ATI RN
RN Comprehensive Predictor 2023 Questions
Extract:
History and Physical
Laboratory Results
First office visit:
Client is 42 years old. Reports bilateral wrist and shoulder stiffness. Reports no history of trauma to upper extremities. Past surgical history includes appendectomy and two cesarean births.
Client takes cholesterol and diuretic medications. Family history of hypertension, hypercholesteremia, cerebrovascular accidents, stomach cancer.
6-month follow-up:
Reports bilateral wrist and shoulder stiffness that lasts for several hours after waking up in the morning. Reports fatigue
and loss of appetite
Question 1 of 5
Complete the following sentence by using the lists of options. The client is at highest risk for developing ___ evidenced by the client's ___ .
| gout |
| fibromyalgia |
| osteoarthritis |
| rheumatoid arthritis |
| family history |
| uric acid level |
| ESR level |
Correct Answer: D
Rationale: The client is at highest risk for developing rheumatoid arthritis evidenced by the client's ESR level. Symptoms and elevated ESR indicate rheumatoid arthritis.
Extract:
Question 2 of 5
A nurse is conducting an initial assessment of a client and notices a discrepancy between the client's current IV infusion and the report received during the shift report. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The nurse should first compare the current infusion with the prescription in the client's medication record to ensure the client is receiving the correct medication and dosage.
Question 3 of 5
A nurse is caring for a client who has a new prescription for furosemide. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: Furosemide can cause ototoxicity; tinnitus is a sign that should be reported immediately.
Question 4 of 5
A nurse is caring for a client who is receiving continuous enteral feedings via a PEG tube. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Checking residual volume every 4 hours prevents overfeeding and aspiration.
Question 5 of 5
A nurse is caring for a client who is postoperative following a hysterectomy. Which of the following findings should the nurse report to the provider?
Correct Answer: C
Rationale: A temperature of 38.7°C suggests infection, requiring immediate reporting.