ATI RN
ATI Comprehensive 2023 With NGN 180 Questions And Answers Questions
Extract:
A nurse is providing discharge teaching to a client following a total gastrectomy.
Question 1 of 5
The nurse should instruct the client about which of the following medications?
Correct Answer: B
Rationale: The correct answer is B: Vitamin B. The nurse should instruct the client about Vitamin B because it plays a crucial role in various bodily functions such as energy production, nerve function, and red blood cell formation. Deficiency in Vitamin B can lead to various health issues. Ranitidine, Metoclopramide, and Vitamin K are specific medications that are not typically instructed by nurses unless prescribed by a healthcare provider for specific conditions. Vitamin K is essential for blood clotting, but its education is usually provided by healthcare providers for specific cases.
Extract:
A nurse is teaching a newly licensed nurse about caring for clients in the emergency department.
Question 2 of 5
Which of the following actions should the nurse include when teaching about interacting with a client who is aggravated, pacing, and speaking loudly?
Correct Answer: B
Rationale: The correct answer is B - Tell the client, 'You seem to be very upset.' This response shows empathy and acknowledgment of the client's emotions, which can help de-escalate the situation. It validates the client's feelings and opens the door for effective communication. Initiating seclusion protocol (
A) may escalate the situation and should only be used as a last resort for safety. Standing directly in front of the client and maintaining eye contact (
C) can be perceived as confrontational and may increase agitation. Speaking in a firm and authoritative tone (
D) may further escalate the client's emotions. It is important to approach the situation with empathy and understanding to establish a therapeutic relationship.
Extract:
A nurse is teaching a client about family planning using the basal body temperature method.
Question 3 of 5
Which of the following instructions should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A: Take your temperature immediately after waking and before getting out of bed. This instruction is part of basal body temperature monitoring for ovulation tracking. Body temperature is lowest upon waking and increases after ovulation, so taking the temperature before getting out of bed provides the most accurate baseline measurement.
Choice B is incorrect because afternoon temperatures can fluctuate due to various factors.
Choice C is incorrect as a rise of at least 0.4°F, not 2°F, indicates ovulation.
Choice D is incorrect because a basal body temperature thermometer is more appropriate for this purpose than a standard digital thermometer.
Extract:
A nurse is reading a tuberculin skin test for a client who received a protein derivative test 72 hours ago.
Question 4 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 positive for a tuberculin skin test, indicating exposure to tuberculosis. A larger induration size suggests a stronger immune response.
Choice B, a reddened area with no induration, is not specific for a positive test.
Choice C, an induration measuring 3 mm, is below the threshold for positivity.
Choice D, a blister at the injection site, is a sign of irritation rather than a positive test result.
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 5 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 crucial in preventing falls, especially for elderly individuals who may have balance issues. Loose rugs are a common tripping hazard and removing them can significantly reduce the risk of falls. Marking the edges of the doorway with tape (
A) may not be effective in preventing falls as it does not address the actual hazards. Placing soft cushions on all chairs (
C) does not directly address fall prevention and may not be suitable for all individuals. Installing bright overhead lighting in the bedroom only (
D) is important for visibility but does not address other fall risks in the home.