ATI RN Comprehensive Predictor Exam And RN Comp
Practice 2025 A
A nurse is assessing an infant with hydrocephalus and is 6hrs post-op following a
ventriculoperitoneal shunt. What finding should be reported to the HCP?
A. Heart rate 122
B. Irritability when being held
C. Hypoactive bowel sounds
D. Urine specific gravity 1.018 - Answers-B. Irritability when being held
-Manifestation of increased ICP, indicating the VP shunt is malfunctioning. Report to HCP
immediately.
A nurse is planning care for a patient who is receiving heparin to treat a DVT of the lower
left leg. Which intervention should be included?
A. Maintain the patient on bed rest
B. Restrict the patient to 1L of fluid/day
C. Place cool compresses on edematous area
,D. Elevate the affected leg - Answers-D. Elevate the affected leg
-To reduce edema and decrease the risk of chronic venous insufficiency
-Encourage ambulation once anticoagulant is initiated
-Encourage fluid intake 2-3L/day to decrease platelet aggregation and prevent dehydration
-Place warm compresses on affected area to reduce swelling and provide comfort
A nurse is teaching a patient about the basal body temp method to prevent conception. What
should be included in the teaching?
A. "Your body temp will drop approximately 1 deg. one week after ovulation."
B. "You should take your body temp each evening prior to going to sleep."
C. "Your body temp might decrease slightly just prior to ovulation."
D. "Your body temp is at its highest during menstruation." - Answers-C. "Your body temp
might decrease slightly just prior to ovulation."
-Body temp rises about 0.7-1.4F after ovulation. Elevation remains until 2-4 days prior to the
start of menstruation.
-Measure body temp upon waking up every morning before getting out of bed.
,NGN: What assessment findings can indicate a transfusion reaction in a patient receiving
blood?
Urine output (150mL of clear, yellow)
Skin (pale, cool and dry)
Anxiety
Vital signs (within normal range)
Headache
Back pain - Answers-Back pain, headache & anxiety.
Hemolytic reaction S/S: back pain, headache, anxiety, fever, chills, chest pain, tachycardia,
dyspnea, hypotension.
NGN: Patient arrives with palpitations, difficulty breathing, and reports feeling faint. Reports
constipation and joint pain for x2 days. In childhood, patient experienced physical abuse, and
emotionally detached parents. Reports nervousness and only leaving home when necessary.
PMH: freq. hospital visits due to headaches and GI distress.
Bowtie: - Answers-Condition: somatic symptom disorder
-due to physical inactivity & joint pain
, Interventions: Monitor physical manifestations & assess for presence of 2nd gains from
their illness
-disorder is characterized by the presence of other real manifestations like dizziness,
nausea, back pain, and joint pain.
Monitor: Vital signs & pain.
NGN: What actions should the nurse take when her pedi patient is exhibiting symptoms of an
allergic reaction?
Administer 0.9% NS IV
Administer epi IM
Monitor urine output q2hrs
DC supplemental oxygen
Monitor vital signs frequently
DC IV medication - Answers-Administer 0.9% NS IV
Administer epi IM
Monitor vital signs frequently
DC IV medication
-Nurse should DC the Rocephin and give IV NS to help restore fluids because fluid shifts can
occur quickly during a reaction. Administering epi IM is the first line of therapy for
anaphylactic reactions because it constricts blood vessels and dilates bronchioles.
Monitoring vital sings frequently will allow the nurse to monitor for signs of shock.
Practice 2025 A
A nurse is assessing an infant with hydrocephalus and is 6hrs post-op following a
ventriculoperitoneal shunt. What finding should be reported to the HCP?
A. Heart rate 122
B. Irritability when being held
C. Hypoactive bowel sounds
D. Urine specific gravity 1.018 - Answers-B. Irritability when being held
-Manifestation of increased ICP, indicating the VP shunt is malfunctioning. Report to HCP
immediately.
A nurse is planning care for a patient who is receiving heparin to treat a DVT of the lower
left leg. Which intervention should be included?
A. Maintain the patient on bed rest
B. Restrict the patient to 1L of fluid/day
C. Place cool compresses on edematous area
,D. Elevate the affected leg - Answers-D. Elevate the affected leg
-To reduce edema and decrease the risk of chronic venous insufficiency
-Encourage ambulation once anticoagulant is initiated
-Encourage fluid intake 2-3L/day to decrease platelet aggregation and prevent dehydration
-Place warm compresses on affected area to reduce swelling and provide comfort
A nurse is teaching a patient about the basal body temp method to prevent conception. What
should be included in the teaching?
A. "Your body temp will drop approximately 1 deg. one week after ovulation."
B. "You should take your body temp each evening prior to going to sleep."
C. "Your body temp might decrease slightly just prior to ovulation."
D. "Your body temp is at its highest during menstruation." - Answers-C. "Your body temp
might decrease slightly just prior to ovulation."
-Body temp rises about 0.7-1.4F after ovulation. Elevation remains until 2-4 days prior to the
start of menstruation.
-Measure body temp upon waking up every morning before getting out of bed.
,NGN: What assessment findings can indicate a transfusion reaction in a patient receiving
blood?
Urine output (150mL of clear, yellow)
Skin (pale, cool and dry)
Anxiety
Vital signs (within normal range)
Headache
Back pain - Answers-Back pain, headache & anxiety.
Hemolytic reaction S/S: back pain, headache, anxiety, fever, chills, chest pain, tachycardia,
dyspnea, hypotension.
NGN: Patient arrives with palpitations, difficulty breathing, and reports feeling faint. Reports
constipation and joint pain for x2 days. In childhood, patient experienced physical abuse, and
emotionally detached parents. Reports nervousness and only leaving home when necessary.
PMH: freq. hospital visits due to headaches and GI distress.
Bowtie: - Answers-Condition: somatic symptom disorder
-due to physical inactivity & joint pain
, Interventions: Monitor physical manifestations & assess for presence of 2nd gains from
their illness
-disorder is characterized by the presence of other real manifestations like dizziness,
nausea, back pain, and joint pain.
Monitor: Vital signs & pain.
NGN: What actions should the nurse take when her pedi patient is exhibiting symptoms of an
allergic reaction?
Administer 0.9% NS IV
Administer epi IM
Monitor urine output q2hrs
DC supplemental oxygen
Monitor vital signs frequently
DC IV medication - Answers-Administer 0.9% NS IV
Administer epi IM
Monitor vital signs frequently
DC IV medication
-Nurse should DC the Rocephin and give IV NS to help restore fluids because fluid shifts can
occur quickly during a reaction. Administering epi IM is the first line of therapy for
anaphylactic reactions because it constricts blood vessels and dilates bronchioles.
Monitoring vital sings frequently will allow the nurse to monitor for signs of shock.
