ATI Comprehensive 2023 With NGN 180 Questions And Answers | Nurselytic

Questions 160

ATI RN

ATI RN Test Bank

ATI Comprehensive 2023 With NGN 180 Questions And Answers Questions

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 1 of 4

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 planning care for a client who was recently admitted to the
medical-surgical unit.
Diagnostic Results
Day 1:
WBC count 4,500/mm³ (5,000 to 10,000/mm³)
RBC count 3.2 million/mm³ (4.2 to 5.4 million/mm³)
Hgb 11 g/di (12 to 16 g/dL)
Hct 46% (37% to 47%) '
Platelet count 145,000/mm³ (150,000 to 400,000/mm³)
Erythrocyte sedimentation rate 40 mm/hr (up to 20 mm/hr)
Urinalysis:
pH 5.0 (4.6 to 8.0)
Specific gravity 1.0 (1.010 to 1.025)
Protein 10 mg/dL (0 to 8 mg/dL)
Glucose negative (Negative)
WBC casts 2 (0 to 4 per low-power field)
Admission Assessment
Client reports new onset of fever and discomfort in their joints and increase malaise. No relevant
medical history. Client is alert to person, place, time, and situation. Reports generalized pain as 4
on a scale of 0 to 10. Macular rash present on cheeks bilateral. Lungs clear anterior and posterior.
Bowel sounds active in all 4 quadrants. Last bowel movement 1 day ago. Skin warm, dry, and
intact. Capillary refill less than 3 seconds. A 20-gauge IV saline lock inserted in back left hand


Question 2 of 4

Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing.

Action to Take

Anticipate administering prescribed immunosuppressant medications

Potential Condition

Ensure that client has intake of at least 200 ml/hr

Parameter to Monitor

Encourage client to avoid direst sunlight

Correct Answer: B,E

Rationale: Systemic lupus erythematosus is indicated by the lab results and symptoms.

Extract:

Admission Assessment
Client reports new onset of fever and discomfort in their joints and increase malaise. No relevant
medical history. Client is alert to person, place, time, and situation. Reports generalized pain as 4
on a scale of 0 to 10. Macular rash present on cheeks bilateral. Lungs clear anterior and posterior.
Bowel sounds active in all 4 quadrants. Last bowel movement 1 day ago. Skin warm, dry, and
intact. Capillary refill less than 3 seconds. A 20-gauge IV saline lock inserted in back left hand


Question 3 of 4

Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing.

Action to Take

Ensure that client has intake of at least 200mL/hr

Potential Condition

Initiate contact precautions

Parameter to Monitor

Prepare client for light therapy

Correct Answer: B,C

Rationale: Increased fluid intake and contact precautions are essential for managing systemic lupus erythematosus.

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 4 of 4

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 active labor.
Admission Assessment
0200:
Gravida 1, Para 0 at 39 weeks gestation. Presents with contractions occurring every 5 to 6 min,
45 to 60 seconds duration. Cervical examination 4 cm dilated, 50% effaced. Admit to labor and
delivery unit.
Nurses' Notes
0200:
Admitted to labor and delivery unit, reports pain as 7 on a scale of 0 to 10 with contractions.
Cervix 4 cm dilated, 50% effaced, with membranes intact.
0230:
Client reports increasing discomfort with contractions. Cervix 5 cm dilated, 60% effaced, with
membranes intact. Contractions occurring every 5 min, 45 to 60 seconds duration.
0300:
Epidural anesthesia initiated, Cervix 7 cm dilated, 70% effaced, with membranes intact.
Contractions occurring every 4 to 5 min. 60 seconds duration,
Vital Signs
0200:
Temperature 36.9° C (98.4° F)
Heart rate 86/min
Respiratory rate 18/min
BP 118/78 mm Hg
0230:
Temperature 37° C (98.6° F)
Heart rate 88/min
Respiratory rate 20/min
BP 120/80 mm Hg
0300:
Temperature 37.1°C?98.8°F?
Heart rate 90/min
Respiratory rate 18/min
BP 122/76 mm Hg
The nurse is assuming care for the client at 0305.


Question 5 of 4

For each nursing action, click to specify if the nursing action is essential or contraindicated for the client.

Nursing Action Essential Contraindicated
Assist the client with ambulation
Inform the client to expect drowsiness
Monitor for elevated temperature
Assess for urinary retention
Encourage the client to turn from side to side

Correct Answer: C,D,E

Rationale: Monitoring temperature, assessing urinary retention, and encouraging position changes are essential after epidural administration.

Access More Questions!

ATI RN Basic


$89/ 30 days

 

ATI RN Premium


$150/ 90 days

 

Similar Questions