ATI RN
ATI Comprehensive 2023 With NGN 180 Questions And Answers Questions
Extract:
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 1 of 5
Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing.
Correct Answer: B,C
Rationale: Increased fluid intake and contact precautions are essential for managing systemic lupus erythematosus.
Extract:
A nurse is planning care for a client who sustained a major burn over 20% of the body.
Question 2 of 5
Which of the following interventions should the nurse include to support the client's nutritional requirements?
Correct Answer: B
Rationale: The correct answer is B: Provide a high-calorie, high-protein diet. This intervention is essential for meeting the client's nutritional requirements as it helps in providing the necessary energy and building blocks for tissue repair and maintenance. High-calorie and high-protein diets are particularly important for individuals with increased nutritional needs, such as those recovering from illness or surgery. Calorie counting (
A) is important but not as crucial as ensuring the client receives adequate calories and proteins. Encouraging a low-fat diet (
C) may not be suitable for all clients, especially those who require higher calorie intake. Restricting oral intake and providing IV fluids only (
D) is not an appropriate intervention unless absolutely necessary for medical reasons.
Extract:
A nurse is providing an in service about client evacuation during the fracture.
Question 3 of 5
Which of the following clients should the nurse instruct the staff to evacuate first?
Correct Answer: C
Rationale: The nurse should instruct the staff to evacuate the client who is ambulatory and receiving oxygen first. This client has a higher risk for respiratory compromise in an emergency situation due to their dependence on oxygen. Evacuating this client first ensures their safety and prevents potential complications. The other choices are less urgent:
A) The client who uses a wheelchair and is confused may need assistance but is not at immediate risk of respiratory distress.
B) The bedridden client wearing a hearing aid may require help but is not in immediate danger.
D) The client with a fracture in balance suspension traction is stable and can wait, prioritizing the client on oxygen.
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 4 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:
Question 5 of 5
A nurse is assessing a client who received hydromorphone 4mg IV 15 min ago. The client has a respiratory rate of 10/min. the nurse should prepare to administer which of the following medications?
Correct Answer: A
Rationale: The correct answer is A: Naloxone. Hydromorphone is an opioid that can cause respiratory depression. With a respiratory rate of 10/min, the client is likely experiencing opioid overdose. Naloxone is an opioid antagonist that can reverse the effects of opioids, including respiratory depression, by competitively binding to opioid receptors. Administering naloxone can help restore normal respiratory function and prevent further complications.
Choice B: Flumazenil is a benzodiazepine antagonist and would not be appropriate for opioid overdose.
Choice C: Activated charcoal is used for gastrointestinal decontamination and would not be helpful in this situation.
Choice D: Atropine is not indicated for opioid overdose and would not address the respiratory depression caused by hydromorphone.
Choice E: Diphenhydramine is an antihistamine and would not be effective in reversing opioid-induced respiratory depression.