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 maintaining overall health, including supporting nerve function, red blood cell production, and energy levels. Vitamin B deficiency can lead to various health issues.
Choice A, Ranitidine, is used to treat stomach ulcers and acid reflux, not typically a medication the nurse would educate the client on.
Choice C, Metoclopramide, is a medication for gastrointestinal motility disorders and nausea, not typically needing client education.
Choice D, Vitamin K, is important for blood clotting and bone health, but educating the client on it is usually not a priority unless there is a specific deficiency or medical condition that requires it.
Extract:
A nurse is creating a plan of care for a client who has paranoid personality disorder and refuses to take their medication.
Question 2 of 5
Which of the following interventions should the nurse include in the plan?
Correct Answer: A
Rationale: The correct answer is A: Speak in a neutral tone when addressing the client. This intervention is important as it helps maintain a calm and non-confrontational communication approach, which is crucial when interacting with clients experiencing delusions. Speaking in a neutral tone can prevent escalating the client's anxiety or paranoia, promoting a more open and effective dialogue.
Choice B is incorrect as forcing the client to take medication can lead to resistance and further exacerbate trust issues.
Choice C is incorrect as encouraging the client to discuss their delusions without a neutral tone may reinforce the delusions rather than help the client gain insight.
Choice D is incorrect as using humor may not be appropriate or effective in addressing the client's delusions and could potentially be perceived as insensitive.
Extract:
The nurse continues to care for the client.
Nurses' Notes
Day 1, 0915:
The client's adult child reports the client has not slept for 2 days and has become obsessed with
cleaning the house and hosting parties. At times the client is overly joyous and has a very
elevated sense of self-confidence. The adult child states that the client has also demonstrated
very impulsive spending habits and expresses concern about the client giving away large sums of
money to others.
The client's speech is very pressured, disorganized, and loud. Client unable to recall the last time
they ate.
Day 1, 0930:
Client questioned about their hallucinations and states that the same person has been following
them around inside and outside the house for days. Client asks the person what they want but
never receives an answer. Client states that this person has never told them to do anything: they
just stare and smile.
Day 1, 1015:
Client's erratic behavior continues with loud outbursts. Continues to get out of bed and pace
around the unit. Prescription received to admit client to inpatient mental health unit.
Question 3 of 5
A nurse on the inpatient mental health unit is planning care for the client. For each potential provider's prescription, click to specify if the prescription is anticipated or contraindicated for the client.
| Potential Prescription | Anticipated | Contraindicated |
|---|---|---|
| Encourage the client to avoid napping during the day. | ||
| Place the client in a room away from the nurses' station. | ||
| Weigh the client each day | ||
| Provide the client with high-calorie fluids every hour. |
Correct Answer: A,D
Rationale: Anticipated prescriptions include avoiding naps (to regulate sleep) and providing high-calorie fluids (for nutrition). Contraindicated prescriptions include isolating the client (which may worsen agitation) and daily weighing (unnecessary unless monitoring weight gain/loss).
Extract:
A nurse is collecting a sputum specimen from a client who has tuberculosis.
Question 4 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A because it is crucial to obtain the sputum specimen immediately upon the client waking up. This is because sputum produced in the morning is more concentrated and provides a better sample for analysis. Waiting could lead to a diluted sample that may not accurately reflect the client's condition.
Choice B is incorrect as delaying specimen collection could compromise the accuracy of the results.
Choice C is incorrect as it does not specify the optimal timing for specimen collection.
Choice D is incorrect as sterile gloves are not necessary for sputum collection.
Extract:
A nurse is caring for a client of a psychiatric unit
Nurses' Notes
0700
Client is admitted to the unit. They deny suicidal ideations at this time. Client states, "I am an
assistant to a powerful spirit." Client is poorly groomed and has body odor.
0900:
Called to the client's room, Client states, "I cannot believe you put me in a room with spiders on
the wall. " Client requests immediate transfer to another room.
1200:
Psychiatrist is at the bedside evaluating the client. After history and physical, psychiatrist states
that they have diagnosed the client with schizophrenia.
Client is to be started on medication and milieu therapy History and
Physical
0700
Majority of client's history is obtained from client's parent who presents with client today.
According to the parent, client has been acting strangely for a few months. Client's symptoms
have been progressively worsening.
In the last month, the client has been seeing things that are not present and believes that they are
in a close relationship with "a powerful spirit." Client has not been bathing regularly for the last
few weeks.
Client has no significant health history. Client reports that they do not take illicit substances or
drink alcohol. Client's grandparent has a history of schizophrenia
Question 5 of 5
For each potential action, click to specify if the action is indicated or contraindicated for the client.
| Potential Action | Indicated | Contraindicated |
|---|---|---|
| Allow the client to watch TV at high volume | ||
| Ask the client about the content of their hallucinations | ||
| Instruct the client on expected hygiene practices | ||
| Assess the client for suicidal ideation | ||
| Place the client in a room near the activity room |
Correct Answer: B,D
Rationale: []
The correct answers are B and D. Asking the client about the content of their hallucinations is indicated to gather information on their mental state. Assessing the client for suicidal ideation is crucial for risk assessment and intervention. Allowing the client to watch TV at high volume is contraindicated as it may exacerbate hallucinations. Instructing the client on hygiene practices is not directly relevant to addressing their mental health concerns. Placing the client in a room near the activity room does not address the client's specific needs for assessment and intervention.