ATI RN
ATI Comprehensive 2023 With NGN 180 Questions And Answers Questions
Extract:
A nurse is caring for a client
History and Physical
Day 1,0900:
A 52-year-old client brought to emergency department by adult child. Client is alert and oriented
to person and time but does not know where they are. No history of substance use according to
client's adult child. Client exhibits constant movements and poor concentration. Hair and
clothing are unclean, appears to be listening to unseen others. Skin turgor poor.
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
Vital Signs
Day 1, 0905:
Temperature 37.1° C (98,8° F)
Heart rate 120/min
Respiratory rate 19/min
BP 138/88 mm Hg
Oxygen saturation 98% on room air
Question 1 of 5
Select the 4 findings that require immediate follow up
Correct Answer: A,B,C,D
Rationale: These findings indicate potential medical emergencies. Hallucinations suggest psychosis, elevated heart rate could indicate mania or other conditions, disrupted sleep patterns may signify mania or delirium, and poor skin turgor points to dehydration.
Extract:
A nurse is reading a tuberculin skin test for a client who received a protein derivative test 72 hours ago.
Question 2 of 5
Which of the following findings indicate a positive test?
Correct Answer: A
Rationale: The correct answer is A because an induration measuring 10 mm is considered a positive test for certain skin tests, such as Tuberculin skin test. A larger induration size indicates a stronger immune response to the antigen injected.
Choice B is incorrect as redness without induration is not a reliable indicator of a positive test.
Choice C is incorrect as an induration measuring 3 mm is usually considered negative.
Choice D is incorrect as a blister at the injection site is not typically associated with a positive skin test result.
Extract:
A nurse is collecting a sputum specimen from a client who has tuberculosis.
Question 3 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A because it is crucial to obtain the sputum specimen immediately upon the client waking up. This is because sputum produced in the morning is more concentrated and provides a better sample for analysis. Waiting could lead to a diluted sample that may not accurately reflect the client's condition.
Choice B is incorrect as delaying specimen collection could compromise the accuracy of the results.
Choice C is incorrect as it does not specify the optimal timing for specimen collection.
Choice D is incorrect as sterile gloves are not necessary for sputum collection.
Extract:
Question 4 of 5
A nurse is caring for a client who is in active labor and note the FHR baseline has been 100/min for the past 15 min. The nurse should identify which of the following conditions as a possible cause of fetal bradycardia?
Correct Answer: B
Rationale: The correct answer is B: Fetal anemia. Fetal bradycardia (baseline <110 bpm) can be caused by fetal distress or hypoxia. Fetal anemia reduces oxygen-carrying capacity, leading to compensatory bradycardia. Maternal fever (
A) may indicate infection but typically leads to fetal tachycardia. Maternal hypoglycemia (
C) may affect the fetus, but it usually results in fetal distress rather than bradycardia. Chorioamnionitis (
D) can cause fetal distress and tachycardia due to infection, not bradycardia.
Extract:
A nurse is admitting an older adult client who was transferred from another facility.
Question 5 of 5
Which action should the nurse take to address suspicion of elder abuse?
Correct Answer: C
Rationale: Reporting findings to authorities is essential in suspected cases of elder abuse.