ATI RN Comprehensive Predictor 2023
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Free ATI RN Comprehensive Predictor 2023 Questions
A nurse on a medical-surgical unit is notified that a mass casualty event has occurred in the community. Which of the following actions should the nurse plan to take?
- A. Act as a liaison between the facility and the media.
- B. Determine the medical needs of incoming clients through the emergency department.
- C. Recommend to the provider specific acute care clients for discharge.
- D. Call in additional medical-surgical unit nursing care staff.
Explanation
During a mass casualty event, hospital units must rapidly increase capacity to accommodate incoming victims. One of the most important roles of the medical-surgical nurse is to identify stable clients who may be safely discharged or transferred to make room for critically injured clients arriving through the ED. This step helps decompress the facility, ensures efficient flow of patients, and supports disaster triage protocols. The nurse collaborates with the provider to determine appropriate candidates.
A nurse is caring for a toddler in the outpatient setting.
Exhibit 1
Nurses' Notes
1 week ago:
Guardians report 2-day history of fever, congestion, and cough. Toddler fussy, moderate amount of clear, thick nasal drainage noted. Frequent loose, non-productive cough. Lungs sound clear. Respirations easy and unlabored.
Today:
Guardians report toddler continues with a fever and is now vomiting and difficult to rouse.
Guardians report administering aspirin and acetaminophen alternately during the past week.
Toddier lethargic and frequently vomiting small amounts of clear fluid. Respirations easy and unlabored. Nonproductive cough noted. Mucus membranes slightly dry. Guardians report no void today.
Exhibit 2
Vital Signs
1 week ago:
Heart rate 114/min
Respiratory rate 30/min
Temperature 38.8° C (101.8* F)
Today:
Heart rate 120/min
Respiratory rate 22/min
Temperature 39° C (102.2° F)
Exhibit 3
Plan of Care
1 week ago:
Treat with antipyretids. Encourage fluid intake. Return to office if manifestations worsen. Start prescription for oseltamivir for 5 days.
Exhibit 4
Results
1 week ago:
Influenza A positive (neEncourage fluid intake. Return to office if Influenza B negative (neStart prescription for oseltamivir for 5
Complete the following sentence by using the lists of options.
- A. Reye’s syndrome … aspirin administration
- B. Gastroenteritis … oseltamivir administration
- C. Bronchitis … acetaminophen administration
Explanation
Reye’s syndrome is a life-threatening condition associated with giving aspirin to children recovering from viral infections such as influenza A, which this toddler tested positive for. The toddler now presents with hallmark signs: vomiting, lethargy, difficulty arousing, and worsening neurological status. These symptoms strongly indicate progression to Reye’s syndrome, a medical emergency that develops when aspirin triggers acute encephalopathy and liver dysfunction.
A nurse is assessing a 1-month-old infant at a pediatric clinic. Which of the following findings indicates developmental dysplasia of the hip (DDH)?
- A. Femoral head remains in the acetabulum during the Barlow maneuver
- B. Equal leg length
- C. Limited hip abduction
- D. Symmetric gluteal and thigh skin folds
Explanation
Limited hip abduction in an infant is a key sign of developmental dysplasia of the hip (DDH). When the hip joint is not properly formed, movement becomes restricted, especially when abducting the thighs. This finding is particularly significant after the first few weeks of life, when instability signs such as positive Barlow or Ortolani maneuvers may no longer be present. Decreased abduction reflects structural abnormalities in the hip joint and warrants prompt orthopedic evaluation to prevent long-term mobility issues.
- A. Place the client upright on a donut-shaped cushion.
- B. Teach the client to shift his weight every 15 min while sitting.
- C. Assess pressure points every 24 hr.
- D. Turn and reposition the client every 3 hr while in bed.
Explanation
- A. A client who has dementia and is incontinent of urine
- B. A client who is 2 days postoperative following orthopedic surgery
- C. A client who has a T-tube following an open cholecystectomy
- D. A client who has had a recent myocardial infarction
Explanation
- A. A client who moved to an apartment located on higher ground than her previous home.
- B. A client who has frequent nightmares about the hurricane.
- C. A client who expresses a realization that life will not return to the way it was before the hurricane.
- D. A client who describes having persistent feelings of anger about the hurricane.
- E. A client who describes feeling disconnected from those around him following the hurricane.
Explanation
- A. "I will set a timer for 10 minutes for each timeout session."
- B. "My child will learn rules through physical punishment."
- C. "I will remind my child of their misbehavior to reinforce discipline."
- D. "A timeout session should begin once my child is quiet."
Explanation
- A. "Attempt to void every 2 hours."
- B. "Perform Kegel exercises several times daily."
- C. "Maintain a daily fluid intake of 1,000 to 1,200 mL/day."
- D. "Take prescribed diuretics no later than 2000."
- E. "Maintain optimal body weight for height."
Explanation
- A. "I will set a timer for 10 minutes for each timeout session."
- B. "My child will learn rules through physical punishment."
- C. "I will remind my child of their misbehavior to reinforce discipline."
- D. "A timeout session should begin once my child is quiet."
Explanation
- A. A client who has an open compound fracture of the humerus
- B. A client who has multiple facial lacerations
- C. A client who has a puncture wound in the right lower lung
- D. A client who has full-thickness burns over the lower extremities
Explanation
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