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
Select the 2 actions that the nurse should take.
| Assist the provider with inserting a fetal scalp electrode (FSE) and intrauterine pressure catheter (IUCP) |
| Obtain serial H&H and clotting studies. |
| Administer misoprostol 600 mg rectally. |
| Place the client in a supine position. |
| Prepare to transfuse 2 units of packed RBCs. |
Correct Answer: B,E
Rationale: Obtain serial H&H and clotting studies: Monitors blood loss and coagulation status. Prepare to transfuse 2 units of packed RBCs: Addresses hypovolemic shock and blood loss.
Extract:
Question 2 of 5
A nurse is reading a tuberculin skin test for a client who received a purified protein derivative test 72 hr ago. Which of the following findings indicates a positive test?
Correct Answer: D
Rationale: An induration measuring 10 mm is considered positive in most adults, indicating TB exposure.
Question 3 of 5
A nurse is caring for a client who has a new prescription for enoxaparin. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: Enoxaparin is administered subcutaneously into the abdomen to ensure proper absorption.
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 4 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.
Question 5 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.