ATI RN
ATI Comprehensive 2023 With NGN 180 Questions And Answers Questions
Extract:
Nurses' Notes
Day 1, 0915:
The client's adult child reports the client has not slept for 2 days and has become obsessed with
cleaning the house and hosting parties. At times the client is overly joyous and has a very
elevated sense of self-confidence. The adult child states that the client has also demonstrated
very impulsive spending habits and expresses concern about the client giving away large sums
of money to others.
The client's speech is very pressured, disorganized, and loud. Client unable to recall the last time
they ate.
Day 1, 0930:
Client questioned about their hallucinations and states that the same person has been following
them around inside and outside the house for days. Client asks the person what they want but
never receives an answer, Client states that this person has never told them to do anything: they
just stare and smile.
Question 1 of 5
For each assessment finding, click to specify if the finding is consistent with psychosis or mania.
Correct Answer: A,B,C,D,E
Rationale: Both psychosis and mania can present with hallucinations, lack of sleep, excessive spending, disorganized thoughts, and pressured speech. These symptoms overlap but are characteristic of both conditions.
Extract:
A nurse is caring for a client.
Laboratory Results
Week 1:
WBC count 8,000/mm³ (5,000 to 10,000/mm³)
Platelets 350,000/mm³ (150,000 to 400,000/mm³)
Potassium 3.7 mEq/L (3.5 to 5 mEq/L)
Week 2:
WBC count 3,800/mm³ (5,000 to 10,000/mm³)
Platelets 150,000/mm³ (150,000 to 400,000/mm³)
Potassium 3.6 mEq/L (3.5 to 5 mEq/L)
Vital Signs
Week 2:
Temperature 38.6° C (101.5° F)
BP 114/56 mm Hg
Heart rate 102/min
Respiratory rate 24/min
Oxygen saturation 93% on room air
Question 2 of 5
A nurse is reviewing the client's electronic medical record. Which of the following findings require follow up?
Correct Answer: C,D
Rationale: Decreased WBC count and elevated temperature suggest infection, requiring follow-up. Potassium levels remain within normal range, so no action is needed.
Extract:
A nurse is caring for a 9-year-old child at a clinic.
Vital Signs
1000:
Temperature 36.8° C (98.2° F)
Heart rate 102/min|
Respiratory rate 22/min
BP 100/60 mm Hg
Oxygen saturation 98% on room air
Question 3 of 5
Nurse determines that the assessment findings are consistent with which of the following conditions?Click to specify if the assessment findings are consistent with a sprain, a fracture, or a dislocation.
| Assessment Findings | Sprain | Fracture | Dislocation |
|---|---|---|---|
| Edema | |||
| Ecchymosis | |||
| Pain level | |||
| Sensation |
Correct Answer: A,B,C,D
Rationale: Edema, ecchymosis, pain, and altered sensation are common in sprains, fractures, and dislocations.
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 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 were diagnosed with gestational diabetes at 28 weeks of gestation.
Vital Signs
2000:
Temperature 36.7° C (98.1° F)
Heart rate 98/min
Respiratory rate 20/min
Blood pressure 128/84 mm Hg
Oxygen saturation 98% on room air
Question 5 of 5
Select the 2 findings that require immediate follow-up.
Correct Answer: C,E
Rationale: An elevated fetal heart rate and meconium-stained amniotic fluid indicate potential distress, necessitating urgent intervention.