ATI RN
ATI Comprehensive 2023 With NGN 180 Questions And Answers Questions
Extract:
Question 1 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. Swelling of the face can be a sign of preeclampsia, a serious condition in pregnancy characterized by high blood pressure and protein in the urine. This finding should be reported to the provider immediately to prevent complications for both the mother and the baby.
Bleeding gums (
A) are common in pregnancy due to hormonal changes and increased blood flow to the gums. Faintness upon rising (
B) can be attributed to postural hypotension, which is common in pregnancy but not typically a serious concern. Urinary frequency (
D) is a common complaint in pregnancy due to the growing uterus putting pressure on the bladder.
In summary, while the other symptoms may be common in pregnancy, swelling of the face is the most concerning finding that could indicate a serious complication like preeclampsia, making it crucial to report to the provider promptly.
Question 2 of 5
A nurse is planning care for a group of clients and is working with one licensed practical nurse (LPN) and one assistive personnel (AP). Which of the following actions should the nurse take first to manage her time effectively?
Correct Answer: B
Rationale: The correct answer is B: Determine goals of the day. This is the first step the nurse should take to manage time effectively because it allows for prioritization and organization of tasks. By setting goals, the nurse can identify essential activities and allocate time accordingly. Delegating tasks to the AP (
A) can come after determining goals. Scheduling daily activities (
C) and developing an hourly time frame for tasks (
D) can be more detailed steps that follow after setting goals. Option E, F, and G are not applicable in this context. In summary, determining goals of the day helps the nurse prioritize, organize, and manage time effectively.
Extract:
A nurse is planning care for a client who is to receive alteplase recombinant for a thrombus in the coronary artery.
Question 3 of 5
Which of the following actions should the nurse include in the plan of care?
Correct Answer: A
Rationale: The correct answer is A: Observe for bruising of the skin. This is important in assessing for signs of potential bleeding, which could indicate a complication. Monitoring for bruising can help detect early signs of internal bleeding, especially in patients at risk due to certain medical conditions or medication use. Providing a diet low in protein (
B) is not relevant to the question and could potentially harm the patient's nutritional status. Monitoring vital signs every hour for the first 4 hours (
C) may not be necessary unless there are specific indications for frequent monitoring. Administering medications intramuscularly (
D) is not directly related to observing for bruising and may not be the priority in this situation.
Extract:
A home care nurse is making a follow up visit with a client who has COPD and is using a compressed oxygen system in his home.
Question 4 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Place the oxygen tank away from curtains or drapes. This is important to prevent potential fire hazards as oxygen supports combustion.
Choice B is incorrect because oxygen tanks should be stored in a well-ventilated area, not in a closed closet.
Choice C is incorrect as oxygen tanks should always be stored upright to prevent damage.
Choice D is incorrect as increasing oxygen flow without proper assessment can be dangerous.
Extract:
A nurse is caring for a client in an outpatient clinic.
Laboratory Results
First office visit:
Erythrocyte sedimentation rate (ESR) 21 mm/hr (up to 20 mm/hr)
Hct 36% (37 to 47%6)
Hgb 12 g/dL (12 to 16 g/dL)
WBC count 6000/mm³ (5,000 to 10,000/mm³)
Uric acid 6.1 mg/dL (2.7 to 7.3 mg/dL)
6-month follow-up:
Erythrocyte sedimentation rate (ESR) 22 mm/hr (up to 20 mm/hr)
Antinuclear antibodies (ANA) positive
Hct 35% (37 to 47%)
Hgb 11 g/dL (12 to 16 g/dL)
WBC 4000/mm³ (5,000 to 10,000/mm³)
Uric acid 6,3 mg/dL (2.7 to 7.3 mg/dL)
Question 5 of 5
The client is at highest risk for developing--------- evidenced by the client's--------
Correct Answer: D,G
Rationale: Decreased WBC count and elevated ESR suggest systemic lupus erythematosus.