ATI RN
ATI Comprehensive 2023 With NGN 180 Questions And Answers Questions
Extract:
Question 1 of 5
A nurse is assessing a client who received hydromorphone 4mg IV 15 min ago. The client has a respiratory rate of 10/min. the nurse should prepare to administer which of the following medications?
Correct Answer: A
Rationale: The correct answer is A: Naloxone. Hydromorphone is an opioid that can cause respiratory depression. With a respiratory rate of 10/min, the client is likely experiencing opioid overdose. Naloxone is an opioid antagonist that can reverse the effects of opioids, including respiratory depression, by competitively binding to opioid receptors. Administering naloxone can help restore normal respiratory function and prevent further complications.
Choice B: Flumazenil is a benzodiazepine antagonist and would not be appropriate for opioid overdose.
Choice C: Activated charcoal is used for gastrointestinal decontamination and would not be helpful in this situation.
Choice D: Atropine is not indicated for opioid overdose and would not address the respiratory depression caused by hydromorphone.
Choice E: Diphenhydramine is an antihistamine and would not be effective in reversing opioid-induced respiratory depression.
Extract:
A nurse is assessing a child who has bacterial pneumonia.
Question 2 of 5
Which of the following manifestations should the nurse expect?
Correct Answer: A
Rationale: The correct answer is A: Fever. In response to infection, the body releases pyrogens that reset the hypothalamic thermostat leading to fever. This is a common manifestation indicating an immune response. Bradycardia (
B) is unlikely in an infection as the body usually increases heart rate to pump more blood. Dry skin (
C) is not directly related to infection but may occur due to dehydration. Decreased respiratory rate (
D) is uncommon in infections as the body usually increases respiratory rate to meet oxygen demands.
Extract:
A nurse is caring for a client who states he recently purchased lavender oil to use when he gets the flu.
Question 3 of 5
The nurse should recognize which of the following findings as a potential contraindication for using lavender?
Correct Answer: A
Rationale: The correct answer is A: The client has a history of asthma. Lavender oil can trigger asthma symptoms in some individuals due to its potential respiratory irritant properties. Asthma patients may experience worsened breathing difficulties or allergic reactions when exposed to lavender. This contraindication is crucial to consider when using lavender aromatherapy.
Choices B, C, and D are incorrect as they do not specifically relate to potential contraindications with lavender use.
Choice B (client takes furosemide) and choice D (client takes vitamin
C) do not typically interact negatively with lavender.
Choice C (client has a history of alcohol use disorder) is not a direct contraindication for lavender use.
Extract:
A nurse is preparing to administer dopamine hydrochloride 4mcg/kg/min via continuous infusion. Available is dopamine hydrochloride in a solution of 800 milligrams in a 250ML bag. The client weighs 80 kilograms.
Question 4 of 5
The nurse should set the IV infusion to deliver how many ml/hr?
Correct Answer: B
Rationale: The correct answer is B: 11.0 mL/hr.
To calculate the IV infusion rate, you need to consider the total volume to be infused and the time frame. In this case, if the total volume to be infused is 66 mL over 6 hours, you divide 66 mL by 6 hours to get 11.0 mL/hr.
Choice A does not provide a specific rate.
Choices C and D are incorrect because they do not match the calculated rate based on the given information.
Extract:
Question 5 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 sternocleidomastoid and trapezius muscles. When the client shrugs his shoulders, the nurse is assessing the function of these muscles, which are innervated by cranial nerve XI. This action indicates the integrity of the nerve.
Other choices are incorrect because:
B: Smiling symmetrically is controlled by cranial nerve VII (facial nerve).
C: Closing eyes tightly is controlled by cranial nerve VII (facial nerve).
D: Identifying a familiar scent is controlled by cranial nerve I (olfactory nerve).