ATI RN
ATI Comprehensive 2023 With NGN 180 Questions And Answers Questions
Extract:
A nurse caring for a client in the outpatient mental health clinic
Vital signs
2 months ago:
BP 128/78 mm Hg
Heart rate 76/min
Respiratory rate 17/min
Today
BP 169/91 mm HG
Heart rate 78/min
Respiratory rate 18/min
Nurses' Notes
Today
Client states, "I'm feeling much better." They report less fatigue, even though they have
difficulty sleeping. Client reports they are not sad anymore but are experiencing more frequent
headaches. Client continues to deny any suicidal ideation.
Question 1 of 5
Select the findings that indicate the client is experiencing adverse effects of the medication.
Correct Answer: B,D
Rationale: Hypertension and difficulty sleeping are potential side effects of certain medications.
Extract:
A nurse is caring for a client in an outpatient clinic.
Laboratory Results
First office visit:
Erythrocyte sedimentation rate (ESR) 21 mm/hr (up to 20 mm/hr)
Hct 36% (37 to 47%6)
Hgb 12 g/dL (12 to 16 g/dL)
WBC count 6000/mm³ (5,000 to 10,000/mm³)
Uric acid 6.1 mg/dL (2.7 to 7.3 mg/dL)
6-month follow-up:
Erythrocyte sedimentation rate (ESR) 22 mm/hr (up to 20 mm/hr)
Antinuclear antibodies (ANA) positive
Hct 35% (37 to 47%)
Hgb 11 g/dL (12 to 16 g/dL)
WBC 4000/mm³ (5,000 to 10,000/mm³)
Uric acid 6,3 mg/dL (2.7 to 7.3 mg/dL)
Question 2 of 5
The client is at highest risk for developing--------- evidenced by the client's--------
Correct Answer: D,G
Rationale: Decreased WBC count and elevated ESR suggest systemic lupus erythematosus.
Extract:
A nurse is caring for a client who is pregnant. Nurses'
Notes
Day 1, 0900:
Client is at 31 weeks of gestation and presents with a severe headache unrelieved by
acetaminophen. Client also reports urinary frequency and decreased fetal movement.
Client is a G3 P2 with one preterm birth.
Vital Signs Day
1, 0900:
Temperature (oral) 36.9°C (98,4° F) Heart
rate 72/min
Respiratory rate 16/min BP
162/112 mm Hg
Oxygen saturation 97% on room air
Diagnostic Results Day 1,
1000:
Appearance cloudy (clear) Color
yellow (yellow)
pH 5.9 (4.6 to 8)
Protein 3+ (negative)
Specific gravity 1.013 (1.005 to 1.03) Leukocyte esterase
negative (negative)
Nitrites negative (negative) Ketones
negative (negative) Crystals negative
(negative) Casts negative (negative)
Glucose trace (negative) WBC 5 (0
t0 4)
WBC casts none (none)
RBC 1 (less than or equal to 2) RBC
casts none (none)
Question 3 of 5
The nurse is reviewing the client's medical record. Select 4 findings that indicate a potential prenatal complication.
Correct Answer: A,C,F,G
Rationale: The correct answers are A, C, F, and G. A high urine protein level indicates possible preeclampsia, a serious prenatal complication. Elevated blood pressure is also a sign of preeclampsia. Headaches can be a symptom of hypertension or preeclampsia. Gravida/parity helps assess the client's obstetric history, which can indicate potential complications. Fetal activity, urine ketones, and respiratory rate are not direct indicators of prenatal complications.
Extract:
Question 4 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.
Extract:
A nurse in a family health clinic is caring for a client who requests information regarding the correct use of condoms.
Question 5 of 5
Which of the following statements should the nurse make?
Correct Answer: A
Rationale: The correct answer is A because it emphasizes the importance of using condoms in addition to implanted contraceptive methods to prevent STDs. This is crucial for dual protection.
Choice B is incorrect as petroleum-based lubricants can damage condoms.
Choice C is incorrect as condoms should not be tight to avoid breakage.
Choice D is incorrect as condoms are more effective for birth control when used with spermicides.