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: Naloxone reverses opioid effects, leading to increased respiratory rate.
Extract:
A nurse in an emergency department is assessing a client who reports ingesting thirty diazepam tablets a respiratory rate of 10/min.
Question 2 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:
A nurse is assessing a 5-year-old child who has diabetes insipidus and is receiving desmopressin.
Question 3 of 5
Which finding should the nurse identify as an indication that the medication is effective?
Correct Answer: C
Rationale: The correct answer is C: Cessation of nocturnal enuresis. This is because the medication's effectiveness is best indicated by the resolution of the targeted symptom, which in this case is nocturnal enuresis. This outcome directly demonstrates that the medication is successfully addressing the underlying issue.
Choices A, B, and D are not relevant indicators of the medication's effectiveness in this scenario. Heart rate and capillary refill time are not directly related to the medication's intended effect on nocturnal enuresis. Absence of hypoglycemic episodes is also unrelated as it pertains to a different medical condition.
Extract:
A nurse is caring for a client who is postoperative following a liver biopsy.
Question 4 of 5
In which of the following positions should the nurse place the client immediately following the procedure?
Correct Answer: C
Rationale: The correct answer is C: Right lateral. Placing the client in the right lateral position immediately following a procedure helps prevent aspiration in case of vomiting, as it facilitates drainage of secretions. Trendelenburg position (
A) is not recommended due to potential complications. Prone position (
B) is not suitable for post-procedure care. High-fowlers position (
D) is typically used for respiratory distress, not immediately post-procedure.
Extract:
Question 5 of 5
A nurse is assessing a client who has historic personality disorder. Which of the following manifestations should the nurse expect?
Correct Answer: C
Rationale: The correct answer is C: self-centered behavior. Individuals with historic personality disorder typically exhibit a pattern of attention-seeking behavior, exaggerated emotions, and a need for constant admiration. This self-centered behavior is a key characteristic of this disorder.
Choice A, suspicious of others, is more commonly associated with paranoid personality disorder.
Choice B, callousness, is typically seen in individuals with antisocial personality disorder.
Choice D, violating others' rights, is a characteristic of individuals with antisocial personality disorder as well.
Therefore, the most appropriate manifestation to expect in a client with histrionic personality disorder is self-centered behavior.