ATI RN
ATI Comprehensive 2023 With NGN 180 Questions And Answers Questions
Extract:
The nurse continues to care for the client.
Nurses' Notes
Day 1, 0915:
The client's adult child reports the client has not slept for 2 days and has become obsessed with
cleaning the house and hosting parties. At times the client is overly joyous and has a very
elevated sense of self-confidence. The adult child states that the client has also demonstrated
very impulsive spending habits and expresses concern about the client giving away large sums of
money to others.
The client's speech is very pressured, disorganized, and loud. Client unable to recall the last time
they ate.
Day 1, 0930:
Client questioned about their hallucinations and states that the same person has been following
them around inside and outside the house for days. Client asks the person what they want but
never receives an answer. Client states that this person has never told them to do anything: they
just stare and smile.
Day 1, 1015:
Client's erratic behavior continues with loud outbursts. Continues to get out of bed and pace
around the unit. Prescription received to admit client to inpatient mental health unit.
Question 1 of 5
A nurse on the inpatient mental health unit is planning care for the client. For each potential provider's prescription, click to specify if the prescription is anticipated or contraindicated for the client.
| Potential Prescription | Anticipated | Contraindicated |
|---|---|---|
| Encourage the client to avoid napping during the day. | ||
| Place the client in a room away from the nurses' station. | ||
| Weigh the client each day | ||
| Provide the client with high-calorie fluids every hour. |
Correct Answer: A,D
Rationale: Anticipated prescriptions include avoiding naps (to regulate sleep) and providing high-calorie fluids (for nutrition). Contraindicated prescriptions include isolating the client (which may worsen agitation) and daily weighing (unnecessary unless monitoring weight gain/loss).
Extract:
A nurse is caring for a client who is receiving radiation therapy and is experiencing anorexia.
Question 2 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Provide the client with cold foods rather than hot foods. This is because cold foods can help reduce oral mucositis, a common side effect of chemotherapy. Hot foods may worsen oral mucositis by irritating the mucous membranes.
Choice B is incorrect as drinking fluids with meals can dilute stomach acid and impair digestion.
Choice C is incorrect as large meals can be difficult to digest for clients undergoing chemotherapy.
Choice D is incorrect as high-protein foods are essential for tissue repair and maintenance during chemotherapy.
Extract:
A nurse in an emergency department is assessing a client who reports ingesting thirty diazepam tablets a respiratory rate of 10/min.
Question 3 of 5
After securing the client's airway and initiating an IV, which of the following actions should the nurse do next.
Correct Answer: A
Rationale: The correct answer is A: Administer flumazenil to the client. Flumazenil is a benzodiazepine receptor antagonist used to reverse the effects of benzodiazepine overdose. It is important to administer it early to prevent respiratory depression and sedation. This action addresses the immediate need to reverse the effects of the overdose.
Incorrect choices:
B: Initiate gastric lavage with activated charcoal - This is not the priority as the airway has already been secured, and administering flumazenil takes precedence to reverse the effects of the benzodiazepine overdose.
C: Place the client in the Trendelenburg position - This position is not indicated for benzodiazepine overdose and does not address the need for reversal of sedation.
D: Obtain a stat CT scan of the brain - This is not necessary as the client's airway has been secured, and the immediate concern is addressing the overdose effects with flumazenil.
Extract:
An occupational health nurse is providing teaching to a group of factory workers about proper lifting techniques.
Question 4 of 5
Which statement should the nurse make?
Correct Answer: B
Rationale: The correct answer is B: Keep the object close to your body when lifting. This is the safest method as it reduces the strain on the back muscles and spine during lifting. By keeping the object close, the center of gravity is maintained, minimizing the risk of injury.
Choice A is incorrect as bending at the waist can strain the lower back.
Choice C is incorrect as twisting while lifting can lead to back injuries.
Choice D is incorrect as lifting heavy objects quickly can increase the risk of muscle strain and injury.
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.