ATI RN
ATI Comprehensive 2023 With NGN 180 Questions And Answers Questions
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 1 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 nurse is providing care for a client following a thoracentesis.
Question 2 of 5
If the client develops a pneumothorax, which of the following assessment findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Pain on inhalation chest pain that worsens when you breathe or pleuritic pain. In a pneumothorax, air collects in the pleural space, causing lung collapse and chest pain that worsens with breathing. Stridor (
A) is associated with upper airway obstruction, not pneumothorax. Friction rub (
C) is more indicative of pleurisy. Bradycardia (
D) is not a typical finding in pneumothorax.
Extract:
A nurse is caring for a client who is postoperative following a liver biopsy.
Question 3 of 5
In which of the following positions should the nurse place the client immediately following the procedure?
Correct Answer: C
Rationale: The correct answer is C: Right lateral. Placing the client in the right lateral position immediately following a procedure helps prevent aspiration in case of vomiting, as it facilitates drainage of secretions. Trendelenburg position (
A) is not recommended due to potential complications. Prone position (
B) is not suitable for post-procedure care. High-fowlers position (
D) is typically used for respiratory distress, not immediately post-procedure.
Extract:
Question 4 of 5
A nurse is providing discharge instructions to a client who has a new prescription for haloperidol. Which of the following adverse effects should the nurse instruct the client to report to the provider?
Correct Answer: A
Rationale: The correct answer is A: Shuffling gait. This adverse effect is indicative of extrapyramidal symptoms associated with haloperidol use. It can be a sign of a serious reaction that requires immediate medical attention to prevent further complications. Increased salivation (choice
B) and mild drowsiness (choice
C) are common side effects of haloperidol that usually do not require urgent medical intervention. Weight gain (choice
D) is also a possible side effect but is not considered an urgent issue that needs immediate reporting.
Question 5 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.