ATI RN
ATI Comprehensive 2023 With NGN 180 Questions And Answers Questions
Extract:
Question 1 of 5
A nurse is caring for a client whose child died from cancer. The client states 'it's hard to go on without him'. which of the following questions should the nurse ask the client first?
Correct Answer: D
Rationale: The correct answer is D: Are you thinking about ending your life? This question directly addresses the client's statement about finding it hard to go on without their child, revealing any potential suicidal ideation. It is crucial to assess for suicidal thoughts to ensure the client's safety. Asking about past coping strategies (
A) may be helpful but is not as urgent. Inquiring about family history of suicide (
B) can be relevant but is not the priority in this immediate situation. Involving others in care (
C) is important but not as critical as addressing suicidal ideation.
Extract:
A nurse in the emergency department is caring for a client who is actively bleeding from a stab wound to the thigh.
Question 2 of 5
Which action should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Apply direct pressure to the wound with thick dressing material. This action helps control bleeding by applying pressure to the wound site, promoting clot formation. Direct pressure is the first step in managing bleeding. Elevating the leg (
B) above the heart level is not effective for controlling bleeding in this case. Applying a tourniquet (
C) should only be considered as a last resort for life-threatening bleeding. Applying ice packs (
D) can vasoconstrict blood vessels, potentially worsening the bleeding.
Extract:
A nurse is preparing to insert an IV catheter for a client.
Question 3 of 5
Which of the following actions should the nurse plan to take?
Correct Answer: D
Rationale: The correct answer is D: Choose a vein that is palpable and straight. This is because selecting a palpable and straight vein makes it easier to insert the needle successfully, reducing the risk of complications such as infiltration or hematoma. Elevating the client's arm prior to insertion (
A) may help with venous return but doesn't directly impact vein selection. Selecting a site on the client's dominant arm (
B) is not necessary; either arm can be used. Applying a tourniquet below the venipuncture site (
C) can help with vein visualization but doesn't ensure proper vein selection.
Extract:
A nurse is caring for a client who is near the end of life and is on complete bed rest. The client states that he needs to have a bowel movement and the nurse offers a bed pan. The client states 'I've always used the bathroom'
Question 4 of 5
Which of the following responses should the nurse make?
Correct Answer: A
Rationale: The correct response is A: "Tell me what concerns you about the bedpan." This answer shows active listening and empathy, encouraging the patient to express their concerns, leading to better understanding and addressing of their needs.
Choice B assumes the patient can walk to the bathroom, which may not be the case.
Choice C involves another healthcare professional unnecessarily.
Choice D is directive and may not consider the patient's feelings or preferences.
Extract:
A charge nurse is observing A newly licensed nurse provide care for a client who is post-operative. The newly licensed nurse tells the client that she will insert a urinary catheter if the client will not void.
Question 5 of 5
Which of the following torts should the charge nurse identify as having occurred?
Correct Answer: A
Rationale: The correct answer is A: Assault. Assault is the intentional threat of harmful or offensive contact, causing fear in the victim. In this scenario, if a nurse threatened a patient or coworker, it would be considered assault. Battery involves actual physical contact, false imprisonment is restraining someone unlawfully, and negligence is failing to exercise reasonable care. In this case, assault is the most appropriate choice as it aligns with the deliberate threat aspect of the situation.