ATI RN
ATI Comprehensive 2023 With NGN 180 Questions And Answers Questions
Extract:
History and Physical
6-year-old child
Vomited 3 times in the past 24 hr
Irritable behavior for the past 24 hr
Respiratory infection started 3 days ago
Brudzinski's and Kernig's signs positive
Question 1 of 5
Nurse is planning care for a child during admission to the facility. Which action should the nurse take first?
Correct Answer: D
Rationale: Positive Brudzinski's and Kernig's signs indicate meningitis, making seizure precautions the priority to prevent complications.
Extract:
A nurse is caring for a client who repeatedly refuses meals. The nurse overhears assistant personnel telling the client “if you don't eat I'll put restraints on your wrists and feed youâ€.
Question 2 of 5
The nurse should intervene and explain to the AP that this statement constitutes which of the following torts?
Correct Answer: A
Rationale: The correct answer is A: Assault. Assault is the act of causing someone to fear that they are about to be physically harmed. In this case, the statement made by the AP could create fear in the individual. Battery involves actual physical harm, false imprisonment involves restraining someone without their consent, and negligence is the failure to take reasonable care.
Therefore, A is correct as it aligns with the situation described.
Extract:
A nurse in a clinic is planning care for a child who has ADHD and is taking atomoxetine
Question 3 of 5
Which of the following laboratory values should the nurse monitor?
Correct Answer: A
Rationale: The correct answer is A: Liver function tests. The liver plays a crucial role in metabolism, detoxification, and protein synthesis. Monitoring liver function tests, such as alanine aminotransferase (ALT) and aspartate aminotransferase (AST), can help assess liver health and detect liver diseases like hepatitis. This is important in patients with liver dysfunction or those taking medications that can affect liver function.
The other choices are not as relevant in this context.
B: Kidney function tests mainly focus on assessing renal function, not liver function.
C: Hemoglobin and hematocrit are markers of blood health, not specific to liver function.
D: Serum sodium and potassium levels are related to electrolyte balance, not liver function.
Extract:
A nurse is planning care for a client who sustained a major burn over 20% of the body.
Question 4 of 5
Which of the following interventions should the nurse include to support the client's nutritional requirements?
Correct Answer: B
Rationale: The correct answer is B: Provide a high-calorie, high-protein diet. This intervention is essential for meeting the client's nutritional requirements as it helps in providing the necessary energy and building blocks for tissue repair and maintenance. High-calorie and high-protein diets are particularly important for individuals with increased nutritional needs, such as those recovering from illness or surgery. Calorie counting (
A) is important but not as crucial as ensuring the client receives adequate calories and proteins. Encouraging a low-fat diet (
C) may not be suitable for all clients, especially those who require higher calorie intake. Restricting oral intake and providing IV fluids only (
D) is not an appropriate intervention unless absolutely necessary for medical reasons.
Extract:
A nurse is preparing to administer the first dose of cefazolin via intermittent IV infusion to a client.
Question 5 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.