ATI RN
ATI Comprehensive 2023 With NGN 180 Questions And Answers Questions
Extract:
A school nurse is performing scoliosis screening.
Question 1 of 5
The nurse should recognize which of the following clinical manifestations as an indication of scoliosis?
Correct Answer: A
Rationale: The correct answer is A. Uneven shoulder and pelvic heights are indicative of scoliosis due to the lateral curvature of the spine. Symmetrical scapulae, equal leg lengths, and straight spinal alignment are not typical signs of scoliosis. Symmetrical scapulae and equal leg lengths suggest normal alignment, while straight spinal alignment does not reflect the characteristic curvature seen in scoliosis cases.
Therefore, identifying uneven shoulder and pelvic heights is crucial in recognizing scoliosis.
Extract:
A nurse is providing preoperative teaching to an older adult client who is scheduled for surgery.
Question 2 of 5
Which of the following actions should the nurse take to promote learning?
Correct Answer: B
Rationale: The correct answer is B: Connect new information with the client's past experiences. This promotes learning by linking new concepts to existing knowledge, aiding in retention and understanding. Speaking loudly (
A) may not enhance learning and can be off-putting. Presenting information abstractly (
C) may confuse the client. Using a 12 point font (
D) is a formatting preference and does not directly impact learning.
Extract:
A nurse manager is updating protocols for the use of belt restraints.
Question 3 of 5
Which of the following guidelines should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: Document the client's condition every 15 minutes. This guideline is crucial for monitoring the client's status, detecting any changes promptly, and ensuring their safety. Documenting every 15 minutes allows for timely intervention and assessment.
Choice B is incorrect because attaching restraint straps to the side rails can lead to entrapment and harm.
Choice C is incorrect as a square knot is not recommended for securing restraints due to the risk of difficulty in quick release during emergencies.
Choice D is incorrect as a 2-inch gap between the restraint and the client's body can increase the risk of injury or self-removal.
Extract:
A nurse in a PACU is transferring care of a client to a nurse on the medical-surgical unit.
Question 4 of 5
Which of the following statements should the nurse include in the hand-off report?
Correct Answer: A
Rationale: The correct answer is A: The estimated blood loss was 250 mL. This statement is important for the receiving nurse to know as it provides crucial information about the client's condition post-surgery. It helps in monitoring for signs of hemorrhage or other complications. The other choices (B, C,
D) are not essential for the hand-off report as they do not directly impact the client's immediate care or safety.
Choice B is subjective and not a clinical observation.
Choice C is about the client's family, which is not pertinent to the client's medical status.
Choice D is a general safety measure and not specific to the client's condition.
Extract:
A nurse in a long-term care facility is admitting a client with dementia.
Question 5 of 5
Which of the following actions should the nurse take to reduce the risk for client injury?
Correct Answer: C
Rationale: The correct answer is C: Raise the side rails up when the client is in bed. This action helps prevent falls and injuries by providing a physical barrier to keep the client from rolling out of bed. Keeping the television on (choice
A) does not directly address client safety. Placing the bedside table at the foot of the bed (choice
B) may not prevent falls or injuries. Assisting the client to the toilet frequently (choice
D) is important for personal care but does not directly reduce the risk for client injury.