ATI RN
ATI Comprehensive 2023 With NGN 180 Questions And Answers Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is in active labor and note the FHR baseline has been 100/min for the past 15 min. The nurse should identify which of the following conditions as a possible cause of fetal bradycardia?
Correct Answer: B
Rationale: The correct answer is B: Fetal anemia. Fetal bradycardia (baseline <110 bpm) can be caused by fetal distress or hypoxia. Fetal anemia reduces oxygen-carrying capacity, leading to compensatory bradycardia. Maternal fever (
A) may indicate infection but typically leads to fetal tachycardia. Maternal hypoglycemia (
C) may affect the fetus, but it usually results in fetal distress rather than bradycardia. Chorioamnionitis (
D) can cause fetal distress and tachycardia due to infection, not bradycardia.
Extract:
A nurse is caring for a newborn.
Nurses' Notes
0640:
Weight 4200 gm (9 lb 4 oz), head circumference 35.5 cm (14 in)
Respiratory rate 68/min, with mild grunting.
0650:
Respiratory rate 72/min, with mild grunting
0700:
Respiratory rate 76/min, with moderate grunting and mild intercostal retractions.
Question 2 of 5
The client is at risk for developing------- and----
Correct Answer: B,D
Rationale: Transient tachypnea and hypopycemia are common risks in newborns with respiratory distress.
Extract:
A nurse in an outpatient clinic is caring for a client.
Assessment
0840:
Client is calm and cooperative. Skin warm and dry. No rash noted. Lung sounds clear. Abdomen
soft to palpation with fundal height at 20 cm. Fetal heart rate 150/min. Bowel sounds active in all
four quadrants. No edema to lower extremities. Client denies visual changes or severe headaches.
Weight gain of 1.8 kg (4 lb) since last visit. Small amount of mucoid discharge noted on perineal
pad
Laboratory Results
0900:
Urine dipstick:
pH 6.0 mg/d (4.6 to 8 mg/dL)
Specific Gravity 1.022 (1.010 to 1.025)
Leukocyte esterase negative (Negative)
Nitrite negative (Negative)
Protein trace negative (Negative)
Glucose negative (Negative)
Ketones none (None)
Bilirubin none (None)
Blood none (None)
Nurses' Notes
0830:
Client reports to clinic for monthly prenatal visit. Client is at 20 weeks of gestation. Since last
visit, client reports concerns about the occurrence of intermittent mild backaches, increased
heartburn, generalized itching, and vaginal discharge.
Vital Signs
0830:
BP 124/68 mm Hg
Heart rate 80/min
Temperature 37° C (98.6° F)
Respiratory rate 16/min
Weight 67.1 kg (148 lb)
Question 3 of 5
Which of the following statements should the nurse include in the client's teaching?
Correct Answer: B,D,F
Rationale: Wearing flat shoes, wearing loose-fitting clothes, and avoiding fried foods are beneficial practices during pregnancy.
Extract:
A charge nurse is teaching a new staff member about factors that increase a client's risk to become violent.
Question 4 of 5
Which risk factor should the nurse include as the best predictor of future violence?
Correct Answer: A
Rationale: The correct answer is A: Previous violent behavior. This is the best predictor of future violence because past behavior is a strong indicator of future actions. Research shows that individuals with a history of violence are more likely to engage in violent behavior again. This pattern of behavior is often consistent over time. Low self-esteem (
B), substance use disorder (
C), and a history of depression (
D) can contribute to violence but are not as reliable predictors as previous violent behavior. These factors may increase the risk of violence but do not have the same level of predictive value as an individual's history of violent behavior.
Extract:
The nurse is discussing discharge plans with an older adult client who lives alone and has left sided weakness following a stroke
Question 5 of 5
Which of the following information is the priority for the nurse to discuss?
Correct Answer: B
Rationale: The correct answer is B because obtaining an alert system for help in case of a fall is the priority. This is crucial for immediate assistance and safety in case of emergencies. Discussing support groups (
A) can be beneficial but is not as urgent. Providing transportation resources (
C) and choosing a home physical therapy agency (
D) are important but not immediate priorities compared to ensuring immediate help in case of a fall.