ATI RN
ATI RN Comprehensive Predictor 2023 Updated Questions
Extract:
Vital signs
0600:
Temperature 37.2° C (99° F)
Heart rate 66/min
Respiratory rate 16/min
BP 130/82 mm Hg
Pulse oximetry 96% on room air
1000:
Temperature 37.6° C (99.7° F)
Heart rate 70/min
Respiratory rate 20/min
BP 160/102 mm Hg
Pulse oximetry 96% on room air
Client reports pain as 10 on a scale of 0 to 10 from headache
Question 1 of 5
For each potential nursing action, click to specify if the action is anticipated or contraindicated for the client.
| Options | Anticipated | Contraindicated |
|---|---|---|
| Perform suctioning | ||
| Withhold pain medication for headache until other manifestations resolve | ||
| Assess blood pressure every 15 minutes | ||
| Administer nifedipine | ||
| Assess for urinary retention | ||
| Place client in supine position |
Correct Answer: C,E
Rationale: Frequent blood pressure checks and assessing urinary retention are anticipated to manage autonomic dysreflexia, while suctioning, withholding pain medication, nifedipine, and supine positioning are contraindicated.
Extract:
Question 2 of 5
A nurse is preparing to admit a 6-year-old with varicella to the pediatric unit. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: A negative air pressure room is appropriate for varicella, which is airborne.
Question 3 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: A
Rationale: Excessive vaginal bleeding may indicate hemorrhage, requiring immediate intervention.
Question 4 of 5
A nurse is caring for a client who has given informed consent for electroconvulsive therapy. Just before the procedure, the client tells the nurse she is considering not going forward with the treatment. Which of the following statements by the nurse is appropriate?
Correct Answer: A
Rationale: This statement respects the client's autonomy and acknowledges that the client has the right to withdraw consent at any time.
Question 5 of 5
A nurse is caring for a client who has a new prescription for prednisone for systemic lupus erythematosus. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Taking prednisone with food reduces gastrointestinal irritation.