ATI RN
ATI Comprehensive 2023 With NGN 180 Questions And Answers Questions
Extract:
A nurse is caring for a client who has pneumonia and tells the nurse, “I feel like an elephant is sitting on my chest.†The client is weak and unable to walk.
Question 1 of 5
After the nurse indicates chest pain protocol, which of the following is the priority diagnostic test?
Correct Answer: C
Rationale: The correct answer is C: Chest X-ray. The priority diagnostic test after chest pain protocol is indicated is a chest X-ray. This is because a chest X-ray can quickly identify potential causes of chest pain such as pneumonia, pneumothorax, or pericarditis. It can also help rule out life-threatening conditions like aortic dissection or pulmonary embolism. PT and INR (
A) are tests for monitoring blood clotting, not specific to chest pain evaluation. A 12-lead ECG (
B) is important but typically done after a chest X-ray. D-dimer test (
D) is used to rule out a blood clot, which is not an immediate concern in chest pain evaluation.
Extract:
The nurse is discussing discharge plans with an older adult client who lives alone and has left sided weakness following a stroke
Question 2 of 5
Which of the following information is the priority for the nurse to discuss?
Correct Answer: B
Rationale: The correct answer is B because obtaining an alert system for help in case of a fall is the priority. This is crucial for immediate assistance and safety in case of emergencies. Discussing support groups (
A) can be beneficial but is not as urgent. Providing transportation resources (
C) and choosing a home physical therapy agency (
D) are important but not immediate priorities compared to ensuring immediate help in case of a fall.
Extract:
The nurse is continuing to care for the client Nurses
Notes
Day 1, 0900:
Client is at 31 weeks of gestation and presents with a severe headache unrelieved by
acetaminophen. Client also reports urinary frequency and decreased fetal movement.
Client is a G3 P2 with one preterm birth.
Day 1, 0930:
Client reports a constant and throbbing headache and rates it as a 6 on a scale of 0 to 10. Denies
visual disturbances. +3 pitting edema in bilateral lower extremities. Patellar reflex 4+ without
the presence of clonus. Client reports occasional nighttime leg cramps. Reports three fetal
movements within the last 30 min, External fetal monitor applied with a baseline FHR 140/min
with occasional accelerations and moderate variability. No uterine contractions noted.
Question 3 of 5
The nurse is reviewing the assessment findings. For each assessment finding, click to specify if the finding is consistent with preeclampsia or HELLP syndrome. Each finding may support more than one disease process.
| Assessment Findings | Preeclampsia | HELLP syndrome |
|---|---|---|
| Hemoglobin | ||
| Alanine aminotransferase (ALT) | ||
| Blood pressure | ||
| Platelet count |
Correct Answer: C,D
Rationale: [
Rationale:
- Blood pressure is a key assessment finding for both preeclampsia and HELLP syndrome. In preeclampsia, hypertension is a hallmark feature, while in HELLP syndrome, it can also be elevated.
- Platelet count is another shared finding. Thrombocytopenia is a common feature of HELLP syndrome, while it can also be decreased in severe cases of preeclampsia.
- Hemoglobin and ALT levels are not specific to either condition, so they do not provide a clear indication of preeclampsia or HELLP syndrome.]
Extract:
A nurse is planning to delegate to an AP the fasting blood glucose testing for a client who has diabetes mellitus.
Question 4 of 5
Which of the following action should the nurse take?
Correct Answer: A
Rationale: The correct answer is A. The nurse should determine if the AP has the skills to perform the test because it is crucial to ensure that the AP is competent and trained to conduct the blood glucose test safely and accurately. This step is essential for patient safety and quality of care.
Choices B, C, and D are incorrect because they do not address the initial important step of assessing the AP's competency. Helping the AP perform the test (
B), assigning the AP to ask about medication (
C), or having the AP check prior test results (
D) are all tasks that can come after confirming the AP's skill level. It's important to prioritize patient safety by first verifying the AP's ability to perform the test correctly.
Extract:
A nurse is preparing a client for transfer to a long-term care rehabilitation facility following a below-the-knee amputation.
Question 5 of 5
Which action should the nurse take to protect the client's confidentiality?
Correct Answer: E
Rationale: Secure communication ensures confidentiality during transfers.