ATI RN
ATI Comprehensive 2023 With NGN 180 Questions And Answers Questions
Extract:
Question 1 of 5
A nurse is preparing to admit a six-year-old with varicella to the pediatric unit. Which of the following actions should the nurse take?
Correct Answer: A
Rationale:
Correct Answer: A
Rationale: Varicella (chickenpox) is an airborne disease, so assigning the child to a negative air pressure room helps prevent the spread of the virus to other patients and healthcare workers. Negative pressure rooms contain air that is continuously ventilated and filtered to reduce the risk of transmission. Placing the child in a semi-private room (
B) with another child with varicella would increase the risk of spreading the infection. Requiring the child to wear a surgical mask at all times (
C) may not be feasible for a young child and may not provide sufficient protection against airborne transmission. Ensuring the child's visitors wear droplet precautions (
D) is not effective in preventing airborne transmission.
Extract:
A nurse in a PACU is transferring care of a client to a nurse on the medical-surgical unit.
Question 2 of 5
Which of the following statements should the nurse include in the hand-off report?
Correct Answer: A
Rationale: The correct statement to include in the hand-off report is A: The estimated blood loss was 250 mL. This information is crucial for continuity of care as it provides important data about the client's condition post-surgery, aiding in monitoring for potential complications. The other choices (B, C,
D) are not as pertinent in a hand-off report as they do not directly impact the client's immediate health status or require immediate attention. Blood loss is a critical factor in assessing a client's postoperative status and can indicate the need for further interventions.
Therefore, including the estimated blood loss in the hand-off report ensures that incoming staff are aware of any potential issues that may arise due to this factor.
Extract:
Question 3 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 home health nurse is planning care for a client who has Alzheimer's disease.
Question 4 of 5
Which of the following actions should the nurse include in the plan of care?
Correct Answer: D
Rationale: The correct answer is D: Place locks at the top of exterior doors. This action is important in the plan of care to ensure the safety of the individual, especially if they have a condition like dementia. Placing locks at the top of exterior doors can prevent the individual from wandering off or getting into potentially dangerous situations. Encouraging physical activity prior to bedtime (
A) may disrupt sleep patterns. Replacing carpet with hardwood floors (
B) may not be necessary for safety. Wearing clothing with zippers instead of buttons (
C) is not as critical for safety as securing exterior doors.
Extract:
A nurse is planning care for a client who has acute appendicitis.
Question 5 of 5
Which of the following actions should the nurse plan to take?
Correct Answer: C
Rationale: The correct answer is C: keep the client on NPO status. This action is necessary to ensure the client's safety before a procedure that requires an empty stomach. Placing the client's head of bed flat (
A) could cause aspiration. Applying heat to the client's abdomen (
B) may not be indicated and could worsen the condition. Administering a laxative (
D) is not appropriate without a specific indication. The other choices are not provided, but keeping the client NPO is the priority to prevent complications during the procedure.