ATI RN
ATI Comprehensive 2023 With NGN 180 Questions And Answers Questions
Extract:
A nurse is caring for a client who repeatedly refuses meals. The nurse overhears assistant personnel telling the client “if you don't eat I'll put restraints on your wrists and feed youâ€.
Question 1 of 5
The nurse should intervene and explain to the AP that this statement constitutes which of the following torts?
Correct Answer: A
Rationale: The correct answer is A: Assault. Assault is the intentional act causing the apprehension of harmful or offensive contact. In this scenario, the statement made by the AP creates fear or apprehension of harm, even though no physical contact has occurred yet.
Choice B (Battery) involves actual physical contact, which is not present here.
Choice C (False imprisonment) involves restricting someone's movement, not applicable in this situation.
Choice D (Negligence) is the failure to exercise reasonable care, which is not the case here. The correct answer, assault, best fits the scenario described.
Extract:
A nurse is preparing to remove an IV catheter from the arm of a client who has phlebitis at a peripheral IV site.
Question 2 of 5
Which of the following actions should the nurse plan to take?
Correct Answer: B
Rationale: The correct answer is B: Elevate the affected arm above heart level. Elevating the affected arm helps reduce swelling and promote circulation, aiding in the healing process. By elevating the arm above heart level, the nurse can assist in reducing inflammation and preventing further complications. Applying a cold compress (choice
A) can be helpful for acute injuries, but it may not be the most appropriate initial action. Placing a warm, moist compress (choice
C) can potentially worsen swelling in this case. Massaging the area (choice
D) could aggravate the injury and increase inflammation.
Extract:
A nurse is planning to delegate to an AP the fasting blood glucose testing for a client who has diabetes mellitus.
Question 3 of 5
Which of the following action should the nurse take?
Correct Answer: A
Rationale: The correct answer is A because the nurse should first assess if the AP has the necessary skills to perform the blood glucose test. This step is crucial to ensure patient safety and accurate test results. Helping the AP perform the test (
B) without assessing their skills can lead to errors. Assigning the AP to ask about medication (
C) is not directly related to the task at hand. Having the AP check records (
D) is important but should come after confirming their skills. The other choices are not relevant to the immediate situation.
Extract:
A nurse is caring for a client who is one hour postpartum and unable to urinate.
Question 4 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct action is C: Encourage the client to void in the shower. This option promotes relaxation and can help facilitate urination. Warm water can help relax the muscles and promote voiding without invasive procedures like catheterization (
B) or fundal pressure (
D), which can be uncomfortable and potentially harmful. Voiding in the shower also maintains privacy and dignity for the client.
Choices E, F, and G are not relevant to promoting urination.
Extract:
A nurse is assessing a child who has bacterial pneumonia.
Question 5 of 5
Which of the following manifestations should the nurse expect?
Correct Answer: A
Rationale: The correct answer is A: Fever. When the body is fighting an infection or inflammation, fever is a common manifestation due to the release of pyrogens that reset the body's temperature. Bradycardia (
B) is a slow heart rate, not typically associated with infection. Dry skin (
C) is more indicative of dehydration or a skin condition. Decreased respiratory rate (
D) is not a common manifestation of infection. In this case, fever is the most expected manifestation due to the body's response to an infection.