ATI RN
ATI Comprehensive 2023 With NGN 180 Questions And Answers Questions
Extract:
A nurse is caring for a client of a psychiatric unit
Nurses' Notes
0700
Client is admitted to the unit. They deny suicidal ideations at this time. Client states, "I am an
assistant to a powerful spirit." Client is poorly groomed and has body odor.
0900:
Called to the client's room, Client states, "I cannot believe you put me in a room with spiders on
the wall. " Client requests immediate transfer to another room.
1200:
Psychiatrist is at the bedside evaluating the client. After history and physical, psychiatrist states
that they have diagnosed the client with schizophrenia.
Client is to be started on medication and milieu therapy History and
Physical
0700
Majority of client's history is obtained from client's parent who presents with client today.
According to the parent, client has been acting strangely for a few months. Client's symptoms
have been progressively worsening.
In the last month, the client has been seeing things that are not present and believes that they are
in a close relationship with "a powerful spirit." Client has not been bathing regularly for the last
few weeks.
Client has no significant health history. Client reports that they do not take illicit substances or
drink alcohol. Client's grandparent has a history of schizophrenia
Question 1 of 5
For each potential action, click to specify if the action is indicated or contraindicated for the client.
| Potential Action | Indicated | Contraindicated |
|---|---|---|
| Allow the client to watch TV at high volume | ||
| Ask the client about the content of their hallucinations | ||
| Instruct the client on expected hygiene practices | ||
| Assess the client for suicidal ideation | ||
| Place the client in a room near the activity room |
Correct Answer: B,D
Rationale: []
The correct answers are B and D. Asking the client about the content of their hallucinations is indicated to gather information on their mental state. Assessing the client for suicidal ideation is crucial for risk assessment and intervention. Allowing the client to watch TV at high volume is contraindicated as it may exacerbate hallucinations. Instructing the client on hygiene practices is not directly relevant to addressing their mental health concerns. Placing the client in a room near the activity room does not address the client's specific needs for assessment and intervention.
Extract:
Question 2 of 5
A nurse is assessing a client who has historic personality disorder. Which of the following manifestations should the nurse expect?
Correct Answer: C
Rationale: The correct answer is C: self-centered behavior. Individuals with historic personality disorder typically exhibit a pattern of attention-seeking behavior, exaggerated emotions, and a need for constant admiration. This self-centered behavior is a key characteristic of this disorder.
Choice A, suspicious of others, is more commonly associated with paranoid personality disorder.
Choice B, callousness, is typically seen in individuals with antisocial personality disorder.
Choice D, violating others' rights, is a characteristic of individuals with antisocial personality disorder as well.
Therefore, the most appropriate manifestation to expect in a client with histrionic personality disorder is self-centered behavior.
Extract:
A nurse in an outpatient clinic is caring for a client.
Assessment
0840:
Client is calm and cooperative. Skin warm and dry. No rash noted. Lung sounds clear. Abdomen
soft to palpation with fundal height at 20 cm. Fetal heart rate 150/min. Bowel sounds active in all
four quadrants. No edema to lower extremities. Client denies visual changes or severe headaches.
Weight gain of 1.8 kg (4 lb) since last visit. Small amount of mucoid discharge noted on perineal
pad
Laboratory Results
0900:
Urine dipstick:
pH 6.0 mg/d (4.6 to 8 mg/dL)
Specific Gravity 1.022 (1.010 to 1.025)
Leukocyte esterase negative (Negative)
Nitrite negative (Negative)
Protein trace negative (Negative)
Glucose negative (Negative)
Ketones none (None)
Bilirubin none (None)
Blood none (None)
Nurses' Notes
0830:
Client reports to clinic for monthly prenatal visit. Client is at 20 weeks of gestation. Since last
visit, client reports concerns about the occurrence of intermittent mild backaches, increased
heartburn, generalized itching, and vaginal discharge.
Vital Signs
0830:
BP 124/68 mm Hg
Heart rate 80/min
Temperature 37° C (98.6° F)
Respiratory rate 16/min
Weight 67.1 kg (148 lb)
Question 3 of 5
Which of the following statements should the nurse include in the client's teaching?
Correct Answer: B,D,F
Rationale: Wearing flat shoes, wearing loose-fitting clothes, and avoiding fried foods are beneficial practices during pregnancy.
Extract:
A nurse is caring for a client who is in active labor.
Question 4 of 5
The nurse should notify the provider for which of the following findings?
Correct Answer: C
Rationale: The correct answer is C: Prolonged decelerations. This finding indicates potential fetal distress, which requires immediate provider notification for further assessment and intervention. Prolonged decelerations can be a sign of compromised fetal oxygenation and blood flow, posing a risk to the baby's well-being. Baseline fetal heart rate within the normal range (
A), occasional uterine contractions (
B), and moderate variability in fetal heart rate (
D) are typically normal findings and do not necessitate immediate provider notification.
Extract:
A nurse is developing a nutritional care plan for a client who has COPD and severe dyspnea.
Question 5 of 5
Which action should the nurse include in the plan?
Correct Answer: B
Rationale: Small, frequent meals reduce fatigue and improve intake in clients with COPD.