ATI RN
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 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:
Question 2 of 5
A nurse is Inserting an indwelling urinary catheter to a male client. Which of the following actions should the nurse take?
Correct Answer: D
Rationale:
Correct Answer: D - Lift the penis so that it is perpendicular to the client's body
Rationale: Lifting the penis perpendicular to the client's body helps to straighten the urethra, making it easier to insert the catheter. This position minimizes the risk of causing trauma or discomfort to the client during the insertion process. It also allows for better visualization and manipulation of the urinary meatus, ensuring proper placement of the catheter.
Summary of Other
Choices:
A: Cleansing the tip of the penis in a side to side motion is incorrect as it does not directly relate to the insertion technique of the catheter.
B: Picking up the catheter 13 cm (5 in) from its tip is incorrect as it does not address the proper positioning of the penis during insertion.
C: Performing the cleansing procedure with a fresh swab two times is incorrect as it focuses on the cleansing process rather than the insertion technique.
Extract:
A nurse is caring for a client who asks for information regarding organ donation.
Question 3 of 5
Which statement should the nurse make?
Correct Answer: E
Rationale: The correct answer is E because the statement ensures the patient that their organ donor status will not affect the medical care provided before death. This is important as it addresses a common concern patients may have about organ donation potentially impacting their current medical treatment.
A: While it is true that organ donation must be documented, this statement does not directly address the patient's concerns about their medical care.
B: This statement is true but does not address the immediate concern about medical care before death.
C: While discussing wishes with family is important, it does not directly address the patient's concerns about medical care.
D: This statement addresses funeral arrangements and body appearance, not the impact on medical care.
E: Correct choice; directly addresses the impact on medical care.
F & G: Not applicable.
Extract:
A nurse is caring for an infant who has coarctation of the aorta.
Question 4 of 5
Which finding should the nurse identify as expected?
Correct Answer: A
Rationale: The correct answer is A: Weak femoral pulses. In infants, weak femoral pulses are expected due to the normal physiological transition from fetal to neonatal circulation. This occurs because the ductus arteriosus, which connects the pulmonary artery and the descending aorta, begins to close after birth, leading to decreased blood flow through the ductus and thus weaker femoral pulses. Bounding pulses in the lower extremities (choice
B) would be abnormal and could indicate a cardiac defect. Cyanosis of the hands and feet (choice
C) suggests poor oxygenation. Frequent episodes of bradycardia (choice
D) could indicate a cardiac conduction issue.
Extract:
A nurse is caring for a client who has heart failure.
Question 5 of 5
Which of the following manifestations should the nurse expect?
Correct Answer: A
Rationale: The correct answer is A: Crackles in the lungs. This manifestation is expected because crackles indicate fluid accumulation in the lungs, which is common in conditions like heart failure. Bradycardia (
B) is unlikely as heart failure often causes tachycardia. Dry mucous membranes (
C) are more indicative of dehydration. Weight loss (
D) is not a typical manifestation of heart failure. Hence, crackles in the lungs are the most relevant manifestation.