ATI RN
RN Comprehensive Predictor 2023 Questions
Extract:
Nurses' Notes
Vital Signs
Laboratory results
Provider prescriptions
0900:
Client who is at 38 weeks of gestation presents to the antepartum unit with uterine contractions, dark red vaginal bleeding, and abdominal pain that started approximately 45 min prior to arrival. Rates abdominal pain a 7 on a scale of 0 to 10. Client reports, "My blood pressure has been high during the pregnancy."
Home Medications: prenatal multivitamin, methyldopa 250 mg PO twice daily
Physical Exam:
General: tearful, anxious
Cardiovascular: S1, S2, no murmur
Respiratory: bilateral breath sounds clear
Abdomen: Uterine hypertonicity with a board-like abdomen, tenderness noted upon palpation of left upper quadrant FHR: 116/min, minimal variability noted
Question 1 of 5
Complete the following sentence by using the lists of options. The client is at risk of developing ___ due to the client ___ .
| hypovolemic shock |
| Fetal distress |
| Sepsis |
| Fetal heart rate |
| Numeric pain scale |
| Blood loss |
Correct Answer: E
Rationale: The client is at risk of developing hypovolemic shock due to the client Blood loss. The client has dark red vaginal bleeding and low hemoglobin and hematocrit, indicating significant blood loss.
Extract:
Question 2 of 5
A nurse is teaching a client who has a new prescription for warfarin about dietary considerations. Which of the following foods should the client limit?
Correct Answer: A
Rationale: Broccoli is high in vitamin K, which can counteract warfarin's anticoagulant effect.
Question 3 of 5
A nurse is caring for a client who is postoperative following a total knee replacement. Which of the following interventions should the nurse include?
Correct Answer: B
Rationale: A CPM machine promotes joint mobility and prevents stiffness post-surgery.
Question 4 of 5
A nurse in an outpatient mental health clinic is assessing an adolescent client. The nurse should expect the adolescent to be in which of the following of Erikson's stages of psychosocial development?
Correct Answer: B
Rationale: According to Erikson's stages of psychosocial development, adolescents (ages 12-18) are in the stage of Identity vs. Role Confusion. During this stage, they work to develop a sense of personal identity and to explore different roles and beliefs.
Question 5 of 5
A nurse is caring for a client who experienced a traumatic brain injury 72 hr ago. Which in the client's findings are potential indication of increased intracranial pressure?
Correct Answer: C
Rationale: An increasingly severe headache is a key sign of rising ICP due to increased pressure on pain-sensitive structures.