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. In a pneumothorax, air collects in the pleural space, causing lung collapse and chest pain that worsens with breathing. Stridor (
A) is associated with upper airway obstruction, not pneumothorax. Friction rub (
C) is more indicative of pleurisy. Bradycardia (
D) is not a typical finding in pneumothorax.
Extract:
A home care nurse is caring for a client who has advancing multiple sclerosis.
Nurses' Notes
2 weeks ago:
Client reports depression is increasing as they are unable to participate in activities they once
enjoyed because of the advancing multiple sclerosis. Even getting up to the wheelchair is "just
too much" for them.
Today:
Home health aide reported client will not permit turning or position changes. Client states, "I can
only get comfortable curled on my left side, I'm not moving."
Question 2 of 5
Select the 5 complications the client is at risk for.
Correct Answer: C,D,E,F,H
Rationale: Immobility increases risks of urinary stasis, contractures, atelectasis, and pressure injuries.
Extract:
A nurse is providing care for a client who has esophageal cancer and has received radiation therapy.
Question 3 of 5
Which of the following findings should the nurse identify as the priority?
Correct Answer: D
Rationale: The correct answer is D: Dysphagia. Dysphagia poses the highest risk as it can lead to aspiration, malnutrition, and dehydration. The nurse should prioritize addressing dysphagia to prevent serious complications. Xerostomia (
A) is dry mouth, which can be managed with hydration. Pain level of 6 (
B) is important but not life-threatening. Excoriation of skin (
C) is concerning but not immediately life-threatening compared to dysphagia.
Extract:
A nurse is preparing to administer the first dose of cefazolin via intermittent IV infusion to a client.
Question 4 of 5
Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The correct answer is A. Reviewing the client's allergy history should be the first action because it is crucial to ensure the safety of the client and prevent any potential allergic reactions to medications. By identifying any known allergies, the nurse can make informed decisions about the client's care. Monitoring temperature (
B), checking WBC count (
C), and explaining medication purpose (
D) are important steps but not as urgent as ensuring the client's safety by reviewing allergies first.
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.