ATI RN
ATI Comprehensive 2023 With NGN 180 Questions And Answers Questions
Extract:
The nurse is continuing to care for the client.
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
to 4)
WBC casts none (none)
RBC 1 (less than or equal to 2) RBC
casts none (none)
Day 1, 1030:
CBC:
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.
Day 1, 0930:
Client reports a constant and throbbing headache and rates it as a 6 on a scale of 0 to 10. Denies
visual disturbances. +3 pitting edema in bilateral lower extremities, Patellar reflex 4+ without
the presence of clonus. Client reports occasional nighttime leg cramps. Reports three fetal
movements within the last 30 min. External fetal monitor applied with a baseline FHR 140/min
with occasional accelerations and moderate variability. No uterine contractions noted
Question 1 of 5
The client is at greatest risk for developing -----and-------
Correct Answer: A,E
Rationale: The correct answer is A (Placental Abruption) and E (Seizures). Placental abruption poses a risk for fetal hypoxia and death, while seizures can result from severe preeclampsia or eclampsia, both of which can lead to maternal and fetal complications. Hypoglycemia (
B) is not commonly associated with pregnancy complications. Heart failure (
C) is more commonly seen postpartum rather than antepartum. Cervical insufficiency (
D) typically presents as painless dilation and is not directly related to maternal or fetal risk.
Extract:
A nurse is providing preoperative teaching to an older adult client who is scheduled for surgery.
Question 2 of 5
Which of the following actions should the nurse take to promote learning?
Correct Answer: B
Rationale: The correct answer is B: Connect new information with the client's past experiences. This is effective because it helps the client relate to and better understand the new information by linking it to what they already know. This technique enhances memory retention and promotes meaningful learning. Speaking loudly (
A) is not necessary and may cause discomfort. Presenting information using abstract concepts (
C) can lead to confusion and hinder comprehension. Using a specific font size (
D) is unrelated to promoting learning.
Extract:
A nurse is caring for a client in the active phase of labor who has decided to have a natural childbirth.
Question 3 of 5
Which pain management technique should the nurse suggest?
Correct Answer: B
Rationale: Breathing techniques are effective for managing pain during natural childbirth.
Extract:
A nurse in an antepartum unit is caring for a client.
Nurses' Notes
2000:
Client is 38-year-old, 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.
2020:
Contractions occurring every 4 to 5 min, lasting 40 to 60 seconds. Small amount of bloody show
noted when changing disposable pad on bed. Client rates contraction pain as a 5 on a scale of 0
to 10, breathing well through contractions., FHR 168/min, minimal variability. Client denies
epigastric pain or visual disturbances. Trace of edema noted to bilateral lower extremities
Question 4 of 5
The nurse should first notify the provider about------- followed by the-----------
Correct Answer: C
Rationale: The green color of amniotic fluid indicates meconium-stained fluid which can be a sign of fetal distress.
Extract:
A home care nurse is making a follow up visit with a client who has COPD and is using a compressed oxygen system in his home.
Question 5 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Place the oxygen tank away from curtains or drapes. This is important to prevent potential fire hazards as oxygen supports combustion.
Choice B is incorrect because oxygen tanks should be stored in a well-ventilated area, not in a closed closet.
Choice C is incorrect as oxygen tanks should always be stored upright to prevent damage.
Choice D is incorrect as increasing oxygen flow without proper assessment can be dangerous.