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. Following perforated appendicitis surgery, the child may experience significant pain due to tissue trauma. Administering analgesics on a scheduled basis helps to manage the pain effectively and ensure the child's comfort. Pain management is crucial postoperatively to promote healing, prevent complications, and improve the child's overall well-being. Offering small amounts of clear liquids too soon (choice
A) may not be appropriate as the child may still be recovering from surgery. Giving cromolyn nebulized solution (choice
C) is not indicated for postoperative care of perforated appendicitis. Applying a warm compress (choice
D) may not be appropriate as it could increase the risk of infection at the operative site.
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 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:
The charge nurse on a medical surgical unit is assisting with the emergency response plan following an external disaster in the community.
Question 3 of 5
In anticipation of multiple client admissions, which of the following current clients should the nurse recommend for early discharge?
Correct Answer: A
Rationale:
Rationale: The nurse should recommend early discharge for the client who is one day postoperative following a vertebroplasty (
Choice
A) because this client is likely stable post-surgery, requiring minimal monitoring and interventions. This client is in a stable condition without any immediate complications, making them a suitable candidate for early discharge to free up bed space for incoming clients. Clients in
Choices B, C, and D require ongoing monitoring or interventions due to their conditions, making them unsuitable for early discharge.
Choice B has pneumonia and fever, requiring IV antibiotics and close monitoring.
Choice C had a TIA and needs further evaluation.
Choice D has uncontrolled atrial fibrillation, needing continuous cardiac monitoring.
Therefore,
Choice A is the most appropriate for early discharge.
Extract:
A nurse is preparing to remove an IV catheter from the arm of a client who has phlebitis at a peripheral IV site.
Question 4 of 5
Which of the following actions should the nurse plan to take?
Correct Answer: B
Rationale: The correct answer is B: Elevate the affected arm above heart level. Elevating the affected arm helps reduce swelling by promoting venous return, improving circulation, and reducing edema. This action is crucial in managing inflammation and promoting healing. Applying a cold compress (choice
A) may help with pain initially but does not address swelling effectively. Placing a warm compress (choice
C) can worsen inflammation by increasing blood flow. Massaging the area (choice
D) can further aggravate inflammation and should be avoided.
Extract:
A nurse is reviewing the medical records of four clients.
Question 5 of 5
The nurse should identify that which of the following client findings requires follow-up care?
Correct Answer: C
Rationale: The correct answer is C. A client taking warfarin with an INR of 1.8 indicates a low INR, which means the blood is not anticoagulated enough, putting the client at risk for clot formation. This finding requires follow-up care to adjust the warfarin dose.
Choice A is incorrect because an induration after a Mantoux test is an expected finding.
Choice B is incorrect as taking sodium phosphate before a colonoscopy is a common preparation.
Choice D is incorrect as a potassium level of 3.6 mEq/L is within the normal range.