ATI RN
ATI Comprehensive 2023 With NGN 180 Questions And Answers Questions
Extract:
The nurse continues to care for the client.
History and Physical
Day 1, 0900:
A 52-year-old client brought to emergency department by adult child. Client is alert and oriented
to person and time but does not know where they are. No history of substance use according to
client's adult child. Client exhibits constant movements and poor concentration. Hair and
clothing are unclean. Appears to be listening to unseen others. Skin turgor poor.
Question 1 of 5
Fill in the blanks with one condition and one client finding.The client is most likely experiencing---------- as evidenced by the client's--------
Correct Answer: A,E
Rationale: The client exhibits euphoric mood, elevated self-confidence, and impulsive behaviors, which align with mania rather than delirium or other conditions.
Extract:
The charge nurse on a medical surgical unit is assisting with the emergency response plan following an external disaster in the community.
Question 2 of 5
In anticipation of multiple client admissions, which of the following current clients should the nurse recommend for early discharge?
Correct Answer: A
Rationale:
Rationale: The nurse should recommend early discharge for the client who is one day postoperative following a vertebroplasty (
Choice
A) because this client is likely stable post-surgery, requiring minimal monitoring and interventions. This client is in a stable condition without any immediate complications, making them a suitable candidate for early discharge to free up bed space for incoming clients. Clients in
Choices B, C, and D require ongoing monitoring or interventions due to their conditions, making them unsuitable for early discharge.
Choice B has pneumonia and fever, requiring IV antibiotics and close monitoring.
Choice C had a TIA and needs further evaluation.
Choice D has uncontrolled atrial fibrillation, needing continuous cardiac monitoring.
Therefore,
Choice A is the most appropriate for early discharge.
Extract:
A nurse is preparing to administer three medications to a client who is receiving continuous enteral feeding through an NG tube.
Question 3 of 5
Which of the following actions is appropriate for the nurse to take?
Correct Answer: D
Rationale: The correct answer is D: Flush the NG tube with 5 ml water. This is appropriate to ensure the medication is fully administered and prevent clogging in the tube. Flushing helps clear any residue and ensures proper delivery.
A: Adding medication directly to enteral feeding can cause blockages and affect medication absorption.
B: Dissolving medications together can lead to chemical interactions and reduce effectiveness.
C: Using a syringe for gravity flow may not be suitable for all medications and can lead to improper dosing.
Extract:
Question 4 of 5
A charge nurse is teaching a newly licensed nurse about medication Administration. Which of the following information should the charge nurse include?
Correct Answer: C
Rationale: The correct answer is C: Read medication labels at least two times prior to administration. This is crucial to ensure the right medication is given to the right patient in the right dose and route. Reading the label twice helps to minimize errors.
Choice A is incorrect because the focus should be on accuracy rather than the number of clients.
Choice B is important but does not directly address medication safety.
Choice D is important for patient safety but is specific to adverse events, not medication administration.
Extract:
A nurse is providing discharge teaching to a client following a total gastrectomy.
Question 5 of 5
The nurse should instruct the client about which of the following medications?
Correct Answer: B
Rationale: The correct answer is B: Vitamin B. The nurse should instruct the client about Vitamin B because it plays a crucial role in maintaining overall health, including supporting nerve function, red blood cell production, and energy levels. Vitamin B deficiency can lead to various health issues.
Choice A, Ranitidine, is used to treat stomach ulcers and acid reflux, not typically a medication the nurse would educate the client on.
Choice C, Metoclopramide, is a medication for gastrointestinal motility disorders and nausea, not typically needing client education.
Choice D, Vitamin K, is important for blood clotting and bone health, but educating the client on it is usually not a priority unless there is a specific deficiency or medical condition that requires it.