ATI RN
ATI Comprehensive 2023 With NGN 180 Questions And Answers Questions
Extract:
The charge nurse on a medical surgical unit is assisting with the emergency response plan following an external disaster in the community.
Question 1 of 5
In anticipation of multiple client admissions, which of the following current clients should the nurse recommend for early discharge?
Correct Answer: A
Rationale:
Rationale: The nurse should recommend early discharge for the client who is one day postoperative following a vertebroplasty (
Choice
A) because this client is likely stable post-surgery, requiring minimal monitoring and interventions. This client is in a stable condition without any immediate complications, making them a suitable candidate for early discharge to free up bed space for incoming clients. Clients in
Choices B, C, and D require ongoing monitoring or interventions due to their conditions, making them unsuitable for early discharge.
Choice B has pneumonia and fever, requiring IV antibiotics and close monitoring.
Choice C had a TIA and needs further evaluation.
Choice D has uncontrolled atrial fibrillation, needing continuous cardiac monitoring.
Therefore,
Choice A is the most appropriate for early discharge.
Extract:
A nurse is caring for a client in the emergency department. Nurses' Notes
1100:
The client reports shortness of breath and difficulty sleeping. The client feels tired very quickly
and occasionally feels nauseous. The client reports experiencing intermittent chest tightness and
a cough that is aggravated by exercise. The client has a productive cough and irregular breathing
pattern. Crackles and wheezing present on auscultation. The client has a history of smoking a
pack of cigarettes per day for the past 35 years. There is no clubbing of the fingers. The client
appears anxious.
1130:
Administered albuterol and oxygen per provider's prescription. The client is instructed to perform
pursed-lip breathing.
1230:
The client is breathing with minimal effort and coughing has decreased
Vital Signs 1100:
Temperature 36.8°C (98.2° F) Heart
rate 92/min Respiratory rate 28/min
BP 145/90 mm Hg
Oxygen saturation 87% on room air
1145:
Temperature 36.2° C (97.2" F) Heart
rate 88/min
Respiratory rate 22/min BP
140/90 mm Hg
Oxygen saturation 92% on room air
Question 2 of 5
Which of the following interventions should the nurse include in the plan of care? Select all that apply.
Correct Answer: A,B,F
Rationale:
Correct Answer: A, B, F
Rationale:
A: Increasing oxygen flow rate to 4 L/min is important to improve oxygenation in the client.
B: Assessing the client's breath sounds helps in monitoring respiratory status and detecting abnormalities.
F: Instructing the client to perform diaphragmatic breathing promotes effective breathing and improves lung function.
Incorrect
Choices:
C: Performing chest percussion and vibration is not typically indicated unless specifically ordered by a healthcare provider.
D: Placing the client in a supine position may worsen respiratory distress in some cases.
E: Restricting the client's fluid intake is not necessary for respiratory interventions and may lead to dehydration.
Extract:
The nurse is continuing to care for the child
Provider Prescriptions
1030:
Obtain x-rays of right arm, wrist, and elbow.
1145:
Ibuprofen 200 mg PO PRN pain rating of 5 on a scale of 0 to 10
Consult orthopedic department for cast application.
1400:
Discharge to home.
Follow-up in office in 2 weeks.
Review synthetic cast care instructions with child and family.
Question 3 of 5
After reviewing the discharge instructions with the family, which of the following statements by a parent indicate an understanding of the teaching? Click to specify if the statement reflects an understanding or indicates a need for reinforcement.
| Parent Statement | Reflects Understanding | Needs Reinforcement |
|---|---|---|
| We should notify the provider if the cast becomes loose over time. | ||
| It is important that our child avoids placing anything inside the cast. | ||
| We should prop the casted arm on pillows for the next 24 hours. | ||
| We should expect the swelling and tingling to worsen before it gets better. | ||
| We need to be very careful about how we handle the cast for the first 2 days while it dries. |
Correct Answer: A,B,C,E
Rationale: Statements A, B, C, and E reflect correct understanding. Expecting worsening symptoms (
D) requires clarification as it may indicate complications.
Extract:
Nurses' Notes
Day 1, 0915:
The client's adult child reports the client has not slept for 2 days and has become obsessed with
cleaning the house and hosting parties. At times the client is overly joyous and has a very
elevated sense of self-confidence. The adult child states that the client has also demonstrated
very impulsive spending habits and expresses concern about the client giving away large sums
of money to others.
The client's speech is very pressured, disorganized, and loud. Client unable to recall the last time
they ate.
Day 1, 0930:
Client questioned about their hallucinations and states that the same person has been following
them around inside and outside the house for days. Client asks the person what they want but
never receives an answer, Client states that this person has never told them to do anything: they
just stare and smile.
Question 4 of 5
For each assessment finding, click to specify if the finding is consistent with psychosis or mania.
Correct Answer: A,B,C,D,E
Rationale: Both psychosis and mania can present with hallucinations, lack of sleep, excessive spending, disorganized thoughts, and pressured speech. These symptoms overlap but are characteristic of both conditions.
Extract:
A nurse is providing care for a client who has esophageal cancer and has received radiation therapy.
Question 5 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.