ATI RN
ATI Comprehensive 2023 With NGN 180 Questions And Answers Questions
Extract:
A nurse in an antepartum unit is caring for a client.
Nurses' Notes
2000:
Client is 38-year-oid, 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.
Question 1 of 5
For each potential assessment finding, click to specify if the finding is consistent with chorioamnionitis or preeclampsia. Each finding may support more than one disease process. Note: Each column must have at least 1 response option selected.
| Findings | Chorioamnionitis | Preeclampsia |
|---|---|---|
| Elevated uric acid level | ||
| Blurred vision | ||
| Decreased platelet count | ||
| Purulent amniotic fluid | ||
| Fever |
Correct Answer: B,C,D,E
Rationale: Findings like fever, purulent amniotic fluid, decreased platelets, and elevated uric acid support chorioamnionitis. Blurred vision is more indicative of preeclampsia.
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 2 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:
A nurse is providing discharge teaching to a client following a total gastrectomy.
Question 3 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.
Extract:
A nurse is admitting an older adult client who was transferred from another facility.
Question 4 of 5
Which action should the nurse take to address suspicion of elder abuse?
Correct Answer: C
Rationale: Reporting findings to authorities is essential in suspected cases of elder abuse.
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 5 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.