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 client with a history of pulmonary embolism is a critical finding as it could indicate a recurrence or worsening of a pulmonary embolism, which is a life-threatening emergency. The nurse should report this immediately to the provider for further evaluation and intervention to prevent complications. Pain at the surgical site (
B) is expected postoperatively and can be managed with pain medication. Mild nausea (
C) is a common postoperative symptom that may not require immediate intervention. A temperature of 37.5°C (99.5°F) (
D) is a low-grade fever that may be due to the body's response to surgery and is not as concerning as dyspnea in this context.
Extract:
A hospice nurse is visiting with the son of a client who has terminal cancer. The son reports sleeping very little during the past week due to caring for his mother.
Question 2 of 5
Which of the following responses should the nurse make?
Correct Answer: A
Rationale: The correct answer is A because it acknowledges the caregiver's potential need for support and offers information on respite care, showing empathy and understanding.
Choice B is incorrect as it overlooks the caregiver's own needs and can come off as dismissive.
Choice C may be true for some individuals, but it doesn't address the caregiver's current struggles.
Choice D places undue pressure on the caregiver to suppress their own emotions.
Extract:
A nurse in an antepartum unit is caring for a client.
Nurses' Notes
2000:
Client is 38-year-old, G4 P3 at 38 weeks of gestation. Presents for evaluation of labor and
spontaneous rupture of membranes (SROM). Client states, "My water broke a couple of hours
ago and is a greenish color." Client also reports contractions began about 4 hr ago and have
become consistently stronger and closer together.
Electronic fetal monitor applied. Small amount of thin green fluid noted on perineal pad.
Contraction palpated, lasted 40 seconds, moderate in intensity. Fetal heart rate (FHR) 165/min.
Vaginal examination performed: cervix 4 cm dilated, 70% effaced, 0 station, vertex presentation.
Client reports a history of chronic hypertension that has been well-controlled during this
pregnancy. Also, states were diagnosed with gestational diabetes at 28 weeks of gestation.
Vital Signs
2000:
Temperature 36.7° C (98.1° F)
Heart rate 98/min
Respiratory rate 20/min
Blood pressure 128/84 mm Hg
Oxygen saturation 98% on room air
Question 3 of 5
Select the 2 findings that require immediate follow-up.
Correct Answer: C,E
Rationale: An elevated fetal heart rate and meconium-stained amniotic fluid indicate potential distress, necessitating urgent intervention.
Extract:
A nurse is assessing the grief response of a client whose child died six months ago.
Question 4 of 5
Which client statement should the nurse report as an indication of major depressive disorder?
Correct Answer: E
Rationale: Thoughts of self-harm are a critical indicator of major depressive disorder.
Extract:
The charge nurse on a medical surgical unit is assisting with the emergency response plan following an external disaster in the community.
Question 5 of 5
In anticipation of multiple client admissions, which of the following current clients should the nurse recommend for early discharge?
Correct Answer: A
Rationale:
Rationale: The nurse should recommend early discharge for the client who is one day postoperative following a vertebroplasty (
Choice
A) because this client is likely stable post-surgery, requiring minimal monitoring and interventions. This client is in a stable condition without any immediate complications, making them a suitable candidate for early discharge to free up bed space for incoming clients. Clients in
Choices B, C, and D require ongoing monitoring or interventions due to their conditions, making them unsuitable for early discharge.
Choice B has pneumonia and fever, requiring IV antibiotics and close monitoring.
Choice C had a TIA and needs further evaluation.
Choice D has uncontrolled atrial fibrillation, needing continuous cardiac monitoring.
Therefore,
Choice A is the most appropriate for early discharge.