ATI RN
VATI ATI Comprehensive Predictor 2023 Questions
Extract:
Admission Assessment
History
Nurses Notes
Vital Signs
Laboratory Results
Day 1, 1000:
An 88-year-old client was transferred to the ICU after they developed a fever and hypotension. The client was initially admitted 4 days ago with a left hip fracture and subsequently underwent total left hip replacement. The client is alert and oriented to person, place, and time. The client's partner is at the bedside.
Question 1 of 5
The nurse should first plan to perform a____ and then_____ .
| neurological assessment |
| reassess vital signs |
| administer medication |
| place the client in 4-point restraints |
| initiate a fall risk assessment |
| monitor elimination |
| document the client's condition |
Correct Answer: B,F
Rationale: [
Rationale:
- Reassessing vital signs is crucial to ensure the client's physiological stability and response to interventions.
- Monitoring elimination is important to assess the client's renal and gastrointestinal functions.
Summary:
- Neurological assessment may be important but assessing vital signs takes precedence.
- Administering medication (
C) should be based on vital sign reassessment.
- Placing the client in restraints (
D) should be a last resort.
- Fall risk assessment (E) is important but not the immediate priority.
- Documenting the client's condition (G) should follow vital sign reassessment and monitoring.]
Extract:
Question 2 of 5
Correct Answer:
Rationale:
Question 3 of 5
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Question 4 of 5
Correct Answer:
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Question 5 of 5
Correct Answer:
Rationale: