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 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 home care nurse is making a follow up visit with a client who has COPD and is using a compressed oxygen system in his home.
Question 2 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Place the oxygen tank away from curtains or drapes. This is important to prevent potential fire hazards as oxygen supports combustion.
Choice B is incorrect because oxygen tanks should be stored in a well-ventilated area, not in a closed closet.
Choice C is incorrect as oxygen tanks should always be stored upright to prevent damage.
Choice D is incorrect as increasing oxygen flow without proper assessment can be dangerous.
Extract:
A nurse in an antepartum unit is caring for a client.
Nurses' Notes
2000:
Client is 38-year-old, G4 P3 at 38 weeks of gestation. Presents for evaluation of labor and
spontaneous rupture of membranes (SROM). Client states, "My water broke a couple of hours
ago and is a greenish color," Client also reports contractions began about 4 hr. ago and have
become consistently stronger and closer together.
Electronic fetal monitor applied. Small amount of thin green fluid noted on perineal pad.
Contraction palpated, lasted 40 seconds, moderate in intensity. Fetal heart rate (FHR) 165/min.
Vaginal examination performed: cervix 4 cm dilated, 70% effaced, 0 station, vertex presentation.
Client reports a history of chronic hypertension that has been well-controlled during this
pregnancy. Also states was diagnosed with gestational diabetes at 28 weeks of gestation.
2020:
Contractions occurring every 4 to 5 min, lasting 40 to 60 seconds. Small amount of bloody show
noted when changing disposable pad on bed. Client rates contraction pain as a 5 on a scale of 0
to 10, breathing well through contractions., FHR 168/min, minimal variability. Client denies
epigastric pain or visual disturbances. Trace of edema noted to bilateral lower extremities.
Question 3 of 5
For each potential intervention, click to specify if the intervention is anticipated or contraindicated for the client.
| Potential Intervention | Anticipated | Contraindicated |
|---|---|---|
| Monitor blood pressure every hour | ||
| Maintain continuous monitoring of the FHR | ||
| Initiate an IV infusion of lactated Ringers | ||
| Place the client in a left lateral position |
Correct Answer: A,B,D
Rationale: Monitoring blood pressure, maintaining continuous FHR monitoring, and placing the client in a left lateral position are all anticipated interventions in labor management.
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: Breathing techniques are effective for managing pain during natural childbirth.
Extract:
A nurse is obtaining the temperature of a newborn.
Question 5 of 5
Which of the following sites should the nurse use?
Correct Answer: B
Rationale: The nurse should use the rectal site for temperature measurement because it provides the most accurate core body temperature. The rectal site closely reflects internal temperature and is recommended for infants, young children, and unconscious patients. Axillary, oral, and tympanic sites can be influenced by external factors, resulting in less accurate readings. Rectal temperature is considered the gold standard for accurate measurement in certain patient populations.