______________________________________
ATI RN COMPREHENSIVE
PREDICTOR
Exam version 3
(NGN-STYLE QUESTIONS & CASE
“SCENARIOS”)
QUESTIONS AND VERIFIED ANSWERS|
100% CORRECT| GRADED A+
EXAM COVER SHEET
PROGRAM: RN (REGISTERED NURSE PROGRAM)
COURSE NAME: ATI RN
EXAM NAME: ATI RN Comprehensive Predictor Exam – Version
3
ATI RN COMPREHENSIVE PREDICTOR
version 3
,### 1. NEW GENERATION 1: Case Scenario—Vital Signs
Case Scenario:
Question: Bipolar Disorder – Lithium Therapy and Vital Sign
Monitoring
A nurse is caring for a client who has been admitted with a diagnosis of
bipolar disorder and is receiving lithium therapy for mood stabilization.
During routine monitoring, the nurse compares the client’s admission
weight with the current weight. The nurse notes that the client’s weight has
changed from 74.8 kg (165 lb) on admission to 74.38 kg (164 lb). The
nurse understands that changes in fluid balance and hydration status can
affect lithium levels because lithium is processed by the kidneys. The nurse
should identify the condition the client may be developing and monitor for
related symptoms.
Multiple Choice Options
A. Lithium toxicity
B. Urinary tract infection
C. Metabolic syndrome
D. Neuroleptic malignant syndrome
Correct Answer: A. Lithium toxicity
Verified Rationale
The client receiving lithium therapy should be monitored closely for lithium
toxicity, especially when there are changes in weight that may indicate fluid
loss or dehydration. Lithium has a narrow therapeutic range, meaning small
changes in fluid and electrolyte balance can cause lithium levels to rise to
,toxic levels. Signs of lithium toxicity include nausea, vomiting, diarrhea,
worsening tremors, confusion, drowsiness, muscle weakness, and
seizures. The nurse should monitor the client’s hydration status, kidney
function, lithium blood levels, and changes in weight. Maintaining adequate
fluid and sodium intake helps prevent lithium accumulation.
0R
Verified Rationale:
A minor reduction in body weight, especially in the setting of lithium
therapy, can concentrate serum lithium levels, increasing the risk of toxicity.
Lithium has a narrow therapeutic index, and even modest dehydration or
fluid loss can precipitate toxicity. Other diagnoses are less likely with the
information provided.
, ### 2. Infusion Pump Safety Protocols
Question:
Question: Infusion Pump Safety Protocols
A nurse is preparing to initiate intravenous (IV) fluids for a client
using an infusion pump. Before starting the infusion, the nurse
performs a safety check of the equipment to ensure the device is
functioning properly and meets facility safety standards. The nurse
understands that electrical safety is essential when using infusion
pumps because faulty equipment can increase the risk of injury to
the client and staff. Which of the following actions should the nurse
take?
A. Obtain a surge protector that can accommodate the pump and several
other appliances
B. Verify that the extension cord for the pump is ungrounded
C. Report the pump has a frayed cord and proceed with the infusion
D. Check the expiration date on the safety inspection sticker of the pump
Answer: A. Obtain a surge protector that can accommodate the pump and
several other appliances
Verified Rationale:
Using a surge protector that can accommodate the pump ensures electrical
safety and reduces the risk of electric shock or fire. Never proceed with a
frayed cord (C) and an ungrounded cord (B) poses a hazard. While
checking the inspection sticker is important, priority is given to immediate
electrical safety.
ATI RN COMPREHENSIVE
PREDICTOR
Exam version 3
(NGN-STYLE QUESTIONS & CASE
“SCENARIOS”)
QUESTIONS AND VERIFIED ANSWERS|
100% CORRECT| GRADED A+
EXAM COVER SHEET
PROGRAM: RN (REGISTERED NURSE PROGRAM)
COURSE NAME: ATI RN
EXAM NAME: ATI RN Comprehensive Predictor Exam – Version
3
ATI RN COMPREHENSIVE PREDICTOR
version 3
,### 1. NEW GENERATION 1: Case Scenario—Vital Signs
Case Scenario:
Question: Bipolar Disorder – Lithium Therapy and Vital Sign
Monitoring
A nurse is caring for a client who has been admitted with a diagnosis of
bipolar disorder and is receiving lithium therapy for mood stabilization.
During routine monitoring, the nurse compares the client’s admission
weight with the current weight. The nurse notes that the client’s weight has
changed from 74.8 kg (165 lb) on admission to 74.38 kg (164 lb). The
nurse understands that changes in fluid balance and hydration status can
affect lithium levels because lithium is processed by the kidneys. The nurse
should identify the condition the client may be developing and monitor for
related symptoms.
Multiple Choice Options
A. Lithium toxicity
B. Urinary tract infection
C. Metabolic syndrome
D. Neuroleptic malignant syndrome
Correct Answer: A. Lithium toxicity
Verified Rationale
The client receiving lithium therapy should be monitored closely for lithium
toxicity, especially when there are changes in weight that may indicate fluid
loss or dehydration. Lithium has a narrow therapeutic range, meaning small
changes in fluid and electrolyte balance can cause lithium levels to rise to
,toxic levels. Signs of lithium toxicity include nausea, vomiting, diarrhea,
worsening tremors, confusion, drowsiness, muscle weakness, and
seizures. The nurse should monitor the client’s hydration status, kidney
function, lithium blood levels, and changes in weight. Maintaining adequate
fluid and sodium intake helps prevent lithium accumulation.
0R
Verified Rationale:
A minor reduction in body weight, especially in the setting of lithium
therapy, can concentrate serum lithium levels, increasing the risk of toxicity.
Lithium has a narrow therapeutic index, and even modest dehydration or
fluid loss can precipitate toxicity. Other diagnoses are less likely with the
information provided.
, ### 2. Infusion Pump Safety Protocols
Question:
Question: Infusion Pump Safety Protocols
A nurse is preparing to initiate intravenous (IV) fluids for a client
using an infusion pump. Before starting the infusion, the nurse
performs a safety check of the equipment to ensure the device is
functioning properly and meets facility safety standards. The nurse
understands that electrical safety is essential when using infusion
pumps because faulty equipment can increase the risk of injury to
the client and staff. Which of the following actions should the nurse
take?
A. Obtain a surge protector that can accommodate the pump and several
other appliances
B. Verify that the extension cord for the pump is ungrounded
C. Report the pump has a frayed cord and proceed with the infusion
D. Check the expiration date on the safety inspection sticker of the pump
Answer: A. Obtain a surge protector that can accommodate the pump and
several other appliances
Verified Rationale:
Using a surge protector that can accommodate the pump ensures electrical
safety and reduces the risk of electric shock or fire. Never proceed with a
frayed cord (C) and an ungrounded cord (B) poses a hazard. While
checking the inspection sticker is important, priority is given to immediate
electrical safety.
