Rn Ati Comprehensive Predictor Question Bank 2025. All 2023 - 2025 Actual Exam Latest Upda, Exams of Nursing

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Rn Ati Comprehensive

Predictor Question Bank 2025.

All 2023 - 2025 Actual Exam

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RN ATI Comprehensive Predictor Question Bank

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500+ Questions and Verified Answers. Question 1 of 180 A nurse is caring for a client who refuses a blood transfusion. Which of the following actions should the nurse take? ◯ Notify risk management about the client’s refusal. ◯ Document the client’s refusal in the medical record. ◯ Inform the client that the transfusion is mandatory. ◯ Suggest that the client explore alternative therapies. Correct Answer: Document the client’s refusal in the medical record. Explanation: The nurse should document the client's refusal to ensure proper documentation of the client’s decision for legal and ethical reasons. Question 2 of 180 A nurse is caring for a client at a clinic. Admission Assessment 1 week ago: Client reports that manifestations of hopelessness and disinterest are lessened, but present. Sleep disturbance continues. Provider increased paroxetine to 30 mg daily. Return to clinic in 1 week. 2 weeks ago: Client with a history of generalized anxiety disorder and major depressive disorder. Client presents with increased hopelessness, disinterest, and a change in sleep and appetite over

◯ Delay cleaning personal work area until the end of the shift. ◯ Gather supplies for a client’s dressing change and technology check. ◯ Document assessment findings and interventions after providing care for a group of clients. ◯ Complete activities for one client before moving to the next client. Correct Answer: Complete activities for one client before moving to the next client. Explanation: Focusing on completing activities for one client at a time ensures that the nurse provides safe and thorough care without missing steps or details, which is key to effective time management. Question 5 of 180 A nurse is planning care for a client who is scheduled to receive a peripherally inserted central catheter in the arm. Which of the following interventions is appropriate for the nurse to include in the plan of care? ◯ Administer sedation for the procedure. ◯ Use gauze to secure an arm board to the involved extremity. ◯ Schedule an MRI postprocedure to verify placement. ◯ Measure the arm circumference above the insertion site daily. Correct Answer: Measure the arm circumference above the insertion site daily. Explanation: Measuring arm circumference daily is important to monitor for complications such as swelling, which can indicate infection or thrombus formation. Question 6 of 180 A nurse is caring for a client in an outpatient clinic.

Laboratory Results First office visit: Erythrocyte sedimentation rate (ESR) 22 mm/hr (up to 20 mm/hr) Hct 36% (37 to 47%) Hgb 12 g/dL (12 to 16 g/dL) WBC count 6000/mm³ (5,000 to 10,000/mm³) Uric acid 6.1 mg/dL (2.7 to 7.3 mg/dL) 6 - month follow-up: Erythrocyte sedimentation rate (ESR) 22 mm/hr (up to 20 mm/hr) Antinuclear antibodies (ANA) positive Hct 35% (37 to 47%) Hgb 11 g/dL (12 to 16 g/dL) WBC 4000/mm³ (5,000 to 10,000/mm³) Uric acid 6.3 mg/dL (2.7 to 7.3 mg/dL) Complete the following sentence by using the lists of options. The client is at highest risk for developing Select evidenced by the client’s Select . Correct Answer: The client is at highest risk for developing lupus evidenced by the client’s positive ANA test. Explanation: A positive ANA test is a common indicator of systemic lupus erythematosus (SLE), an autoimmune disorder. Question 7 of 180 A nurse is caring for a 36 - hr old infant. Nurses’ Notes 24 hr of age:

Breastfeed every 2 to 3 hr. ◯ Indicated ◯ Contraindicated Correct Answers: Supplement feeding with sterile water. ◯ Contraindicated Dress in only a diaper. ◯ Indicated Cover newborn's eyes with a shield. ◯ Indicated Apply lotion to skin every 4 hr. ◯ Contraindicated Breastfeed every 2 to 3 hr. ◯ Indicated Explanation: Sterile water supplementation is not recommended as it can interfere with breastfeeding. Dressing in only a diaper and covering the eyes are part of standard phototherapy protocols. Lotion should not be applied as it can cause skin irritation. Breastfeeding frequently is encouraged to prevent dehydration and promote bilirubin excretion. Question 8 of 180 A nurse is caring for a recently admitted 18-year-old client. Admission Assessment Skin dry and flakey, lanugo. Lips dry and chapped. Hair thin and dull, buccal mucosa dry. Diminished bowel sounds. Abdomen swollen and bloated. Lungs clear to auscultation. Respirations regular and unlabored. Heart rate regular 50/min. Client reports no menstrual cycle for past 3 months. Client reports feeling depressed. Reports starting diet 6 months ago because they "felt fat" compared to the "popular kids at school."

Question 9 of 180 A nurse is caring for a client who has cancer and is terminally ill. The client reports feeling depressed. Which of the following statements should the nurse make? ◯ “Would you like to speak to a spiritual advisor?” ◯ “Do you need a prescription for an antianxiety medication?” ◯ “Would you like to talk to a counselor about advance directives?” ◯ “Do you need information on hospice care?” Correct Answer: “Would you like to speak to a spiritual advisor?” Explanation: Offering spiritual support is appropriate in this case because it addresses the emotional and existential needs of a terminally ill client. Question 10 of 180 A nurse is caring for a client in the outpatient health clinic. Nurses’ Notes 4 weeks ago: 21 - year-old client reports increased stress and worry for the last 3 months. Client is worried about academic performance due to inability to focus on studies. School performance is suffering. Denies illicit drug use and drinks in moderation socially on the weekends. Discussed lifestyle modifications to reduce stress. Instructed client to return in 1 month to reevaluate symptoms. Today: Client reports a slight improvement in stress but is now having loss of appetite and difficulty sleeping. Instructed client to begin trazodone per provider’s prescription.

• Encourage client to sleep until later in the morning. ◯ Not Indicated Explanation: Encouraging naps, a regular sleep-wake schedule, and high-calorie foods can help with stress, sleep issues, and appetite. Advising on pregnancy and fermented foods is not relevant unless the client has specific dietary or health concerns. Rising slowly can prevent dizziness due to trazodone's sedative effects. Question 11 of 180 A nurse is caring for a postpartum client in an outpatient setting. History and Physical G1P1, spontaneous vaginal delivery with median episiotomy at 39 weeks of gestation. Newborn 4,508 g (9 lb 15 oz), APGARs: 8 at 1 min, 9 at 5 min. Group B streptococcus β-hemolytic: positive (negative). Received 2 doses of intravenous penicillin G while in labor. Complete the following sentence by using the lists of options. The client is at highest risk for developing Select as evidenced by the client’s Select . Nurses' Notes Discharge from acute care facility note 2 days postpartum: Client discharged to home with newborn. Fundus firm, midline, and measures two fingerbreadths below umbilicus. Lochia scant rubra. Episiotomy site well approximated. Mild labial edema present. Voiding without difficulty. Breastfeeding newborn every 2 to 3 hr. Denies any pain with breastfeeding, nipples intact. Reports increased firmness in breasts. Outpatient setting notes 2 weeks postpartum: Client seen for postdelivery check. Unable to palpate uterus. Denies abdominal pain. Reports

perineal discomfort as 2 on a pain scale of 0 to 10. Small amount of whitish-yellow vaginal discharge. Continues to breastfeed. Verbalizes nipple discomfort throughout feeding. Visible crack noted on left nipple. Complete the following sentence by using the lists of options. The client is at highest risk for developing endometritis as evidenced by the client’s cracked nipple. Explanation: Cracked nipples can increase the risk of infection, including endometritis, due to bacteria entering the body. Although other symptoms (like discharge) are present, the cracked nipple is a significant risk factor. Question 12 of 180 A nurse is caring for a client. Graphic Record Admission weight: 74.8 kg (165 lb) Current weight: 74.3 kg (164 lb) Complete the following sentence by using the lists of options. The nurse understands that the patient has likely developed Select and will need to be monitored for Select. I&O Prior Day Intake and Output 0800: Intake 30 mL orange juice Output 800 mL clear urine

Ketones: none (none) Bilirubin: none (none) Complete the following sentence by using the lists of options. The nurse understands that the patient has likely developed lithium toxicity and will need to be monitored for neuroleptic malignant syndrome. Explanation: Lithium toxicity is confirmed by the elevated lithium level of 2.5 mEq/L (normal range: 0.6–1. mEq/L). Symptoms like blurred vision, increased urine output, and clonic jerking are consistent with lithium toxicity. Monitoring for neuroleptic malignant syndrome (NMS) is crucial because of the potential overlap in severe symptoms Question 20 of 180 A nurse is caring for a client in the outpatient mental health clinic. History and Physical 2 months ago: Client states, "My depression has been getting a little worse lately." Client reports increased fatigue, sadness, and hypersomnia over the last few months. Client reports their manifestations have been well-controlled "for years" on fluoxetine, but "it seems to have stopped working." Client denies any physical complications or suicidal ideation. Client has a history of depression and hyperlipidemia. Client lives at home with partner and 4 - year-old child. Denies alcohol, illicit drug, or tobacco use. Exercises occasionally. Nurses' Notes Today: Client states, "I'm feeling much better." They report less fatigue, even though they have difficulty sleeping. Client reports they are not sad anymore but are experiencing more frequent headaches. Client continues to deny any suicidal ideation.

Vital Signs BP 169/91 mm Hg Heart rate 78/min Respiratory rate 18/min Plan of Care 2 months ago: Wean fluoxetine per prescription. 2 weeks after the final dose of fluoxetine, start phenelzine as prescribed. Educate client on risks, benefits, and adverse effects of medication. Report any worsening depression symptoms or suicidal ideation immediately. Question: Click to highlight the findings that indicate the client is experiencing adverse effects of the medication. To deselect a finding, click on the finding again. Correct Answers:

• Difficulty sleeping
• More frequent headaches Explanation: Difficulty sleeping (insomnia) and frequent headaches are common side effects of MAO inhibitors like phenelzine. The elevated blood pressure (169/91 mm Hg) could also be an early indication of a hypertensive crisis, a known risk with MAO inhibitors.

◻ Stares away during thunderstorms. ◻ BP 122/80 mm Hg. ◻ Heart rate 99/min. ☑ Client experiences nightmares. ◻ Attends school regularly. ◻ Caregiver reporting client acting differently than usual. ☑ Witnessing their family’s death. ☑ Smokes marijuana to clear their mind. ◻ Client denies school injury. Correct Answers:

• Client experiences nightmares.
• Witnessing their family’s death.
• Smokes marijuana to clear their mind.
• Caregiver reporting client acting differently than usual. Explanation: These findings (nightmares, substance use, traumatic family death, and caregiver concerns) require follow-up because they suggest the client might be dealing with psychological trauma or maladaptive coping mechanisms. Question 16 of 180 A nurse is caring for a client who has a prescription for 1 unit of packed RBCs. Five minutes after beginning the transfusion, the client becomes febrile with chills. After stopping the transfusion, which of the following actions should the nurse take? ◯ Infuse 500 mL lactated Ringer's IV. ◯ Administer epinephrine subcutaneously.

◯ Place the blood bag in a biohazard bag before discarding. ☑ Document the reaction in the medical record. Correct Answer: Document the reaction in the medical record. Explanation: It is critical to document any transfusion reactions immediately to ensure appropriate treatment and future precautions. While the other steps might be taken depending on the severity of the reaction, documentation is required in all cases. Question 29 of 180 A nurse manager on an interprofessional team is creating a disaster plan. The nurse should include in the plan that which of the following actions is the responsibility of the unit nurse during a disaster? ◯ Decide which clients should be transported for a higher level of care. ◯ Determine the need for additional providers. ☑ Recommend to the provider a list of clients for early discharge. ◯ Act as a spokesperson to provide information to the media. Correct Answer: Recommend to the provider a list of clients for early discharge. Explanation: One key role of the unit nurse during a disaster is to recommend which clients can be safely discharged to free up beds for incoming disaster victims. Question 30 of 180 A nurse is reviewing home recommendations with a client who is postoperative following knee surgery. Which of the following recommendations should the nurse make?

☑ Nausea ☑ DTR Correct Answers: Lower extremity assessment, weight assessment, blood pressure, nausea, DTR. Explanation: The client is showing signs of preeclampsia (headache, nausea, weight gain, edema, elevated DTRs). These findings require immediate follow-up to assess and manage the potential complications of preeclampsia. Question 22 of 180 A nurse is assessing a client who is in active labor. Which of the following findings should the nurse report to the provider? ◯ Contractions lasting 80 seconds ☑ Early decelerations in the FHR ◯ Temperature 37.4°C (99.3°F) ◯ FHR baseline 170/min Correct Answer: Early decelerations in the FHR. Explanation: Early decelerations in the fetal heart rate (FHR) may indicate fetal head compression and should be reported to the provider for further evaluation. Question 23 of 180 A nurse is positioning a client for a cesarean birth. To prevent a compromise in placental blood flow during the intraoperative period, which of the following actions should the nurse take?

◯ Insert a pillow under the client’s knees. ☑ Place a wedge under one of the client’s hips. ◯ Assist the client into the lithotomy position. ◯ Position the client in reverse Trendelenburg. Correct Answer: Place a wedge under one of the client’s hips. Explanation: Placing a wedge under the hip helps displace the uterus off the inferior vena cava, preventing hypotension and maintaining placental perfusion during surgery. Question 24 of 180 A nurse is providing teaching to a client who is at 14 weeks of gestation about findings to report to the provider. Which of the following findings should the nurse include in the teaching? ☑ Swelling of the face ◯ Faintness upon rising ◯ Bleeding gums ◯ Urinary frequency Correct Answer: Swelling of the face. Explanation: Swelling of the face can be a sign of preeclampsia and should be reported to the provider, as it may indicate a serious complication. Question 25 of 180 A nurse is giving an intramuscular injection to a newborn who was delivered at 38 weeks of gestation. Which of the following pain scales should the nurse use to assess the newborn’s pain?