ATI RN
RN Comprehensive Predictor 2023 Questions
Extract:
Nurses' Notes
Vital signs
0640:
Weight 4200 gm (9 lb 4 oz), head circumference 35.5 cm (14 in) Respiratory rate 68/min, with mild grunting.
0650:
Respiratory rate 72/min, with mild grunting
0700:
Apgar score 9
Interoom transferred to nursery.
Question 1 of 5
SELECT words from the choices below to fill in each blank in the following sentence. The client is at risk for developing ___ and ___ .
| bronchopulmonary dysplasia |
| transient tachypnea of the newborn |
| tachycardia |
| hypoglycemia |
Correct Answer: B,D
Rationale: The client is at risk for developing transient tachypnea of the newborn and hypoglycemia. Elevated respiratory rate and high birth weight increase risks.
Extract:
Question 2 of 5
A nurse is teaching a client who has a new prescription for an epinephrine auto-injector. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: Massaging the injection site enhances epinephrine absorption.
Question 3 of 5
A nurse is assessing a client who is receiving IV vancomycin. Which of the following findings indicates an adverse reaction?
Correct Answer: B
Rationale: Redness and itching at the IV site may indicate an allergic reaction or infusion reaction, requiring immediate attention.
Extract:
Vital Signs
Diagnostic Results
Client reports new onset of fever and discomfort in their joints and increase malaise. No relevant medical history. Client is alert to person, place, time, and situation. Reports generalized pain as 4 on a scale of 0 to 10. Macular rash present on cheeks bilateral. Lungs clear anterior and posterior. Bowel sounds active in all 4 quadrants. Last bowel movement 1 day ago. Skin warm, dry, and intact. Capillary refill less than 3 seconds. A 20 gauge IV saline lock inserted in back left hand.
Question 4 of 5
Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.
| Actions to Take: A. Maintain separate equipment for the client B. Provide a low sodium diet C. Monitor ketone levels D. Administer opioids for pain E. Monitor weight |
| Potential Condition A. Pancreatitis B. Cirrhosis C. HIV D. Diabetic ketoacidosis |
| Parameters to Monitor A. Lymphocyte counts B. Bleeding episodes C. Dyspnea D. Hypotension |
| Prepare client for light therapy |
| Ensure that client has intake of at least 200 mL/hr. |
| Vital signs every 4 hr |
| Erythrocyte sedimentation rate |
Correct Answer: A
Rationale: Condition: Systemic lupus erythematosus. Actions: Administer immunosuppressants, Avoid sunlight. Parameters: Vital signs, ESR. Symptoms and lab results suggest SLE.
Extract:
Question 5 of 5
A nurse is assessing a client who has a suspected pulmonary embolism. Which of the following findings should the nurse report immediately?
Correct Answer: B
Rationale: Sudden dyspnea is a critical sign of pulmonary embolism, requiring immediate reporting.