ATI RN
ATI Comprehensive 2023 With NGN 180 Questions And Answers Questions
Extract:
Question 1 of 5
A nurse is assessing a client who is postoperative and has a history of pulmonary embolism. Which of the following findings is the priority for the nurse to report to the provider?
Correct Answer: A
Rationale: The correct answer is A: Dyspnea. Dyspnea in a postoperative client with a history of pulmonary embolism indicates a potential complication, such as a recurrent or new pulmonary embolism, which can be life-threatening. The nurse should report this finding to the provider immediately for further evaluation and intervention to prevent worsening respiratory distress and potential respiratory failure. Pain at the surgical site (choice
B) is expected postoperatively and can be managed with appropriate pain medications. Mild nausea (choice
C) is a common postoperative symptom and can be managed with antiemetic medications. A temperature of 37.5°C (99.5°F) (choice
D) may indicate a mild fever, which can be monitored unless accompanied by other concerning symptoms.
Question 2 of 5
A nurse is performing a neurological examination on a client as part of a complete physical assessment. The nurse should identify that cranial nerve XI(11) is intact when the client performs which of the following actions?
Correct Answer: A
Rationale: The correct answer is A: Shrugs his shoulders. Cranial nerve XI, also known as the accessory nerve, controls the movement of the trapezius and sternocleidomastoid muscles, which are responsible for shoulder shrugging. By asking the client to shrug his shoulders, the nurse can assess the integrity of cranial nerve XI.
Choices B, C, and D are incorrect because they are associated with other cranial nerves. Smiling symmetrically is controlled by cranial nerve VII (facial nerve), closing eyes tightly is controlled by cranial nerve V (trigeminal nerve), and identifying a familiar scent is related to cranial nerve I (olfactory nerve).
Question 3 of 5
A nurse is preparing to admit a six-year-old with varicella to the pediatric unit. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Assign the child to a negative air pressure room (airborne). This is because varicella (chickenpox) is transmitted through airborne droplets. Placing the child in a negative air pressure room helps prevent the spread of the virus to others.
B: Placing the child in a semi-private room with another child who has varicella increases the risk of spreading the infection to each other.
C: Requiring the child to wear a surgical mask at all times may help reduce the spread of droplets, but it does not address the airborne transmission of varicella effectively.
D: Ensuring the child's visitors wear droplet precautions is not sufficient to prevent airborne transmission within the unit.
Question 4 of 5
A charge nurse is teaching a newly licensed nurse about medication Administration. Which of the following information should the charge nurse include?
Correct Answer: C
Rationale: The correct answer is C: Read medication labels at least two times prior to administration. This is crucial to ensure accurate medication administration and prevent medication errors. Reading labels twice helps in verifying the right medication, dose, route, and time. It is a standard safety practice in medication administration. Option A is incorrect as there is no specific rule about preparing medications for multiple clients. Option B is important but not as critical as double-checking the medication labels. Option D is important in certain situations but not directly related to medication administration technique.
Question 5 of 5
A nurse is planning care for a group of clients and is working with one licensed practical nurse (LPN) and one assistive personnel (AP). Which of the following actions should the nurse take first to manage her time effectively?
Correct Answer: B
Rationale: The correct answer is B: Determine goals of the day. This is the first step as it helps prioritize tasks and allocate time efficiently. By setting clear goals, the nurse can focus on essential activities and delegate tasks accordingly. Option A is incorrect because delegating tasks to the AP should come after determining goals to ensure tasks align with priorities. Options C and D are also incorrect as scheduling daily activities and developing an hourly time frame should be based on established goals.