ATI RN
RN Comprehensive Predictor 2023 Questions
Extract:
History and Physical
Nurses' Notes
Vital Signs
Client diagnosed with traumatic brain injury (TBI) from car crash 7 years ago and a concussion 5 years ago following a fall. Client brought in by partner who says, "They struggle every day now around the house. I'm worried to leave them alone." Client says, "Lately, I've had a hard time writing and I get lost a lot." Partner states, "The last year, they seem off. They have become socially withdrawn and refrain from going out with friends. Difficulty speaking began approximately 6 months ago." Client agrees and states, "I frequently misplace things around the house too."
Question 1 of 5
Select 1 condition and 1 client finding to fill in each blank in the following sentence. The client may be prescribed ___ to treat ___ .
| gabapentin 100 mg PO three times daily |
| memantine 5 mg PO twice daily |
| haloperidol 1 mg PO twice daily |
| citalopram 20 mg PO once daily |
| lithium 300 mg PO three times daily |
| pain level |
| cognitive changes |
Correct Answer: B
Rationale: The client may be prescribed memantine 5 mg PO twice daily to treat cognitive changes. Symptoms suggest cognitive decline.
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:
Vital Signs
Nurses' Notes
History and Physical
0730:
Blood pressure 120/80 mm Hg
Heart rate 78/min
Respiratory rate 14/min
Temperature 37.1° C (98.8° F)
Oxygen saturation 97% on room air
Question 3 of 5
For each potential provider's prescription, click to specify if the potential prescription is anticipated or contraindicated for the client.
| Options | Anticipated | Contraindicated |
|---|---|---|
| Bupropion 100 mg PO three times daily | ||
| Levomilnacipran 20 mg PO daily | ||
| Citalopram 20 mg PO daily | ||
| Fluoxetine 20 mg PO daily |
Correct Answer: A,B,C
Rationale: Bupropion: Contraindicated - Increases seizure risk. Levomilnacipran: Anticipated - Safe for depression. Citalopram: Anticipated - Effective for depression. Fluoxetine: Anticipated - Effective for bulimia and depression.
Extract:
Question 4 of 5
A nurse is caring for a client who has a new prescription for enalapril. Which of the following findings should the nurse monitor?
Correct Answer: A
Rationale: Enalapril, an ACE inhibitor, commonly causes a persistent dry cough, which should be monitored.
Question 5 of 5
A home care nurse is making a follow-up visit with a client who has COPD and is using a compressed oxygen system in his home. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The oxygen tank should be placed away from curtains or drapes to reduce the risk of fire.