ATI RN
ATI Comprehensive 2023 With NGN 180 Questions And Answers Questions
Extract:
Question 1 of 5
A nurse in emergency department is caring for a three-year old child who has suspected epiglottitis. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Prepare to assist with intubation. In suspected epiglottitis, there is a risk of airway obstruction due to swelling of the epiglottis. Intubation may be necessary to secure the airway and ensure adequate oxygenation. This is a critical intervention to prevent respiratory distress and potential respiratory arrest. Obtaining a throat culture (
B) may be important for diagnosis but is not the immediate priority. Suctioning the oropharynx (
C) can stimulate the epiglottis and worsen the obstruction. Using a cool mist tent (
D) is not indicated in this emergency situation.
Question 2 of 5
A nurse is providing teaching to a client who is 14 weeks of gestation about findings to report to the provider. Which of the following findings should the nurse include in the teaching?
Correct Answer: C
Rationale: The correct answer is C: Swelling of the face. Swelling of the face can be a sign of preeclampsia, a serious condition in pregnancy characterized by high blood pressure and protein in the urine. This finding should be reported to the provider immediately to prevent complications for both the mother and the baby.
Bleeding gums (
A) are common in pregnancy due to hormonal changes and increased blood flow to the gums. Faintness upon rising (
B) can be attributed to postural hypotension, which is common in pregnancy but not typically a serious concern. Urinary frequency (
D) is a common complaint in pregnancy due to the growing uterus putting pressure on the bladder.
In summary, while the other symptoms may be common in pregnancy, swelling of the face is the most concerning finding that could indicate a serious complication like preeclampsia, making it crucial to report to the provider promptly.
Extract:
A nurse is developing a plan of care for a newborn whose mother tested positive for heroin during pregnancy.
Question 3 of 5
Which action should the nurse include in the plan?
Correct Answer: A
Rationale: The correct answer is A: Minimize noise in the newborn's environment. This is important as newborns have sensitive hearing and excessive noise can disrupt their sleep and development. Noise can also lead to stress and overstimulation.
Choice B is incorrect because swaddling should be snug to provide a sense of security and prevent startling reflexes.
Choice C is incorrect as the recommended position for newborns is on their back to reduce the risk of sudden infant death syndrome (SIDS).
Choice D is incorrect because while handling and stimulation are important, they should be done in a gentle and appropriate manner to prevent overstimulation.
Extract:
A nurse is caring for a client who has a stool culture that is positive for Clostridium difficile.
Question 4 of 5
Which of the following infection control precautions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B because placing the client in a private room with contact precautions helps prevent the spread of infection to others. This measure includes using personal protective equipment (PPE) and limiting contact with others to contain potential infectious agents. Removing the protective gown in the client's room (
A) is incorrect as it exposes the nurse to potential contamination. Performing hand hygiene with an alcohol-based sanitizer (
C) is important but does not address the isolation of the client. Wearing an N95 mask (
D) is specific to airborne precautions, not contact precautions.
Extract:
A nurse is assessing a client following an esophagogastroduodenoscopy.
Question 5 of 5
Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: The correct answer is A: Abdominal pain. Abdominal pain is a significant finding that could indicate underlying health issues. The nurse should report it to the provider for further evaluation and management. Belching, flatulence, and sore throat are common symptoms that may not require immediate attention. Reporting abdominal pain is crucial for timely intervention.