ATI RN
ATI RN Comprehensive Predictor 2023 Updated Questions
Extract:
Question 166: Report an IssueReport Wrong Answer
Nurses' notes
History and Physical
Vital signs
Today 0700:
Received change of shift report. Client is 2 days postoperative following a hysterectomy and they have not yet ambulated with physical therapy due to significant postoperative pain. Per change of shift report, pain medications have been adjusted and pain has improved. Client currently reports pain level as 2 on a scale of 0 to 10.
0900:
Ambulating in hallway with the assistance of physical therapy. 1000:
Return to bed with siderails up x 2, but not wearing sequential compression devices because they "hurt too much." Applied antiembolism stockings.
1400:
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.
| Deep vein thrombosis |
| Muscle strain |
| Cellulitis |
| Heart failure |
| Check for pedal pulses and signs of ischemia |
| Request a prescription for a lower-extremity Doppler flow study |
| Parameters to Monitor A. ECG changes B. PTINR and platelet count C. Temperature D. Brain natriuretic peptide (BNP) levels E. Signs of bleeding after anticoagulation Initiation |
Correct Answer: A,D,E,C
Rationale: Deep vein thrombosis is likely due to surgery and immobility; checking pulses and requesting a Doppler study are key actions, with bleeding signs and temperature monitored.
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 2 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 3 of 5
A nurse is caring for a client who is postoperative following an appendectomy. Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: A temperature of 38.4°C may indicate a postoperative infection, requiring immediate follow-up.
Question 4 of 5
A nurse is caring for a school-age child who is postoperative and received morphine via IV bolus for pain 10 min ago. Which of the following findings is the nurse's priority?
Correct Answer: B
Rationale: Bradypnea is the priority concern because morphine can depress the respiratory rate, potentially leading to hypoxia and respiratory arrest.
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 5 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.