ATI RN
RN Comprehensive Predictor 2023 Questions
Extract:
Nurses' Notes
Vital Signs
0900:
Contractions occurring every 3 to 4 min, lasting 80 to 90
seconds. Client rates pain with contractions as 10 on a scale of 0 to 10 and requests an epidural. Contractions approximately 4 min apart. Vaginal examination reveals cervix dilated 5 cm, 80% effaced, -1 station, vertex presentation. FHR baseline 142/min with moderate variability. IV fluid bolus initiated.
0930:
Epidural inserted by anesthesiology. Client reports pain as 2 on a scale of 0 to 10.
0950:
Spontaneous rupture of membranes with clear fluid.
Question 1 of 5
Select the 5 actions the nurse should take.
| Exert upward pressure on the presenting part. |
| Place the client in a Trendelenburg position. |
| Administer oxygen at 10 L/min via nonrebreather face mask. |
| Attempt to push the umbilical cord back into the cervix. |
| Have the charge nurse notify the provider. |
| Increase the flow rate of the maintenance IV fluid. |
Correct Answer: A,B,C,E,F
Rationale: Exert pressure: Relieves cord compression. Trendelenburg: Reduces cord pressure. Oxygen: Improves fetal oxygenation. Notify provider: Ensures timely intervention. Increase IV fluid: Supports maternal circulation.
Extract:
Question 2 of 5
A nurse is caring for a client who has a new diagnosis of pancreatitis. Which of the following laboratory findings should the nurse expect?
Correct Answer: A
Rationale: Pancreatitis causes elevated serum amylase due to pancreatic inflammation and enzyme release.
Question 3 of 5
A nurse is teaching a client who has a new prescription for metformin. Which of the following laboratory values should the nurse instruct the client to monitor?
Correct Answer: D
Rationale: Metformin requires monitoring of renal function (serum creatinine) and glycemic control (hemoglobin A1c).
Question 4 of 5
A nurse is assessing a client who has preeclampsia. Which of the following findings should the nurse report to the provider?
Correct Answer: D
Rationale: Epigastric pain is a sign of worsening preeclampsia, possibly indicating liver involvement, and requires immediate reporting.
Question 5 of 5
A nurse is preparing to administer the first dose of cefazolin via intermittent Ivrder and refuses to take their medication. Which of the following nurse take first?
Correct Answer: C
Rationale: Reviewing the client's allergy history is the priority to prevent a potentially life-threatening allergic reaction.