ATI RN
ATI Comprehensive 2023 With NGN 180 Questions And Answers Questions
Extract:
A nurse enters a client's room and sees a small fire in the client's bathroom.
Question 1 of 5
Identify the sequence of steps the nurse should take?
Correct Answer: D
Rationale: The correct answer is D: Activate the facility's fire alarm system. This is the first step the nurse should take in case of a fire emergency to alert everyone in the building and initiate evacuation procedures. By activating the fire alarm system, all occupants including staff and patients will be notified of the fire, allowing for a quicker response from emergency services and a safer evacuation. Closing windows and doors (
A) can help prevent the fire from spreading, but it is not the initial priority. Transporting the client (
B) may put them at risk and should only be done if safe to do so. Using the fire extinguisher (
C) should only be attempted if trained and the fire is small and contained.
Extract:
A nurse is caring for a client who is one hour postpartum and unable to urinate.
Question 2 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct action is C: Encourage the client to void in the shower. This is the most appropriate choice as it promotes relaxation and can help stimulate urination. By encouraging the client to void in the shower, the warm water and relaxed environment can aid in facilitating the process. Placing the hand in warm water (
A) may provide some comfort but does not directly address the issue of promoting urination. In-and-out catheterization (
B) is invasive and should only be performed if absolutely necessary. Applying fundal pressure (
D) is not recommended as it can cause harm and is not a standard practice for stimulating urination.
Extract:
The nurse is caring for a client who is on bed rest.
Question 3 of 5
The nurse should recognize that which of the following findings is a complication of immobility
Correct Answer: C
Rationale: The correct answer is C: Swollen area on calf. Immobility can lead to blood pooling in the lower extremities, causing swelling, redness, and pain. This is a sign of deep vein thrombosis (DVT), a serious complication of immobility. Increased BP (choice
A) is not typically a direct complication of immobility. Urinary frequency (choice
B) is more related to issues such as urinary tract infections or bladder problems. Other choices are not relevant to complications of immobility.
Extract:
A nurse is caring for a client who has heart failure.
Question 4 of 5
Which of the following manifestations should the nurse expect?
Correct Answer: A
Rationale: The correct answer is A: Crackles in the lungs. This manifestation is expected because crackles indicate fluid accumulation in the lungs, which is common in conditions like heart failure. Bradycardia (
B) is unlikely as heart failure often causes tachycardia. Dry mucous membranes (
C) are more indicative of dehydration. Weight loss (
D) is not a typical manifestation of heart failure. Hence, crackles in the lungs are the most relevant manifestation.
Extract:
Question 5 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.