ATI RN
RN Comprehensive Predictor 2023 Questions
Extract:
Question 1 of 5
Select words from the choices below to fill in each blank in the following sentence. The client is at greatest risk for developing ___ and ___ .
Correct Answer: A,E
Rationale: The client is at greatest risk for developing seizures and placental abruption. Preeclampsia and history increase risks.
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 2 of 5
Which of the following findings indicate an improvement in the client's condition? Select all that apply.
Correct Answer: B,C,E,F
Rationale: Heart rate: Decrease indicates stabilization. Pain level: Reduction shows effective management. Vaginal bleeding: Decrease indicates controlled bleeding. Blood pressure: Stabilization shows improved circulation.
Extract:
Question 3 of 5
A nurse is teaching a client who has a new prescription for levothyroxine. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Taking levothyroxine in the morning on an empty stomach ensures optimal absorption.
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 They have become socially withdrawn and refrain from going out with friends.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 4 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 5 of 5
A nurse is caring for a client who is receiving mechanical ventilation. Which of the following actions should the nurse take to prevent ventilator-associated pneumonia?
Correct Answer: A
Rationale: Oral care every 4 hours reduces bacterial growth in the oral cavity, decreasing the risk of pneumonia.