ATI RN
ATI Comprehensive 2023 With NGN 180 Questions And Answers Questions
Extract:
A nurse in an emergency department is assessing a client who reports ingesting thirty diazepam tablets a respiratory rate of 10/min.
Question 1 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 specific benzodiazepine receptor antagonist used to reverse the effects of benzodiazepine overdose, which includes respiratory depression. Administering flumazenil would help reverse the sedative effects of benzodiazepines and improve the client's respiratory status. Initiating gastric lavage with activated charcoal (
B) is not the immediate priority after securing the airway and IV. Placing the client in the Trendelenburg position (
C) is not recommended due to potential complications. Obtaining a stat CT scan of the brain (
D) is not necessary at this point and does not address the immediate concerns of airway and sedation reversal.
Extract:
A nurse is assessing a client following an esophagogastroduodenoscopy.
Question 2 of 5
Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: The correct answer is A: Abdominal pain. Abdominal pain is a significant finding that could indicate underlying health issues and requires immediate attention from the provider for further assessment and intervention. Belching and flatulence are common gastrointestinal symptoms that may not necessarily warrant immediate reporting. Sore throat, unless severe or persistent, can often be managed with over-the-counter remedies. It is important to prioritize reporting symptoms that could be indicative of serious conditions to ensure timely and appropriate care.
Extract:
A nurse is reviewing the medication administration record of a client.
Question 3 of 5
Which of the following prescriptions should the nurse clarify?
Correct Answer: A
Rationale: The correct answer is A. Digoxin is commonly prescribed in mcg, not mg.
Therefore, the nurse should clarify the dosage unit. Metoprolol (
B) is a typical dose and frequency for oral administration. Furosemide (
C) is a standard dose and route for IV administration. Acetaminophen (
D) is a common dose and frequency for pain management. The other choices are not problematic.
Extract:
A nurse is creating a plan of care for a client who has paranoid personality disorder and refuses to take their medication.
Question 4 of 5
Which of the following interventions should the nurse include in the plan?
Correct Answer: A
Rationale: The correct answer is A: Speak in a neutral tone when addressing the client. This intervention is important as it helps maintain a calm and non-threatening environment, promoting effective communication with the client. Speaking in a neutral tone also conveys respect and understanding, which can help build trust and rapport.
Choice B is incorrect because forcing the client to take medication can lead to resistance and worsen the therapeutic relationship.
Choice C may not be appropriate as encouraging a client to discuss delusions without proper training or expertise in addressing such issues could potentially exacerbate the situation.
Choice D, using humor, may not be suitable in this context as it may not be well received by a client experiencing delusions.
Extract:
A nurse is preparing to insert an IV catheter for a client.
Question 5 of 5
Which of the following actions should the nurse plan to take?
Correct Answer: D
Rationale: The correct answer is D: Choose a vein that is palpable and straight. This is important because a palpable and straight vein ensures successful venipuncture and reduces the risk of complications such as infiltration or hematoma formation. Elevating the client's arm (
A) may help visualize veins but does not guarantee choosing a suitable vein. Selecting a site on the client's dominant arm (
B) is not necessary as both arms have suitable veins. Applying a tourniquet below the venipuncture site (
C) can obstruct blood flow and distort the vein.
Therefore, the best approach is to choose a vein that is palpable and straight for a successful venipuncture.