University:
California State University, East Bay
Course:
NURS 3406 | Care of Clients with Psychiatric/Mental Health Needs
Academic year:

2024
Views:

321

Pages:

3
Author:

King Net

NGN ATI RN Comprehensive Predictor Exam 2025 Sample Questions with Detailed Verified Solutions Question 1: Client Care Management - Priority Setting A nurse is caring for four clients. Which of the following should the nurse assess first? A. A client with COPD who has an oxygen saturation of 88% on room air B. A client with a new colostomy who needs discharge teaching C. A client scheduled for a dressing change for a stage II pressure ulcer D. A client requesting pain medication for a pain level of 6/10 Correct Answer: A. A client with COPD who has an oxygen saturation of 88% on room air Rationale: Although 88% may be acceptable for some COPD patients, this client must be assessed first due to potential hypoxia. Airway and breathing take priority over teaching and pain, per the ABC framework (Airway, Breathing, Circulation). Question 2: Pharmacology - Medication Safety A nurse is administering digoxin to a client. Which of the following findings should prompt the nurse to withhold the medication? A. Heart rate of 58 bpm B. Blood pressure of 140/90 mmHg C. Respiratory rate of 18/min NGN ATI RN Comprehensive Predictor Exam 2025 Sample Questions with Detailed Verified Solutions D. Serum potassium level of 4.2 mEq/L Correct Answer: A. Heart rate of 58 bpm Rationale: Digoxin slows the heart rate. If the apical pulse is less than 60 bpm, the nurse should withhold the dose and notify the provider. Potassium is within normal range; BP and RR are stable. Question 3: Maternity Nursing - Antepartum Care A client at 30 weeks gestation reports headache, blurred vision, and epigastric pain. Which complication should the nurse suspect? A. Gestational diabetes B. Preeclampsia C. Hyperemesis gravidarum D. Placenta previa Correct Answer: B. Preeclampsia Rationale: These are classic signs of preeclampsia, a hypertensive disorder of pregnancy. Immediate evaluation is required to prevent progression to eclampsia or HELLP syndrome. NGN ATI RN Comprehensive Predictor Exam 2025 Sample Questions with Detailed Verified Solutions Question 4: Mental Health - Crisis Intervention A nurse is caring for a client experiencing a situational crisis after job loss. Which intervention is appropriate? A. Encourage exploration of past traumas B. Offer advice on job-seeking strategies C. Focus on immediate problem-solving and coping D. Recommend long-term psychotherapy Correct Answer: C. Focus on immediate problem-solving and coping Rationale: During a situational crisis, the goal is to help the client regain emotional balance and effective coping.