ATI RN
ATI Comprehensive 2023 With NGN 180 Questions And Answers Questions
Extract:
The nurse is continuing to care for the child
Diagnostic Results
1100:
X-ray of right arm: nondisplaced fracture of radius and ulna at the midpoint.
Assessment
1000:
Child is alert and appears developmentally appropriate for their age and well nourished.
Respirations easy and unlabored. Abdomen nondistended. Right forearm and fingers are
edematous. Ecchymotic area noted on outer aspect of the forearm. Radial pulse +2. Fingers
slightly cool to touch. Child can move fingers and reports a mild "tingling" sensation. Child
verbalizes a pain level of 4 on a scale of 0 to 10. Abrasion noted on right knee. No active
bleeding. Multiple areas of bruising noted on lower extremities in various stages of healing
1145:
Edema in right forearm and fingers is mildly increased. Child states that mild tingling in fingers
is unchanged. Able to move all fingers equally. Radial pulse is equal in both extremities, Right
hand fingers are slightly cooler than left hand fingers.
Question 1 of 5
Select the 3 priority actions that the nurse should take.
Correct Answer: B,C,F
Rationale: Administering pain relief, protecting the abrasion, and elevating the limb reduce swelling and promote comfort.
Extract:
A nurse is assessing a client who has type one diabetes myelitis and was administered insulin lispro 1 hour ago.
Question 2 of 5
Which of the following manifestations indicates that the client might be experiencing hypoglycemia?
Correct Answer: A
Rationale: The correct answer is A: Confusion. Hypoglycemia is characterized by low blood sugar levels, leading to neuroglycopenic symptoms like confusion. Increased thirst (
B) and frequent urination (
C) are more indicative of hyperglycemia. Flushed skin (
D) is not typically associated with hypoglycemia.
Extract:
A nurse in an antepartum unit is caring for a client.
Nurses' Notes
2000:
Client is 38-year-oid, G4 P3 at 38 weeks of gestation. Presents for evaluation of labor and
spontaneous rupture of membranes (SROM). Client states, "My water broke a couple of hours
ago and is a greenish color.” Client also reports contractions began about 4 hr ago and have
become consistently stronger and closer together.
Electronic fetal monitor applied. Small amount of thin green fluid noted on perineal pad.
Contraction palpated, lasted 40 seconds, moderate in intensity. Fetal heart rate (FHR) 165/min.
Vaginal examination performed: cervix 4 cm dilated, 70% effaced, 0 station, vertex presentation.
Client reports a history of chronic hypertension that has been well-controlled during this
pregnancy. Also states was diagnosed with gestational diabetes at 28 weeks of gestation.
Question 3 of 5
For each potential assessment finding, click to specify if the finding is consistent with chorioamnionitis or preeclampsia. Each finding may support more than one disease process. Note: Each column must have at least 1 response option selected.
| Findings | Chorioamnionitis | Preeclampsia |
|---|---|---|
| Elevated uric acid level | ||
| Blurred vision | ||
| Decreased platelet count | ||
| Purulent amniotic fluid | ||
| Fever |
Correct Answer: B,C,D,E
Rationale: Findings like fever, purulent amniotic fluid, decreased platelets, and elevated uric acid support chorioamnionitis. Blurred vision is more indicative of preeclampsia.
Extract:
A nurse in a prenatal clinic is teaching a client about nonpharmacological pain management during labor.
Question 4 of 5
Which statement indicates understanding of the teaching?
Correct Answer: C
Rationale: Breathing techniques are effective for relaxation during labor.
Extract:
Question 5 of 5
A nurse is assessing a client who received hydromorphone 4mg IV 15 min ago. The client has a respiratory rate of 10/min. the nurse should prepare to administer which of the following medications?
Correct Answer: A
Rationale: The correct answer is A: Naloxone. Hydromorphone is an opioid that can cause respiratory depression. With a respiratory rate of 10/min, the client is likely experiencing opioid overdose. Naloxone is an opioid antagonist that can reverse the effects of opioids, including respiratory depression, by competitively binding to opioid receptors. Administering naloxone can help restore normal respiratory function and prevent further complications.
Choice B: Flumazenil is a benzodiazepine antagonist and would not be appropriate for opioid overdose.
Choice C: Activated charcoal is used for gastrointestinal decontamination and would not be helpful in this situation.
Choice D: Atropine is not indicated for opioid overdose and would not address the respiratory depression caused by hydromorphone.
Choice E: Diphenhydramine is an antihistamine and would not be effective in reversing opioid-induced respiratory depression.