ATI RN
ATI Comprehensive 2023 With NGN 180 Questions And Answers Questions
Extract:
A nurse is caring for a client who is 4 days postpartum following a cesarean birth
Nurses’ Notes
Today
0800
Client reports not feeling well with headache, body aches, and chills. Left breast red and tender
with swollen, tender lymph nodes in the left axilla. Incision edges well approximated without
erythema or drainage. Small amount of Lochia rubra noted.
0830
Provider notified of findings. Prescriptions received.
Question 1 of 5
For each potential assessment finding, click to specify if the assessment finding is consistent with mastitis or endometritis.
| Assessment Findings | Mastitis | Endometritis |
|---|---|---|
| Foul-smelling lochia | ||
| Painful, tender breast | ||
| Temperature | ||
| Chills |
Correct Answer: B,C,D
Rationale:
The correct answer is B, C, and D. Painful, tender breast (
B) is consistent with mastitis, an infection of the breast tissue. Temperature (
C) is a common symptom for both mastitis and endometritis, indicating an infection in the body. Chills (
D) are also indicative of an infection and can be present in both mastitis and endometritis. Foul-smelling lochia (
A) is more specific to endometritis, an infection of the uterine lining, rather than mastitis.
Therefore, A is not selected. Other choices (E, F, G) are not relevant to the assessment findings for mastitis or endometritis and should not be selected.
Extract:
A nurse is planning to delegate to an AP the fasting blood glucose testing for a client who has diabetes mellitus.
Question 2 of 5
Which of the following action should the nurse take?
Correct Answer: A
Rationale: The correct answer is A. The nurse should determine if the AP has the skills to perform the test because it is crucial to ensure that the AP is competent and trained to conduct the blood glucose test safely and accurately. This step is essential for patient safety and quality of care.
Choices B, C, and D are incorrect because they do not address the initial important step of assessing the AP's competency. Helping the AP perform the test (
B), assigning the AP to ask about medication (
C), or having the AP check prior test results (
D) are all tasks that can come after confirming the AP's skill level. It's important to prioritize patient safety by first verifying the AP's ability to perform the test correctly.
Extract:
A nurse is assessing the grief response of a client whose child died six months ago.
Question 3 of 5
Which client statement should the nurse report as an indication of major depressive disorder?
Correct Answer: E
Rationale: Thoughts of self-harm are a critical indicator of major depressive disorder.
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 was diagnosed with gestational diabetes at 28 weeks of gestation.
2020:
Contractions occurring every 4 to 5 min, lasting 40 to 60 seconds. Small amount of bloody show
noted when changing disposable pad on bed. Client rates contraction pain as a 5 on a scale of 0
to 10, breathing well through contractions., FHR 168/min, minimal variability. Client denies
epigastric pain or visual disturbances. Trace of edema noted to bilateral lower extremities.
2230:
Contractions occurring every 2.5 to 3 minutes, lasting 60 to 70 seconds. Epidural placed by
anesthesiologist. Client rates pain with contractions as a 3 on a scale of 0 to 10. FHR 150/min
with moderate variability. Accelerations present, no decelerations noted.
Vital Signs
2230:
Temperature 38° C (100.4° F)
Heart rate 88/min
Respiratory rate 16/min
Blood pressure 122/80 mm Hg
Oxygen saturation 98% on room air
Question 4 of 5
Select the findings that indicate the interventions have been effective.
Correct Answer: A,C
Rationale: Effective pain relief (client rates pain as 3) and normal FHR patterns indicate successful interventions.
Extract:
A community health nurse is working with a group of clients.
Question 5 of 5
Which task should the nurse perform to practice distributive justice?
Correct Answer: E
Rationale: The correct answer is E because developing programs addressing social determinants of health promotes distributive justice by reducing health disparities. Social determinants, such as income and education, greatly impact health outcomes. By addressing these factors through programs, the nurse ensures that all individuals have equal opportunities for good health.
Choice A focuses on individual care, not systemic change.
Choice B deals with resource allocation, not addressing underlying disparities.
Choice C emphasizes individual medical necessity over systemic justice.
Choice D is important but does not directly address social determinants.