ATI RN
ATI Comprehensive 2023 With NGN 180 Questions And Answers Questions
Extract:
A nurse is caring for a client who has respiratory depression from an opioid administration.
Question 1 of 5
After administering naloxone, which finding should the nurse expect?
Correct Answer: B
Rationale: After administering naloxone, the nurse should expect an increased respiratory rate. Naloxone is an opioid antagonist that reverses the effects of opioids, including respiratory depression. By blocking opioid receptors, naloxone can restore normal breathing patterns.
Choices A (Somnolence), C (Sudden onset of pain or discomfort), D (Hypertension and tachycardia), and E (Nausea and vomiting) are incorrect because they are not typical findings after administering naloxone. Somnolence would not be expected as naloxone counteracts sedation caused by opioids. Sudden onset of pain or discomfort is unrelated to naloxone administration. Hypertension and tachycardia are more indicative of opioid overdose, which naloxone would mitigate. Nausea and vomiting are also not common side effects of naloxone.
Extract:
A nurse in a prenatal clinic is teaching a client about nonpharmacological pain management during labor.
Question 2 of 5
Which statement indicates understanding of the teaching?
Correct Answer: C
Rationale: The correct answer is C because it demonstrates understanding of the teaching on coping strategies during labor. Breathing techniques are commonly taught to help manage pain and promote relaxation during contractions. This choice aligns with established labor preparation methods. Other choices lack direct relevance to labor pain management. A focuses on a specific device rather than coping mechanisms. B focuses on a visual aid, which may not address pain management directly. D mentions changing positions, which is beneficial but not as directly related to relaxation techniques. E mentions a warm shower or bath, which can help with pain relief but doesn't specifically address relaxation techniques for coping with contractions.
Extract:
A nurse is developing a nutritional care plan for a client who has COPD and severe dyspnea.
Question 3 of 5
Which action should the nurse include in the plan?
Correct Answer: B
Rationale: The correct answer is B: Provide small, frequent meals to reduce fatigue and improve intake. This option is the most appropriate because small, frequent meals can help prevent fatigue and improve nutrient intake by ensuring a steady supply of energy throughout the day. Offering three large meals (option
A) may overwhelm the client and lead to fatigue. Encouraging fluid intake before or after meals (option
C) may cause early satiety and reduce food intake. Offering high-calorie, nutrient-dense foods (option
D) can be beneficial, but the frequency of meals is more crucial in this scenario. Monitoring weight (option E) is important but does not directly address the issue of fatigue and intake.
Extract:
A nurse is caring for a client in the active phase of labor who has decided to have a natural childbirth.
Question 4 of 5
Which pain management technique should the nurse suggest?
Correct Answer: B
Rationale: The correct answer is B: Encourage the use of breathing techniques to manage pain. Breathing techniques help in pain management by promoting relaxation, reducing anxiety, and increasing oxygen flow. This can help the laboring individual cope better with contractions. Other choices are less effective for pain management in labor. A: Hydrotherapy can be beneficial, but breathing techniques are more universally applicable. C: Massage and counterpressure can help, but may not be as effective as breathing techniques during labor. D: Positioning changes are helpful, but breathing techniques are more directly focused on pain management. E: Relaxation techniques like visualization are useful, but breathing techniques are more specifically targeted at managing pain.
Extract:
A nurse is assessing a client who has bipolar disorder and is experiencing a depressive episode.
Question 5 of 5
Which finding should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Feelings of hopelessness or worthlessness. This is a key symptom of depression and is often present in individuals experiencing a depressive episode. It is important for the nurse to recognize this as it can indicate a serious mental health issue that requires intervention.
Choices A, C, D, and E are also common symptoms of depression, but they are not as specific to the core of the condition as feelings of hopelessness or worthlessness. Moving quickly from one idea to the next (
A) may suggest mania or hypomania rather than depression. Decreased energy and fatigue (
C), difficulty concentrating or making decisions (
D), and changes in appetite (E) are also common in depression, but they are not as indicative of the deep emotional distress associated with feelings of hopelessness or worthlessness.