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 act of causing someone to fear that they are about to be physically harmed. In this case, the statement made by the AP could create fear in the individual. Battery involves actual physical harm, false imprisonment involves restraining someone without their consent, and negligence is the failure to take reasonable care.
Therefore, A is correct as it aligns with the situation described.
Extract:
The nurse is continuing to care for the client.
History and Physical
Day 1, 0900:
A 52-year-old client brought to emergency department by adult child. Client is alert and oriented
to person and time but does not know where they are. No history of substance use according to
client's adult child. Client exhibits constant movements and poor concentration. Hair and
clothing are unclean. Appears to be listening to unseen others. Skin turgor poor.
Question 2 of 5
The nurse is providing teaching about lithium to the client and client's adult child. Select the 3 statements the nurse should include.
Correct Answer: B,C,E
Rationale: Blurred vision is not typical; lithium takes time to reach therapeutic levels, causes nausea/drowsiness, and often leads to weight gain. A low-sodium diet is contraindicated due to risk of toxicity.
Extract:
A nurse is assessing the fontanels of 8-month-old infant.
Question 3 of 5
which of the following findings should the nurse recognize as an expected finding?
Correct Answer: A
Rationale: The correct answer is A: The anterior fontanel is open. This is an expected finding in infants as the anterior fontanel is a soft spot on the baby's skull that allows for brain growth. It typically closes by 18-24 months. The posterior fontanel closing by 2-3 months makes choice B incorrect.
Choice C, sunken anterior fontanel, indicates dehydration, while choice D, bulging anterior fontanel, can be a sign of increased intracranial pressure, both of which are abnormal findings.
Extract:
A nurse is caring for a child who has cystic fibrosis and requires posterior drainage.
Question 4 of 5
Which action should the nurse take?
Correct Answer: A
Rationale: The correct action for the nurse to take is choice A: Perform the procedure prior to meals. This is because performing procedures prior to meals helps prevent aspiration during feeding. The rationale behind this is that when the stomach is empty, there is reduced risk of regurgitation and aspiration of food particles during the procedure.
Choices B, C, and D are incorrect. Performing chest physiotherapy immediately after feeding can increase the risk of regurgitation and aspiration. Placing the child in a supine position during the procedure can also increase the risk of aspiration. Limiting fluid intake before the procedure is not necessary and may lead to dehydration, which is not recommended.
Extract:
A nurse is assessing a client who is receiving continuous bladder irrigation following a transurethral resection of the prostate 4 hours ago. The nurse notes pink tinged urine and the drainage bag.
Question 5 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Maintain the irrigation solution rate. This is the appropriate action because sudden changes in irrigation solution rate can lead to complications in catheter irrigation. Consistency is key to prevent disruption in the flow and maintain catheter patency. Increasing the rate (choice
B) can lead to overhydration or pressure build-up. Clamping the catheter (choice
C) can cause obstruction and retention of urine, leading to potential complications. Notifying the provider immediately (choice
D) is not necessary unless there are significant issues or complications. Other choices lack a logical rationale or are potentially harmful. Maintaining the irrigation solution rate ensures proper catheter function and patient safety.