ATI RN
ATI Comprehensive 2023 With NGN 180 Questions And Answers Questions
Extract:
The nurse is continuing to care for the child
Provider Prescriptions
1030:
Obtain x-rays of right arm, wrist, and elbow.
1145:
Ibuprofen 200 mg PO PRN pain rating of 5 on a scale of 0 to 10
Consult orthopedic department for cast application.
1400:
Discharge to home.
Follow-up in office in 2 weeks.
Review synthetic cast care instructions with child and family.
Question 1 of 5
After reviewing the discharge instructions with the family, which of the following statements by a parent indicate an understanding of the teaching? Click to specify if the statement reflects an understanding or indicates a need for reinforcement.
| Parent Statement | Reflects Understanding | Needs Reinforcement |
|---|---|---|
| We should notify the provider if the cast becomes loose over time. | ||
| It is important that our child avoids placing anything inside the cast. | ||
| We should prop the casted arm on pillows for the next 24 hours. | ||
| We should expect the swelling and tingling to worsen before it gets better. | ||
| We need to be very careful about how we handle the cast for the first 2 days while it dries. |
Correct Answer: A,B,C,E
Rationale: Statements A, B, C, and E reflect correct understanding. Expecting worsening symptoms (
D) requires clarification as it may indicate complications.
Extract:
A nurse is caring for a client who has respiratory depression from an opioid administration.
Question 2 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 is planning care for a client who was recently admitted to the
medical-surgical unit.
Diagnostic Results
Day 1:
WBC count 4,500/mm³ (5,000 to 10,000/mm³)
RBC count 3.2 million/mm³ (4.2 to 5.4 million/mm³)
Hgb 11 g/di (12 to 16 g/dL)
Hct 46% (37% to 47%) '
Platelet count 145,000/mm³ (150,000 to 400,000/mm³)
Erythrocyte sedimentation rate 40 mm/hr (up to 20 mm/hr)
Urinalysis:
pH 5.0 (4.6 to 8.0)
Specific gravity 1.0 (1.010 to 1.025)
Protein 10 mg/dL (0 to 8 mg/dL)
Glucose negative (Negative)
WBC casts 2 (0 to 4 per low-power field)
Admission Assessment
Client reports new onset of fever and discomfort in their joints and increase malaise. No relevant
medical history. Client is alert to person, place, time, and situation. Reports generalized pain as 4
on a scale of 0 to 10. Macular rash present on cheeks bilateral. Lungs clear anterior and posterior.
Bowel sounds active in all 4 quadrants. Last bowel movement 1 day ago. Skin warm, dry, and
intact. Capillary refill less than 3 seconds. A 20-gauge IV saline lock inserted in back left hand
Question 3 of 5
Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing.
Correct Answer: B,E
Rationale: Systemic lupus erythematosus is indicated by the lab results and symptoms.
Extract:
A nurse in an acute care mental health facility is placing a client in seclusion and restraints.
Question 4 of 5
Which of the following actions should the nurse plan to take?
Correct Answer: C
Rationale: The correct answer is C because releasing the restraints every 2 hours to assess circulation is essential in preventing complications such as impaired circulation, skin breakdown, and nerve damage. This action aligns with best practices in restraint use, promoting client safety and well-being. Documenting the client's behavior every 15 minutes (
A) is important but not the priority when dealing with restraint use. Obtaining a prescription for restraints within 4 hours (
B) may be necessary but does not address the ongoing assessment of circulation. Discontinuing restraints only when the provider removes the order (
D) does not ensure timely monitoring of the client's condition.
Extract:
A nurse is teaching about preventative measures to a female client who has chronic urinary tract infections.
Question 5 of 5
Which of the following interventions should the nurse include in the teaching?
Correct Answer: C
Rationale: The correct answer is C: Urinate immediately after sexual intercourse. This intervention helps prevent urinary tract infections by flushing out bacteria that may have entered the urethra during intercourse. Drinking warm water (
A) is not necessary in this context. Wiping back to front (
B) can introduce bacteria into the urinary tract. Limiting fluid intake (
D) is not recommended as it can concentrate urine and increase the risk of UTIs.