ATI RN
COMPREHENSIVE PREDICTOR
Exam version 1, 2, & 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 1,2 &
3
ATI RN COMPREHENSIVE PREDICTOR
VERSION 1, 2, & 3
,Table of Contents
ATI RN COMPREHENSIVE PREDICTOR VERSION 1 ............ 2
ATI RN COMPREHENSIVE PREDICTOR VERSION 2 ......... 113
ATI RN COMPREHENSIVE PREDICTOR VERSION 3 ......... 237
ATI RN COMPREHENSIVE PREDICTOR VERSION 1
### 1. NEW GENERATION 1: Case Scenario—Vital Signs
Case Scenario:
Question: Monitoring for Lithium Toxicity in a Client Receiving
Lithium Therapy
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 the assessment, the nurse compares the client’s admission weight
with the current weight and notes the following:
Admission Weight: 74.8 kg (165 lb)
Current Weight: 74.38 kg (164 lb)
The nurse recognizes that changes in fluid balance and weight can affect
lithium levels because lithium has a narrow therapeutic range and is
primarily eliminated through the kidneys. The nurse should monitor the
client closely for signs of complications related to lithium accumulation.
,Which of the following conditions is the client most likely developing and
should be monitored for?
A. Lithium toxicity
B. Urinary tract infection
C. Metabolic syndrome
D. Neuroleptic malignant syndrome
Answer: A. Lithium toxicity
Verified Rationale:
The client receiving lithium therapy is at risk for lithium toxicity because
lithium levels are highly affected by fluid balance, sodium levels, and
kidney function. Even small changes in hydration status or weight may
indicate changes in fluid volume that can increase lithium concentration in
the bloodstream. Lithium toxicity can occur when the medication
accumulates and may cause symptoms such as nausea, vomiting,
diarrhea, worsening tremors, confusion, muscle weakness, ataxia, and
seizures. The nurse should monitor weight changes, intake and output,
renal function, serum lithium levels, and signs of toxicity. Maintaining
consistent fluid and sodium intake is essential for clients taking lithium.
, ### 2. Infusion Pump Safety Protocols
Question:
Question: Infusion Pump Safety Protocols
A nurse is preparing to initiate intravenous fluids for a client using
an electronic infusion pump. Before starting the infusion, the nurse
performs safety checks to ensure the equipment is functioning
properly and meets hospital safety standards. The nurse
understands that electrical equipment must be inspected before use
to reduce the risk of malfunction, injury, or interruption of therapy.
Which of the following actions should the nurse take before initiating
the infusion?
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