ATI RN
ATI Comprehensive 2023 With NGN 180 Questions And Answers Questions
Extract:
Question 1 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).
Extract:
A nurse is caring for a client who is alert and oriented and is receiving continuous ECG monitoring. The cardiac rhythm strips shows a wavy baseline, no distinguishable P waves, and an increased heart rate.
Question 2 of 5
The nurse should identify the cardiac rhythm as which of the following?
Correct Answer: D
Rationale: The correct answer is D: Atrial fibrillation. The nurse should identify the cardiac rhythm as atrial fibrillation because it is characterized by irregular, rapid electrical activity in the atria leading to an irregular, fast heart rate. This can result in poor blood flow and increase the risk of stroke. Ventricular asystole (
A) is the absence of ventricular electrical activity, second-degree heart block (
B) is a conduction disorder where some electrical signals from the atria do not reach the ventricles, and sinus tachycardia (
C) is a fast but regular heart rate originating from the sinus node. These options are incorrect as they do not match the characteristics of atrial fibrillation.
Extract:
A nurse is caring for a 75-year-old client who is admitted to the medical-surgical unit
Nurses' Notes
Today
0700:
Received change of shift report. Client is 2 days postoperative following a hysterectomy and
they have not yet ambulated with physical therapy due to significant postoperative pain. Per
change of shift report, pain medications have been adjusted and pain has improved. Client
currently reports pain level as 2 on a scale of 0 to 10.
0900:
Ambulating in hallway with the assistance of physical therapy.
1000:
Return to bed with siderails up x 2, but not wearing sequential compression devices because they
"hurt too much." Applied antiembolism stockings.
1400:
Client notified nurse that right leg is warm and painful. Assessment reveals unilateral right lower
extremity swelling and warmth below the knee. Provider notified.
Laboratory Results
Today
1430:
WBC count 10,500/mm³ (5,000 to 10,000/mm³)
Hgb 11.1 g/dL (12 to 16 g/dL)
Hct 34% (37% to 47%6)
Platelet count 250,000/mm³ (150,000 to 400,000/mm³)
Coagulation studies:
PT 11.5 seconds (11 to 12.5 seconds)
INR 0.9 (0.8 to 1.1)
History and Physical
3 days ago:
Past medical history: Type 2 diabetes mellitus, hypertension
Surgical history: Cesarean birth x 2 as a young adult
Social history: Has smoked 1 pack of cigarettes per day for 4 years, drinks socially, does not
exercise.
Weight: 121,3 kg (267.4 lb)
Vital Signs
Today
0800
Temperature 37° C (98.6" F)
Heart rate 97/min
Respiratory rate 18/min
BP 138/78 mm Hg
Question 3 of 5
Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing.
Correct Answer: C
Rationale: Unilateral swelling and warmth suggest deep vein thrombosis (DVT), requiring assessment for ischemia.
Extract:
A nurse in an outpatient mental health clinic is assessing an adolescent client.
Question 4 of 5
The nurse should expect the adolescent to be in which of the following of erikson stages of psychosocial development.
Correct Answer: A
Rationale: The correct answer is A: Identity versus role confusion. In Erikson's stages of psychosocial development, adolescence typically falls under this stage. During this stage, adolescents explore and develop a sense of self-identity and struggle with the conflict of establishing a clear sense of who they are versus confusion about their role in society. This is a crucial developmental task during the teenage years.
Choices B, C, and D are not relevant to the adolescent stage. B refers to toddlers, C to preschoolers, and D to young adults.
Choices E, F, and G are not provided in the question.
Extract:
The nurse is continuing to care for the client.
Provider Prescriptions
Day 1, 1100:
Lithium carbonate 600 mg PO BID
Question 5 of 5
The nurse is assessing the client. Which of the following findings indicate an improvement in the client's condition? Select all that apply.
Correct Answer: A,B,C,D
Rationale: Improved behaviors include engaging in quiet activities, sleeping adequately, consuming fluids, and napping appropriately. Listening to unseen others indicates ongoing psychosis.