ATI RN
ATI Comprehensive 2023 With NGN 180 Questions And Answers Questions
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 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,E
Rationale: Systemic lupus erythematosus is indicated by the lab results and symptoms.
Extract:
A nurse is caring for a client in the active phase of labor who has decided to have a natural childbirth.
Question 2 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 speaking with the caregiver of a client who has Alzheimer's disease. The caregiver states, Providing constant care is very stressful and is affecting all areas of my life.
Question 3 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Assist the caregiver to arrange a daycare program for the client. This option promotes respite for the caregiver, preventing burnout and ensuring client’s safety.
Choice B may not provide tangible support.
Choice C may minimize caregiver's concerns.
Choice D may increase caregiver's stress.
Extract:
A nurse is caring for a client who is one hour postpartum and unable to urinate.
Question 4 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct action is C: Encourage the client to void in the shower. This is the most appropriate choice as it promotes relaxation and can help stimulate urination. By encouraging the client to void in the shower, the warm water and relaxed environment can aid in facilitating the process. Placing the hand in warm water (
A) may provide some comfort but does not directly address the issue of promoting urination. In-and-out catheterization (
B) is invasive and should only be performed if absolutely necessary. Applying fundal pressure (
D) is not recommended as it can cause harm and is not a standard practice for stimulating urination.
Extract:
A nurse is providing preoperative teaching to a client about the administration of morphine via a PCA pump.
Question 5 of 5
Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A because it demonstrates the client's comprehension of the concept of patient-controlled analgesia (PC
A). By stating "I will receive a limited amount of pain medication when I press the button," the client shows an understanding that the PCA pump delivers a set dose of medication upon activation. This indicates awareness of the mechanism and purpose of the PCA pump.
Choice B is incorrect as it suggests having someone else press the button, which goes against the principle of patient-controlled administration.
Choice C is incorrect because it implies unlimited access to medication, which could lead to overdose.
Choice D is incorrect as it suggests waiting for severe pain, which may compromise effective pain management.