ATI RN
ATI Comprehensive 2023 With NGN 180 Questions And Answers Questions
Extract:
Question 1 of 5
A nurse is planning care for a school-age child who is 4 hr postoperative following perforated appendicitis. Which of the following actions should the nurse include in the plan of care?
Correct Answer: B
Rationale: The correct answer is B: Administer analgesics on a scheduled basis for the first 24 hr. Postoperative pain management is crucial for the comfort and well-being of the child. Scheduled analgesics help maintain a consistent level of pain relief, preventing peaks and valleys in pain intensity. This approach is especially important in the initial 24 hours following surgery when pain is typically more intense. Offering small amounts of clear liquids 6 hours post-surgery (
Choice
A) may not be appropriate as the child may still be recovering from anesthesia and at risk of nausea or vomiting. Giving cromolyn nebulized solution every 8 hours (
Choice
C) is not indicated for postoperative pain management. Applying a warm compress to the operative site every 4 hours (
Choice
D) may provide some comfort but does not address the underlying need for analgesia.
Question 2 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 is crucial as it directly addresses the client's statement about finding it hard to go on. It assesses the client's suicidal ideation and determines the level of risk for self-harm or suicide. It prioritizes the client's safety and well-being.
Choice A is incorrect because it does not directly address the immediate concern of potential suicide risk.
Choice B is irrelevant and may lead to unnecessary distress for the client.
Choice C is important but not as urgent as assessing for suicidal ideation.
Question 3 of 5
A nurse is teaching a client about advanced directives. Which of the following statements by the client indicate an understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A: A living will is a document that includes my wishes about health care decisions. This statement demonstrates an understanding of advanced directives as a living will specifically pertains to healthcare decisions. It shows that the client comprehends that a living will outlines their preferences for medical treatment in case they are unable to communicate.
Choice B is incorrect because advanced directives are about the client's own wishes, not the provider making decisions.
Choice C is incorrect as advanced directives do not pertain to material possessions but rather to healthcare decisions.
Choice D is incorrect because a witness is typically required for legal purposes when signing a living will, but the presence of a partner is not mandatory.
Question 4 of 5
A nurse is providing teaching to a client who is 14 weeks of gestation about findings to report to the provider. Which of the following findings should the nurse include in the teaching?
Correct Answer: C
Rationale: The correct answer is C: Swelling of the face. This finding could be indicative of preeclampsia, a serious condition in pregnancy characterized by high blood pressure and organ damage. It is crucial to report this to the provider promptly to prevent complications. Bleeding gums (
A) are common due to hormonal changes and increased blood flow, not typically a cause for concern. Faintness upon rising (
B) is common in pregnancy due to low blood pressure but usually not a significant issue unless severe. Urinary frequency (
D) is normal in pregnancy due to the growing uterus pressing on the bladder.
Question 5 of 5
A nurse is providing discharge instructions to a client who has a new prescription for haloperidol. Which of the following adverse effects should the nurse instruct the client to report to the provider?
Correct Answer: A
Rationale: The correct answer is A: Shuffling gait. This is a potential extrapyramidal side effect of haloperidol, a typical antipsychotic. It is important to report this to the provider as it may indicate a serious adverse reaction called tardive dyskinesia. Increased salivation (choice
B) and mild drowsiness (choice
C) are common side effects that may resolve on their own. Weight gain (choice
D) is more commonly associated with atypical antipsychotics.
Choices E, F, and G are not provided.