______________________________________
ATI RN COMPREHENSIVE
PREDICTOR
Exam version 2
(NGN-STYLE QUESTIONS & CASE
“SCENARIOS”)
QUESTIONS AND VERIFIED ANSWERS|
100% CORRECT| GRADED A+
EXAM COVER SHEET
PROGRAM: RN (REGISTERED NURSE PROGRAM)
COURSE NAME: Fundamentals of Nursing
EXAM NAME: HESI RN Fundamentals Exam
ATI RN COMPREHENSIVE PREDICTOR
version 2
,Question 1: Implanted Venous Access Port Assessment
A nurse is caring for a client who has an implanted venous access port for long-term
intravenous therapy. The nurse is preparing to administer medications or fluids
through the port and must select the appropriate equipment to prevent damage to
the device. The nurse understands that the port contains a self-sealing septum that
requires a specialized needle for safe access. Which of the following should the nurse
use to access the port?
Multiple Choice Options
A. Non-coring needle
B. Angio catheter
C. Butterfly needle
D. 25-gauge needle
Correct Answer: A) Non-coring needle
Verified Rationale
The nurse should use a non-coring needle (Huber needle) to access an implanted
venous access port. This needle is specifically designed to penetrate the port’s septum
without cutting or removing pieces of the material, which helps maintain the integrity
and function of the device. Using an incorrect needle can damage the septum, increase
the risk of leakage, and shorten the life of the implanted port. Proper access technique
with the correct needle helps ensure safe administration of medications, fluids, and
blood products while reducing complications.
---
,2 A nurse is conducting an initial assessment of a client and notices a
discrepancy between the client's current IV infusion and the information
received during shift report. Which of the following actions should the nurse
take?
A) Contact the charge nurse to see if the prescription was changed
B) Complete an incident report and place it in the client's medical record
C) Submit a written warning for the nurse involved in the incident
, D) Compare the current infusion with the prescription and the client's medication
administration record
Answer: D) Compare the current infusion with the prescription and the client's
medication administration record
Verified Rationale: The nurse's top priority is verification and reconciliation of
current treatment orders with the medication administration record before taking
further action, supporting patient safety and medication accuracy.
2. Complete the following sentence using the list of options:
The nurse understands that the patient has likely developed Lithium toxicity and
will need to be monitored for which of the following major complications?
Lithium Toxicity: Monitoring for Major Complications
A nurse is caring for a client who is receiving lithium therapy for the
management of bipolar disorder. The client reports new symptoms including
nausea, vomiting, diarrhea, hand tremors, confusion, and increasing weakness.
The nurse recognizes that these findings may indicate lithium toxicity, which can
occur when lithium levels become too high in the bloodstream. The nurse
understands that the patient has likely developed lithium toxicity and will need
to be monitored for which of the following major complications?
A) Cardiac dysrhythmias
B) Renal failure
C) Seizure activity
D) Hypoglycemia
Answer: C) Seizure activity
ATI RN COMPREHENSIVE
PREDICTOR
Exam version 2
(NGN-STYLE QUESTIONS & CASE
“SCENARIOS”)
QUESTIONS AND VERIFIED ANSWERS|
100% CORRECT| GRADED A+
EXAM COVER SHEET
PROGRAM: RN (REGISTERED NURSE PROGRAM)
COURSE NAME: Fundamentals of Nursing
EXAM NAME: HESI RN Fundamentals Exam
ATI RN COMPREHENSIVE PREDICTOR
version 2
,Question 1: Implanted Venous Access Port Assessment
A nurse is caring for a client who has an implanted venous access port for long-term
intravenous therapy. The nurse is preparing to administer medications or fluids
through the port and must select the appropriate equipment to prevent damage to
the device. The nurse understands that the port contains a self-sealing septum that
requires a specialized needle for safe access. Which of the following should the nurse
use to access the port?
Multiple Choice Options
A. Non-coring needle
B. Angio catheter
C. Butterfly needle
D. 25-gauge needle
Correct Answer: A) Non-coring needle
Verified Rationale
The nurse should use a non-coring needle (Huber needle) to access an implanted
venous access port. This needle is specifically designed to penetrate the port’s septum
without cutting or removing pieces of the material, which helps maintain the integrity
and function of the device. Using an incorrect needle can damage the septum, increase
the risk of leakage, and shorten the life of the implanted port. Proper access technique
with the correct needle helps ensure safe administration of medications, fluids, and
blood products while reducing complications.
---
,2 A nurse is conducting an initial assessment of a client and notices a
discrepancy between the client's current IV infusion and the information
received during shift report. Which of the following actions should the nurse
take?
A) Contact the charge nurse to see if the prescription was changed
B) Complete an incident report and place it in the client's medical record
C) Submit a written warning for the nurse involved in the incident
, D) Compare the current infusion with the prescription and the client's medication
administration record
Answer: D) Compare the current infusion with the prescription and the client's
medication administration record
Verified Rationale: The nurse's top priority is verification and reconciliation of
current treatment orders with the medication administration record before taking
further action, supporting patient safety and medication accuracy.
2. Complete the following sentence using the list of options:
The nurse understands that the patient has likely developed Lithium toxicity and
will need to be monitored for which of the following major complications?
Lithium Toxicity: Monitoring for Major Complications
A nurse is caring for a client who is receiving lithium therapy for the
management of bipolar disorder. The client reports new symptoms including
nausea, vomiting, diarrhea, hand tremors, confusion, and increasing weakness.
The nurse recognizes that these findings may indicate lithium toxicity, which can
occur when lithium levels become too high in the bloodstream. The nurse
understands that the patient has likely developed lithium toxicity and will need
to be monitored for which of the following major complications?
A) Cardiac dysrhythmias
B) Renal failure
C) Seizure activity
D) Hypoglycemia
Answer: C) Seizure activity
