RN Comprehensive Predictor/RN ATI Predictor Exit
Exam 2025-2026
Question 1 of 180
A home health nurse is caring for a child who has Lyme disease. Which of the following is an
appropriate action for the nurse to take?
• Ensure the state health department has been notified.
• Administer antitoxin.
• Educate the family to avoid sharing personal belongings.
• Assess for skin necrosis.
Correct Answer: Ensure the state health department has been notified.
Explanation: Lyme disease is a reportable condition in many states, so the nurse should ensure
proper notification of health authorities. Administering antitoxin or assessing for skin necrosis is
not applicable, and Lyme disease is not transmitted through shared personal belongings.
, Question 2 of 180
A nurse is caring for a client who has been admitted to the hospital.
Nurses' Notes
0900:
The client reports experiencing a loss of appetite and shortness of breath within the last month or
so. The client reports experiencing weakness, abdominal pain, severe itching, and mood changes.
The client has had alcohol use disorder for the past 10 years and sometimes drinks alcohol
uncontrollably.
The client is alert but disoriented to time. Their abdomen is bloated, and they have redness of the
palms of the hands. Excoriated areas on the upper thorax and shoulders are present. Sclera are
yellow.
1230:
Administered antacids, spironolactone, and colchicine per provider's prescription.
Laboratory Results
1200:
• Hgb 9.5 g/dL (14 to 18 g/dL)
• Hct 38% (42% to 52%)
• Bilirubin 5.3 mg/dL (0.3 to 1.0 mg/dL)
• Creatinine 1.8 mg/dL (0.6 to 1.3 mg/dL)
• Platelet count 100,000/mm³ (150,000 to 400,000/mm³)
1800:
• Alanine aminotransferase ALT 51 units/L (4 to 36 units/L)
• Aspartate aminotransferase AST 48 units/L (0 to 35 units/L)
• Alkaline phosphatase ALP 151 units/L (30 to 120 units/L)
• Blood total protein 15 g/dL (6.4 to 8.3 g/dL)
Select the 5 actions the nurse should take.
• Provide frequent rest periods for the client.
• Restrict the client's sodium intake.
• Advise the client to avoid the use of soap and alcohol-based lotions.
• Place the client on a low-carbohydrate diet.
• Place the client under contact isolation.
Exam 2025-2026
Question 1 of 180
A home health nurse is caring for a child who has Lyme disease. Which of the following is an
appropriate action for the nurse to take?
• Ensure the state health department has been notified.
• Administer antitoxin.
• Educate the family to avoid sharing personal belongings.
• Assess for skin necrosis.
Correct Answer: Ensure the state health department has been notified.
Explanation: Lyme disease is a reportable condition in many states, so the nurse should ensure
proper notification of health authorities. Administering antitoxin or assessing for skin necrosis is
not applicable, and Lyme disease is not transmitted through shared personal belongings.
, Question 2 of 180
A nurse is caring for a client who has been admitted to the hospital.
Nurses' Notes
0900:
The client reports experiencing a loss of appetite and shortness of breath within the last month or
so. The client reports experiencing weakness, abdominal pain, severe itching, and mood changes.
The client has had alcohol use disorder for the past 10 years and sometimes drinks alcohol
uncontrollably.
The client is alert but disoriented to time. Their abdomen is bloated, and they have redness of the
palms of the hands. Excoriated areas on the upper thorax and shoulders are present. Sclera are
yellow.
1230:
Administered antacids, spironolactone, and colchicine per provider's prescription.
Laboratory Results
1200:
• Hgb 9.5 g/dL (14 to 18 g/dL)
• Hct 38% (42% to 52%)
• Bilirubin 5.3 mg/dL (0.3 to 1.0 mg/dL)
• Creatinine 1.8 mg/dL (0.6 to 1.3 mg/dL)
• Platelet count 100,000/mm³ (150,000 to 400,000/mm³)
1800:
• Alanine aminotransferase ALT 51 units/L (4 to 36 units/L)
• Aspartate aminotransferase AST 48 units/L (0 to 35 units/L)
• Alkaline phosphatase ALP 151 units/L (30 to 120 units/L)
• Blood total protein 15 g/dL (6.4 to 8.3 g/dL)
Select the 5 actions the nurse should take.
• Provide frequent rest periods for the client.
• Restrict the client's sodium intake.
• Advise the client to avoid the use of soap and alcohol-based lotions.
• Place the client on a low-carbohydrate diet.
• Place the client under contact isolation.
