ATI RN
ATI Comprehensive 2023 With NGN 180 Questions And Answers Questions
Extract:
A nurse is reviewing the medical records of four clients.
Question 1 of 5
The nurse should identify that which of the following client findings requires follow-up care?
Correct Answer: C
Rationale: The correct answer is C. A client taking warfarin with an INR of 1.8 indicates a low INR, which means the blood is not anticoagulated enough, putting the client at risk for clot formation. This finding requires follow-up care to adjust the warfarin dose.
Choice A is incorrect because an induration after a Mantoux test is an expected finding.
Choice B is incorrect as taking sodium phosphate before a colonoscopy is a common preparation.
Choice D is incorrect as a potassium level of 3.6 mEq/L is within the normal range.
Extract:
A nurse is reviewing the medication administration record of a client.
Question 2 of 5
Which of the following prescriptions should the nurse clarify?
Correct Answer: A
Rationale: The correct answer is A: Digoxen 250 PO daily. The nurse should clarify this prescription because "Digoxen" is misspelled; the correct spelling is "Digoxin." This error could lead to confusion and potential medication errors. The other choices do not contain spelling errors or dosage frequency issues that require clarification. It is crucial to ensure accurate medication administration to prevent harm to the patient.
Extract:
A hospice nurse is visiting with the son of a client who has terminal cancer. The son reports sleeping very little during the past week due to caring for his mother.
Question 3 of 5
Which of the following responses should the nurse make?
Correct Answer: A
Rationale: The correct answer is A because it acknowledges the caregiver's potential need for support and offers information on respite care, showing empathy and understanding.
Choice B is incorrect as it overlooks the caregiver's own needs and can come off as dismissive.
Choice C may be true for some individuals, but it doesn't address the caregiver's current struggles.
Choice D places undue pressure on the caregiver to suppress their own emotions.
Extract:
A nurse is providing teaching about home safety to an adult child of an older adult client who is postoperative following knee replacement surgery.
Question 4 of 5
Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Remove loose rugs from the home to prevent falls. This instruction is essential for promoting safety and preventing accidents, especially for individuals at risk of falls. Loose rugs can be tripping hazards, so removing them reduces the risk of falls. Marking the doorway with tape (choice
A) or placing soft cushions on chairs (choice
C) do not directly address fall prevention. Installing bright overhead lighting only in the bedroom (choice
D) may not address fall hazards in other areas of the home. Overall, removing loose rugs is the most effective and direct way to prevent falls and promote safety at home.
Extract:
A nurse is reading a tuberculin skin test for a client who received a protein derivative test 72 hours ago.
Question 5 of 5
Which of the following findings indicate a positive test?
Correct Answer: A
Rationale: The correct answer is A because an induration measuring 10 mm is considered a positive test for certain skin tests, such as Tuberculin skin test. A larger induration size indicates a stronger immune response to the antigen injected.
Choice B is incorrect as redness without induration is not a reliable indicator of a positive test.
Choice C is incorrect as an induration measuring 3 mm is usually considered negative.
Choice D is incorrect as a blister at the injection site is not typically associated with a positive skin test result.