ATI RN Comprehensive Predictor 2023 CNI College BSN
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Free ATI RN Comprehensive Predictor 2023 CNI College BSN Questions
- A. The nurse explained the risks and benefits of the surgery.
- B. The nurse explained the surgical procedure in detail.
- C. The client knows they may no longer refuse the procedure.
- D. The client agreed to the procedure voluntarily.
Explanation
A nurse is initiating bladder retraining for a client who has urge urinary incontinence. Which of the following instructions should the nurse give the client?
- A. "Take your diuretic medication with your evening meal."
- B. "Plan to urinate every 3 hours while you are awake."
- C. "Decrease your intake of cranberry juice."
- D. "Limit your fluid intake to 500 milliliters per day."
Explanation
Bladder retraining for urge urinary incontinence focuses on scheduled voiding to increase bladder capacity and improve control. Voiding every 2–3 hours helps train the bladder to hold urine longer and reduces episodes of urgency and leakage. This technique gradually lengthens the interval between voiding, allowing the client to regain voluntary control and reduce symptoms.
A nurse is caring for a 9-year-old child at a clinic.
Exhibit 1
Nurses' Notes
1000
Child has been brought to the clinic by their parent due to a report of right arm pain. The parent states that several hours ago the child tripped and fell onto the sidewalk while playing outside.
The child states, "I was running when we were playing, and i tripped over a curb." Child is supporting their arm across their body. Exhibit 2
Assessment
1000:
Child is alert and appears developmentally appropriate for their age and well nourished.
Respirations easy and unlabored. Abdomen nondistended. Right forearm and fingers are edematous.Ecchymotic area noted on outer aspect of the forearm. Radial pulse +2. Fingers slightly cool to touch. Child can move fingers and reports a mild "tingling" sensation. Child verbalizes a pain level of 4 on a scale of 0 to 10. Abrasion noted on right knee. No active bleeding. Multiple areas of bruising noted on lower extremities in various stages of healing.
Exhibit 3
Vital Signs
1000
Temperature 36.8° C (98.2* F)
Heart rate 102/min
Respiratory rate 22/min
BP 100/60 mm Hg
Oxygen saturation 98% on room air
Which condition is MOST consistent with all four assessment findings listed in the table (sensation changes, edema, ecchymosis, and pain) based on the child's injury and clinical presentation?
- A. Sprain
- B. Fracture
- C. Dislocation
- D. None of the above
Explanation
A fracture best explains the combination of edema, ecchymosis, altered sensation (tingling), and pain following a fall onto the arm. This child’s forearm shows swelling, bruising, and mild neurovascular changes—typical signs of a bone injury. Supporting the arm across the body and reporting localized pain are also common behavioral indicators of a fracture rather than a soft-tissue or joint injury. Together, these findings strongly align with a fracture diagnosis.
- A. Disconnecting the catheter from the drainage bag to empty the bag.
- B. Emptying the drainage bag when it is half full.
- C. Keeping the drainage bag above waist level.
- D. Using sterile gloves when emptying the drainage bag.
Explanation
A nurse is discussing antidepressants with a newly licensed nurse. Which of the following clients should the nurse identify as being a candidate for antidepressant therapy?
- A. A client who has decreased urine cortisol levels
- B. A client who has decreased interleukin-6 levels
- C. A client who has decreased C-reactive protein levels
- D. A client who has decreased serotonin levels
Explanation
Antidepressant therapy is most appropriate for clients who have low serotonin levels, because serotonin is one of the primary neurotransmitters involved in regulating mood, sleep, appetite, and emotional stability. Many antidepressants—such as SSRIs—work specifically by increasing serotonin availability in the brain. Therefore, identifying reduced serotonin levels supports the need for antidepressant treatment.
A nurse is teaching a client who has multiple sclerosis. Which of the following instructions should the nurse include in the teaching?
- A. "Have your partner complete activities of daily living for you."
- B. "Soak in a hot bath."
- C. "Perform aerobic activities three times per week."
- D. "Schedule rest periods during the day."
Explanation
Clients who have multiple sclerosis experience fatigue as a major symptom due to nerve conduction problems. Scheduling rest periods throughout the day helps conserve energy, prevents overexertion, and reduces symptom exacerbations. Planned rest allows the client to pace activities and maintain independence while avoiding triggers that can worsen MS symptoms.
- A. Collect 4 mL/kg of blood in a 24-hr period.
- B. Apply lidocaine cream 30 min prior to collecting the specimen.
- C. Ask the parents to leave the room prior to collecting the blood specimen.
- D. Demonstrate the use of the equipment to the child.
Explanation
A nurse is caring for a client who is in the emergency department with multiple traumatic injuries following a motor-vehicle crash. Which of the following actions should the nurse take first?
- A. Warm blood products prior to administration.
- B. Assign the client a score on the Glasgow Coma Scale.
- C. Remove the client's clothing.
- D. Establish a patent oral airway.
Explanation
The highest priority in trauma care follows the ABCs—Airway, Breathing, Circulation. Ensuring a patent airway is always the first intervention because without an open airway, the client cannot oxygenate or ventilate, leading to rapid deterioration or death. Establishing an airway allows further assessment and interventions to proceed safely. This is the most critical action before addressing neurological status, exposure, or blood product administration.
- A. "You can obtain a personal response system that will be activated if you fall."
- B. "You need to move to a skilled nursing facility where they can prevent falls."
- C. "You can have an unlicensed assistive personnel (UAP) come to your house daily to stay with you."
- D. "You should contact a family member once a week to keep in touch."
Explanation
- A. Polydipsia
- B. Tremors
- C. Acetone breath odor
- D. Inability to concentrate
- E. Diaphoresis
Explanation
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