 96% on room air
Client reports pain as 10 on a scale of 0 to 10 from headache
Question 4 of 5
For each potential nursing action, click to specify if the action is anticipated or contraindicated for the client.
| Options | Anticipated | Contraindicated |
|---|---|---|
| Perform suctioning | ||
| Withhold pain medication for headache until other manifestations resolve | ||
| Assess blood pressure every 15 minutes | ||
| Administer nifedipine | ||
| Assess for urinary retention | ||
| Place client in supine position |
Correct Answer: C,E
Rationale: Frequent blood pressure checks and assessing urinary retention are anticipated to manage autonomic dysreflexia, while suctioning, withholding pain medication, nifedipine, and supine positioning are contraindicated.
Extract:
Question 5 of 5
A nurse is providing teaching about the adverse effects of sertraline. Which of the following adverse effects should the nurse include?
Correct Answer: A
Rationale: Excessive sweating is a common side effect of SSRIs like sertraline.