ATI RN VATI Comprehensive Predictor
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Free ATI RN VATI Comprehensive Predictor Questions
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Obtain an arterial blood gas.
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Obtain a CBC and blood culture.
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Attach the OG tube to low intermittent suction.
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Administer total parenteral nutrition (TPN).
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Repeat an abdominal x-ray every 24 hours.
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Administer IV antibiotics.
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Keep the neonate on nothing by mouth (NPO) status.
Explanation
Correct Answers: A, B, C, D, E, and F
Obtaining an arterial blood gas assesses respiratory and metabolic status, as NEC can cause metabolic acidosis and respiratory compromise requiring prompt identification and management.
Obtaining a CBC and blood culture is essential to evaluate for infection and sepsis — NEC is associated with systemic bacterial infection, and a blood culture identifies the causative organism to guide antibiotic therapy.
Attaching the OG tube to low intermittent suction decompresses the distended bowel by removing accumulated air and gastric contents, relieving pressure on the inflamed intestinal walls and reducing the risk of perforation.
Administering TPN provides complete nutrition intravenously while enteral feedings are held, ensuring the neonate receives adequate calories, protein, and nutrients during bowel rest without stimulating the compromised gut.
Repeating abdominal x-rays every 24 hours monitors disease progression, bowel distension, and early detection of pneumatosis intestinalis (air in the bowel wall) or free air indicating perforation.
Administering IV antibiotics treats the underlying bacterial infection driving NEC, preventing progression to sepsis and bowel perforation.
A nurse is teaching the parent of an infant about the manifestations of food allergies. The nurse should identify which of the following findings as a common manifestation of a food allergy?
- Vomiting
- Dry mouth
- Decreased respiratory rate
- Hypertension
Explanation
A. Vomiting:
Vomiting is a common manifestation of food allergies in infants. Allergic reactions often present
with gastrointestinal symptoms such as vomiting, diarrhea, abdominal pain, or discomfort shortly
after ingesting the allergen. These symptoms occur because the immune system reacts to the
food protein, triggering inflammation in the GI tract.
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Case manager
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Physical therapist
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Occupational therapist
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Nurse manager
Explanation
Correct Answer: A) Case manager
A newborn diagnosed with an atrial septal defect requires ongoing cardiac follow-up, coordination of specialist care, scheduling of procedures or surgery, and arrangement of home care resources. The case manager is the appropriate interprofessional team member to coordinate these complex, long-term care needs and ensure continuity of care after discharge. Physical and occupational therapists address functional and developmental needs, which are not the primary concern at this stage. The nurse manager oversees unit operations and is not involved in individual discharge planning.
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The client will reach an appropriate body weight
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The client will gain 2 to 3 lb weekly
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The client will verbalize a realistic body image
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The client will develop a personalized meal plan
Explanation
Correct Answer: B) The client will gain 2 to 3 lb weekly
A short-term goal must be specific, measurable, and achievable within a brief timeframe. Gaining 2 to 3 pounds weekly is a concrete, measurable, and realistic short-term goal for a client with anorexia nervosa in an inpatient setting. Reaching an appropriate body weight is a long-term goal. Verbalizing a realistic body image is a long-term psychological goal that takes extended therapy to achieve. Developing a meal plan is an intervention, not a client goal.
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Bleeding
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Peritonitis
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Poor dialysate flow
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Fibrin clot formation
Explanation
Correct Answer: B) Peritonitis
Cloudy dialysate outflow is the hallmark sign of peritonitis — infection of the peritoneal cavity — and is a serious complication of peritoneal dialysis. The cloudiness results from the presence of white blood cells and bacteria in the dialysate. This requires immediate reporting to the provider, collection of dialysate for culture, and prompt antibiotic treatment. Bleeding would produce pink or bloody outflow. Poor dialysate flow affects the volume of outflow, not its clarity. Fibrin clots appear as white strands, not overall cloudiness.
A nurse is caring for a client who has a left femur fracture and is in skeletal traction. The client reports pain due to muscle spasms in the affected leg. Which of the following is an appropriate action by the nurse?
- Realign the extremity in traction.
- Remove the traction weights.
- Increase the amount of traction.
- Allow the weights to rest on the floor.
Explanation
Muscle spasms in a client with skeletal traction often indicate insufficient traction
weight to overcome muscle pull around the fracture site. Increasing the traction weight
within prescribed limits can help reduce spasms by providing better immobilization and
alignment of the fracture fragments. The other options are inappropriate: realigning the
extremity could disrupt fracture reduction, removing weights would eliminate the
therapeutic effect of traction, and allowing weights to rest on the floor defeats the
purpose of continuous traction.
A nurse is caring for a school-age child who has celiac disease. Which of the following food choices should the nurse incorporate into the child's diet?
- Bread
- Whole wheat pretzels
- Graham crackers
- Wild rice
Explanation
D. Wild rice:
Wild rice is naturally gluten-free and safe for children with celiac disease. It does not contain
wheat, barley, or rye and provides a nutritious carbohydrate source without triggering intestinal
inflammation. Incorporating wild rice supports proper growth, energy needs, and symptom
prevention in children with celiac disease, making it an appropriate dietary choice.
A nurse is educating a community group about infection control and prevention. Which of the following should the nurse include as an example of vector-borne transmission?
- Transmission of Escherichia coli from undercooked ground beef
- Transmission of giardia from contaminated water
- Transmission of West Nile virus from a mosquito bite
- Transmission of hepatitis A from a food handler who has the virus
Explanation
C. Transmission of West Nile virus from a mosquito bite:
Vector-borne transmission occurs when an infectious agent is carried and transmitted by an
animal or insect. Mosquitoes are classic vectors that transmit pathogens such as West Nile virus,
malaria, and Zika. In vector-borne disease, the organism does not directly cause illness but
carries the infectious agent from one host to another, making this option the correct example.
A nurse is planning care for a client who is experiencing acute mania. Which of the following actions should the nurse include in the plan of care?
- Provide a flexible activity schedule.
- Provide high-calorie nutritional supplements.
- Allow the client to eat meals alone in her room.
- Allow the client to choose her clothes independently.
Explanation
B. Provide high-calorie nutritional supplements:
Clients in acute mania often have poor nutritional intake due to hyperactivity, distractibility,
and reduced ability to sit through meals. They burn large amounts of energy and can quickly
become malnourished. High-calorie finger foods and supplements support their caloric needs and
compensate for their inability to eat full meals. Ensuring adequate nutrition is a priority during
acute manic episodes.
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A client who is 2 days postoperative following a colon resection
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A client who has tuberculosis and is on airborne precautions
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A client who has a head injury and requires neurological checks every 4 hr
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A client who is 1 day postoperative following a transurethral resection of the prostate
Explanation
Correct Answer: D) A client who is 1 day postoperative following a transurethral resection of the prostate
A float nurse from the postpartum unit should be assigned the most stable client with care needs most similar to their area of expertise. A client 1 day post-transurethral resection of the prostate requires routine postoperative monitoring, urinary catheter care, and fluid management — skills transferable from postpartum nursing practice.
A 2-day post-colon resection client requires complex wound and ostomy care beyond a postpartum nurse's typical scope. A tuberculosis client on airborne precautions requires specialized infection control knowledge. A head injury client needing neurological checks every 4 hours requires specialized neurological assessment skills.
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