ATI RN
ATI Comprehensive 2023 With NGN 180 Questions And Answers Questions
Extract:
The nurse is caring for a client who is on bed rest.
Question 1 of 5
The nurse should recognize that which of the following findings is a complication of immobility
Correct Answer: C
Rationale: The correct answer is C: Swollen area on calf. Immobility can lead to blood pooling in the lower extremities, causing swelling, redness, and pain. This is a sign of deep vein thrombosis (DVT), a serious complication of immobility. Increased BP (choice
A) is not typically a direct complication of immobility. Urinary frequency (choice
B) is more related to issues such as urinary tract infections or bladder problems. Other choices are not relevant to complications of immobility.
Extract:
Question 2 of 5
A nurse is assessing a client who is postoperative and has a history of pulmonary embolism. Which of the following findings is the priority for the nurse to report to the provider?
Correct Answer: A
Rationale: The correct answer is A: Dyspnea. Dyspnea in a client with a history of pulmonary embolism is a critical finding as it could indicate a recurrence or worsening of a pulmonary embolism, which is a life-threatening emergency. The nurse should report this immediately to the provider for further evaluation and intervention to prevent complications. Pain at the surgical site (
B) is expected postoperatively and can be managed with pain medication. Mild nausea (
C) is a common postoperative symptom that may not require immediate intervention. A temperature of 37.5°C (99.5°F) (
D) is a low-grade fever that may be due to the body's response to surgery and is not as concerning as dyspnea in this context.
Extract:
A nurse is providing preoperative teaching to a client about the administration of morphine via a PCA pump.
Question 3 of 5
Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A because it demonstrates the client's comprehension of the concept of patient-controlled analgesia (PC
A). By stating "I will receive a limited amount of pain medication when I press the button," the client shows an understanding that the PCA pump delivers a set dose of medication upon activation. This indicates awareness of the mechanism and purpose of the PCA pump.
Choice B is incorrect as it suggests having someone else press the button, which goes against the principle of patient-controlled administration.
Choice C is incorrect because it implies unlimited access to medication, which could lead to overdose.
Choice D is incorrect as it suggests waiting for severe pain, which may compromise effective pain management.
Extract:
A charge nurse is concerned about a recent increase in facility-acquired catheter infections.
Question 4 of 5
Which action should the nurse take?
Correct Answer: E
Rationale: Regular audits ensure adherence to best practices and reduce infection rates.
Extract:
Question 5 of 5
A nurse is teaching a client about advanced directives. Which of the following statements by the client indicate an understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A because a living will is a legal document that specifies a person's preferences for medical treatment in case they are unable to communicate their wishes. This statement indicates an understanding of the purpose of advanced directives.
Choice B is incorrect as advanced directives empower the client to make their own health care decisions.
Choice C is incorrect because advanced directives do not pertain to material possessions but rather to health care decisions.
Choice D is incorrect as a witness is not required for signing a living will.