ATI RN
RN Comprehensive Predictor 2023 Questions
Extract:
Nurses' Notes
Vital Signs
Diagnostic Results
Day 1
1400:
Client has paraplegia and reports, "I have had a cough the last few days. I haven't had an appetite either." Denies nausea, vomiting, or diarrhea. Alert and oriented to person, place, and time. Skin is intact. Vital signs stable.
Day 2 1830:
Client is experiencing tachycardia, productive cough, and confusion
Question 1 of 5
Complete the following sentence by using the list of options. The client is at risk for ___ as evidenced by ___ .
| hypostatic pneumonia |
| anemia |
| fluid volume overload |
| calorie deficiency |
| orthostatic hypotension |
| immobility |
Correct Answer: A
Rationale: The client is at risk for hypostatic pneumonia as evidenced by immobility. Immobility increases the risk of lung fluid accumulation.
Extract:
Question 2 of 5
A nurse is assessing a client who is postoperative following a craniotomy. Which of the following findings should the nurse report immediately?
Correct Answer: B
Rationale: Pupillary dilation on one side indicates increased intracranial pressure, requiring immediate reporting.
Question 3 of 5
A nurse is assessing a newborn who is 12 hr old. Which of the following findings should the nurse report to the provider?
Correct Answer: C
Rationale: A temperature of 36.2°C indicates hypothermia, which requires immediate reporting in a newborn.
Question 4 of 5
A nurse is caring for a client who has heart failure. Which of the following manifestations should the nurse expect?
Correct Answer: B
Rationale: Reduced right-sided breath sounds can indicate pleural effusion or pulmonary congestion, common in clients with heart failure.
Question 5 of 5
A nurse is caring for a client who is postoperative following a bowel resection. Which of the following findings indicates a paralytic ileus?
Correct Answer: A
Rationale: Abdominal distention is a key sign of paralytic ileus due to impaired intestinal motility.