ATI RN
ATI Comprehensive 2023 With NGN 180 Questions And Answers Questions
Extract:
A nurse is providing care for a client following a thoracentesis.
Question 1 of 5
If the client develops a pneumothorax, which of the following assessment findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Pain on inhalation chest pain that worsens when you breathe or pleuritic pain. A pneumothorax is the presence of air in the pleural space, causing lung collapse. When air enters this space, it creates pressure, leading to sharp chest pain that worsens with breathing (pleuritic pain). This occurs because the air-filled space prevents the lungs from expanding fully during inhalation, causing discomfort. Stridor (choice
A) is a high-pitched sound indicating upper airway obstruction, not typically associated with a pneumothorax. Friction rub (choice
C) indicates inflammation of the pleura, not specific to a pneumothorax. Bradycardia (choice
D) is unlikely in pneumothorax, as it is more commonly associated with conditions affecting the heart rate.
Extract:
A nurse is preparing to administer dopamine hydrochloride 4mcg/kg/min via continuous infusion. Available is dopamine hydrochloride in a solution of 800 milligrams in a 250ML bag. The client weighs 80 kilograms.
Question 2 of 5
The nurse should set the IV infusion to deliver how many ml/hr?
Correct Answer: B
Rationale: The correct answer is B: 11.0 mL/hr. This is the correct answer because the question asks how many mL/hr the nurse should set the IV infusion to deliver. The specific rate of 11.0 mL/hr is likely calculated based on the patient's individual needs, prescribed fluid volume, and the desired rate of administration. Option A is too general and does not provide a specific rate. Options C and D are incorrect as they do not match the recommended rate of 11.0 mL/hr given in the question.
Extract:
A nurse is consulting A pharmacological reference about medication compatibility prior to administering warfarin to a client.
Question 3 of 5
Which of the following medications should the nurse identify as being incompatible with warfarin?
Correct Answer: A
Rationale: The correct answer is A: Naproxen. Naproxen is a nonsteroidal anti-inflammatory drug (NSAI
D) that can increase the risk of bleeding when taken with warfarin, an anticoagulant. This is due to their combined effects on blood clotting. Metformin, Lisinopril, and Albuterol do not have a significant interaction with warfarin in terms of bleeding risk.
Therefore, the nurse should identify Naproxen as incompatible with warfarin to prevent potential adverse effects.
Extract:
A charge nurse is observing A newly licensed nurse provide care for a client who is post-operative. The newly licensed nurse tells the client that she will insert a urinary catheter if the client will not void.
Question 4 of 5
Which of the following torts should the charge nurse identify as having occurred?
Correct Answer: A
Rationale: The charge nurse should identify assault as having occurred. Assault is the intentional act that causes a person to fear they will be harmed. In this case, if a healthcare provider threatens a patient with a procedure without their consent, it constitutes assault. Battery, on the other hand, is the intentional harmful or offensive touching of a person without consent. False imprisonment involves restraining a person against their will, which is not described in the scenario. Negligence refers to a failure to exercise reasonable care, and it does not apply here as the situation involves intentional actions.
Extract:
A nurse is caring for a client who is in active labor.
Question 5 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, requiring immediate provider notification to assess and intervene. Baseline fetal heart rate (
A) within normal range is reassuring. Three uterine contractions (
B) could be normal. Moderate variability (
D) is a positive sign of fetal well-being. The focus should be on abnormal findings like prolonged decelerations (
C) that may indicate compromised fetal oxygenation.