ATI RN
ATI Comprehensive 2023 With NGN 180 Questions And Answers Questions
Extract:
The nurse is continuing to care for the client. 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.
The nurse is initiating the client's plan of care. Which of the following Interventions should the
nurse plan to implement?
Question 1 of 5
The nurse is initiating the client's plan of care. Which of the following Interventions should the nurse plan to implement?
Correct Answer: A,B,C,D,E,F
Rationale: The correct answer includes a comprehensive approach to the client's care:
A) Providing a low-stimulation environment promotes rest and healing,
B) Maintaining bed rest may be necessary for certain conditions,
C) Giving antihypertensive medication addresses specific medical needs,
D) Administering betamethasone is a common intervention for various conditions, E) Monitoring intake and output hourly is crucial for assessing fluid balance, and F) Obtaining a 24 hr urine specimen helps in evaluating kidney function. These interventions cover a range of physiological and psychological aspects of care, making them essential for the client's well-being.
Choices G is incorrect as performing vaginal examinations every 12 hours is not a standard or appropriate intervention unless indicated for a specific reason.
Extract:
A nurse enters a client's room and sees a small fire in the client's bathroom.
Question 2 of 5
Identify the sequence of steps the nurse should take?
Correct Answer: D
Rationale: The correct answer is D: Activate the facility's fire alarm system. This is the first step the nurse should take in case of a fire emergency to alert everyone in the building and initiate evacuation procedures. By activating the fire alarm system, all occupants including staff and patients will be notified of the fire, allowing for a quicker response from emergency services and a safer evacuation. Closing windows and doors (
A) can help prevent the fire from spreading, but it is not the initial priority. Transporting the client (
B) may put them at risk and should only be done if safe to do so. Using the fire extinguisher (
C) should only be attempted if trained and the fire is small and contained.
Extract:
A nurse in a family health clinic is caring for a client who requests information regarding the correct use of condoms.
Question 3 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.
Extract:
A nurse in an emergency department is assessing a client who reports ingesting thirty diazepam tablets a respiratory rate of 10/min.
Question 4 of 5
After securing the client's airway and initiating an IV, which of the following actions should the nurse do next.
Correct Answer: A
Rationale: The correct answer is A: Administer flumazenil to the client. Flumazenil is a benzodiazepine receptor antagonist used to reverse the effects of benzodiazepine overdose. It is important to administer it early to prevent respiratory depression and sedation. This action addresses the immediate need to reverse the effects of the overdose.
Incorrect choices:
B: Initiate gastric lavage with activated charcoal - This is not the priority as the airway has already been secured, and administering flumazenil takes precedence to reverse the effects of the benzodiazepine overdose.
C: Place the client in the Trendelenburg position - This position is not indicated for benzodiazepine overdose and does not address the need for reversal of sedation.
D: Obtain a stat CT scan of the brain - This is not necessary as the client's airway has been secured, and the immediate concern is addressing the overdose effects with flumazenil.
Extract:
A nurse is caring for an infant who has coarctation of the aorta.
Question 5 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.