ATI RN
ATI Comprehensive 2023 With NGN 180 Questions And Answers Questions
Extract:
A nurse is caring for a client who is in active labor.
Question 1 of 5
The nurse should notify the provider for which of the following findings?
Correct Answer: C
Rationale: The correct answer is C: Prolonged decelerations. This finding indicates potential fetal distress, requiring immediate provider notification to assess and intervene. Baseline fetal heart rate (
A) within normal range is reassuring. Three uterine contractions (
B) could be normal. Moderate variability (
D) is a positive sign of fetal well-being. The focus should be on abnormal findings like prolonged decelerations (
C) that may indicate compromised fetal oxygenation.
Extract:
A nurse is planning care for a client who is scheduled to receive a transfusion of packed RBCs.
Question 2 of 5
Which of the following actions should the nurse plan to take?
Correct Answer: A
Rationale: The correct answer is A. Using a solution of 0.9% sodium chloride to flush the transfusion tubing is essential to ensure compatibility and prevent potential reactions between the blood product and other solutions. This is a standard practice to maintain the integrity of the blood product and prevent contamination. Flushing with lactated Ringer's solution (
B) would introduce a different electrolyte composition that may affect the blood product. Administering the transfusion through a 24-gauge IV catheter (
C) may not be appropriate for blood transfusions due to the risk of hemolysis or clotting. Infusing the blood over a maximum of 6 hours (
D) is a general guideline for blood transfusions but is not the immediate action the nurse should plan to take.
Extract:
A nurse in an emergency department is assessing a client who reports ingesting thirty diazepam tablets a respiratory rate of 10/min.
Question 3 of 5
After securing the client's airway and initiating an IV, which of the following actions should the nurse do next.
Correct Answer: A
Rationale: The correct answer is A: Administer flumazenil to the client. Flumazenil is a specific benzodiazepine receptor antagonist used to reverse the effects of benzodiazepine overdose, which includes respiratory depression. Administering flumazenil would help reverse the sedative effects of benzodiazepines and improve the client's respiratory status. Initiating gastric lavage with activated charcoal (
B) is not the immediate priority after securing the airway and IV. Placing the client in the Trendelenburg position (
C) is not recommended due to potential complications. Obtaining a stat CT scan of the brain (
D) is not necessary at this point and does not address the immediate concerns of airway and sedation reversal.
Extract:
A nurse is assessing a client following an esophagogastroduodenoscopy.
Question 4 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 and requires immediate attention from the provider for further assessment and intervention. Belching and flatulence are common gastrointestinal symptoms that may not necessarily warrant immediate reporting. Sore throat, unless severe or persistent, can often be managed with over-the-counter remedies. It is important to prioritize reporting symptoms that could be indicative of serious conditions to ensure timely and appropriate care.
Extract:
A nurse is reviewing the medication administration record of a client.
Question 5 of 5
Which of the following prescriptions should the nurse clarify?
Correct Answer: A
Rationale: The correct answer is A. Digoxin is commonly prescribed in mcg, not mg.
Therefore, the nurse should clarify the dosage unit. Metoprolol (
B) is a typical dose and frequency for oral administration. Furosemide (
C) is a standard dose and route for IV administration. Acetaminophen (
D) is a common dose and frequency for pain management. The other choices are not problematic.