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tk (LATEST UPDATE) ACTUAL EXAM/TEST tk tk tk tk tk tk
tk QUESTIONS AND 100% VERIFIED ANSWERS| A+ GRADE tk tk tk tk tk tk
tk FORM A,B&C tk
FORM A - ATI RN VATI COMPREHENSIVE PREDICTOR 2025
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Q1. A client with CHF is on furosemide and digoxin. Which finding should the
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nurse report immediately?
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A. Serum potassium 3.0 mEq/L tk tk tk
B. Digoxin level 1.0 ng/mL tk tk tk
C. Oxygen saturation 95% on room air tk tk tk tk tk
D. Crackles in lung bases tk tk tk
Answer: A. Serum potassium 3.0 mEq/L
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Rationale: Hypokalemia predisposes to digoxin toxicity and dysrhythmias.
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Digoxin level is within normal, O2 sat 95% is adequate, crackles are expected but
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not as urgent.
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Q2. The nurse admits a client with pulmonary edema due to CHF. Which initial
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action should the nurse take?
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A. Restrict fluids to 1,200 mL/day tk tk tk tk
B. Place the client in high Fowler’s position
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C. Insert an indwelling urinary catheter
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D. Prepare to administer furosemide IV tk tk tk tk
Answer: B. Place the client in high Fowler’s position
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Rationale: Positioning improves oxygenation immediately. Medications and fluid
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,restriction come after airway optimization. tk tk tk tk
Q3. A nurse teaches a client about digoxin. Which statement indicates a need for further
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teaching?
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A. “I will take my pulse before each dose.”
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B. “If I feel nauseated, I will stop the medication.”
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C. “I will take my medication at the same time each day.”
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D. “If my vision becomes blurred, I’ll call my provider.”
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Answer: B. “If I feel nauseated, I will stop the medication.”
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Rationale: Client should report symptoms to provider, not stop medication abruptly.
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Q4. The nurse observes a client with CHF developing acute dyspnea and frothy
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sputum. Which intervention is priority?
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A. Notify the provider tk tk
B. Increase oxygen flow rate tk tk tk
C. Place client upright with legs dangling
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D. Prepare for morphine administration tk tk tk
Answer: C. Place client upright with legs dangling
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Rationale: Position improves gas exchange and reduces preload immediately.
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Q5. Which laboratory finding should the nurse monitor closely in a client receiving
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furosemide?
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A. Hemoglobin
B. Potassium
C. Sodium
D. Glucose
,Answer: B. Potassium tk tk
Rationale: Loop diuretics cause potassium loss, increasing risk for dysrhythmias.
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Case Study 2: Preeclampsia
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Q6. A pregnant client at 34 weeks with preeclampsia is receiving magnesium
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sulfate. Which finding requires immediate action?
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A. Urine output 25 mL/hr tk tk tk
B. BP 150/98 mmHgtk tk
C. Fetal heart rate 140/min
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D. Reflexes +3 tk
Answer: A. Urine output 25 mL/hr
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Rationale: Oliguria indicates risk for magnesium toxicity since the drug is renally
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excreted.
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Q7. Which of the following is the antidote for magnesium sulfate toxicity?
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A. Calcium gluconate tk
B. Sodium bicarbonate tk
C. Naloxone
D. Atropine
Answer: A. Calcium gluconatetk tk tk
Rationale: Calcium gluconate reverses CNS and respiratory depression caused by
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tk magnesium.
Q8. A client on magnesium sulfate reports feeling flushed and warm. What should
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the nurse do?
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A. Stop the infusion immediately
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B. Document the finding as expected tk tk tk tk
, C. Administer calcium gluconate tk tk
D. Notify the provider tk tk
Answer: B. Document the finding as expected
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Rationale: Flushing and warmth are common side effects, not toxicity.
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Q9. Which of the following fetal monitoring patterns indicates uteroplacental
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insufficiency?
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A. Variable decelerations tk
B. Late decelerations tk
C. Early decelerations tk
D. Accelerations
Answer: B. Late decelerations tk tk tk
Rationale: Late decelerations reflect poor placental perfusion and oxygen delivery
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to the fetus.
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Q10. Which of the following vaccines is contraindicated during pregnancy?
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A. Tdap
B. Hepatitis B tk
C. MMR
D. Influenza(inactivated) tk
Answer: C. MMR
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Rationale: MMR is a live vaccine and contraindicated during pregnancy.
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Case Study 3: Psychiatric Nursing
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Q11. A client with major depressive disorder expresses suicidal ideation. Which is
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the priority intervention?
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A. Establish a no-suicide contract tk tk tk