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
For each assessment finding, click to specify if the finding is consistent with placenta previa or abruptio placenta. Each finding may support more than 1 disease process or none at all.
| Options | Placenta previa | Abruptio placenta |
|---|---|---|
| Pain | ||
| Vaginal bleeding | ||
| Hemoglobin | ||
| Hematocrit | ||
| Abdominal assessment | ||
| Blood Pressure | ||
| Fetal Heart Rate |
Correct Answer: A,D
Rationale: Pain: Abruptio placenta - Pain is severe due to placental separation. Vaginal bleeding: Abruptio placenta - Dark red bleeding is typical. Hemoglobin: Both - Indicates blood loss. Hematocrit: Both - Indicates blood loss. Abdominal assessment: Abruptio placenta - Rigid, tender abdomen. Blood Pressure: Abruptio placenta - Hypotension due to blood loss. Fetal Heart Rate: Both - Minimal variability indicates distress.
Extract:
Question 2 of 5
A nurse is caring for a client who has heart failure. Which of the following manifestations should the nurse expect?
Correct Answer: A
Rationale: Crackles in the lungs are a common finding in heart failure due to pulmonary congestion and fluid accumulation.
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 3 of 5
Which of the following findings indicate an improvement in the client's condition? Select all that apply.
Correct Answer: B,C,E,F
Rationale: Heart rate: Decrease indicates stabilization. Pain level: Reduction shows effective management. Vaginal bleeding: Decrease indicates controlled bleeding. Blood pressure: Stabilization shows improved circulation.
Extract:
Question 4 of 5
A nurse in an emergency department is caring for a client who is actively bleeding from a stab wound to the thigh. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Direct pressure is the first-line intervention to control bleeding and promote hemostasis.
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 5 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.