ATI RN
ATI Comprehensive 2023 With NGN 180 Questions And Answers Questions
Extract:
A nurse is caring for a client who is alert and oriented and is receiving continuous ECG monitoring. The cardiac rhythm strips shows a wavy baseline, no distinguishable P waves, and an increased heart rate.
Question 1 of 5
The nurse should identify the cardiac rhythm as which of the following?
Correct Answer: D
Rationale: The correct answer is D: Atrial fibrillation. The nurse should identify the cardiac rhythm as atrial fibrillation because it is characterized by irregular, rapid electrical activity in the atria leading to an irregular, fast heart rate. This can result in poor blood flow and increase the risk of stroke. Ventricular asystole (
A) is the absence of ventricular electrical activity, second-degree heart block (
B) is a conduction disorder where some electrical signals from the atria do not reach the ventricles, and sinus tachycardia (
C) is a fast but regular heart rate originating from the sinus node. These options are incorrect as they do not match the characteristics of atrial fibrillation.
Extract:
A nurse is teaching a prenatal class about infection prevention at a community center.
Question 2 of 5
Which of the following statements by a client indicates an understanding of the teaching?
Correct Answer: C
Rationale: The correct answer is C: "I should avoid cleaning my cat's litter box during pregnancy." This statement shows understanding of the teaching because it demonstrates awareness of the risk of toxoplasmosis from cat feces during pregnancy.
Toxoplasmosis can harm the developing fetus.
Choice A is incorrect because antibiotics do not treat viruses.
Choice B is incorrect as chickenpox is contagious before and during crusting of sores.
Choice D is incorrect as flu vaccine is recommended during pregnancy to protect both mother and baby.
Extract:
A nurse is caring for a client who is alert and oriented and is receiving continuous ECG monitoring. The cardiac rhythm strips shows a wavy baseline, no distinguishable P waves, and an increased heart rate.
Question 3 of 5
The nurse should identify the cardiac rhythm as which of the following?
Correct Answer: D
Rationale: The correct answer is D: Atrial fibrillation. The nurse should identify the cardiac rhythm as atrial fibrillation because it is characterized by irregular, rapid electrical activity in the atria leading to an irregular, fast heart rate. This can result in poor blood flow and increase the risk of stroke. Ventricular asystole (
A) is the absence of ventricular electrical activity, second-degree heart block (
B) is a conduction disorder where some electrical signals from the atria do not reach the ventricles, and sinus tachycardia (
C) is a fast but regular heart rate originating from the sinus node. These options are incorrect as they do not match the characteristics of atrial fibrillation.
Extract:
A school nurse is teaching a parent about absence seizures.
Question 4 of 5
Which information should the nurse include?
Correct Answer: E
Rationale: The correct answer is E because lip smacking or eye fluttering are common signs of absence seizures. This information is crucial for the nurse to include as it helps in recognizing and distinguishing absence seizures from other types.
Choice A is incorrect as it focuses on the behavioral aspect rather than the physical signs of absence seizures.
Choice B is incorrect as absence seizures can last up to 20 seconds.
Choice C is incorrect as individuals with absence seizures typically do not have memory issues post-seizure.
Choice D is incorrect as some individuals may experience warning signs like a brief aura before an absence seizure.
Extract:
A nurse is assessing a client following an esophagogastroduodenoscopy.
Question 5 of 5
Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: The correct answer is A: Abdominal pain. Abdominal pain is a significant finding that could indicate underlying health issues. The nurse should report it to the provider for further evaluation and management. Belching, flatulence, and sore throat are common symptoms that may not require immediate attention. Reporting abdominal pain is crucial for timely intervention.