ATI RN
ATI Comprehensive 2023 With NGN 180 Questions And Answers Questions
Extract:
A nurse is caring for a client who states he recently purchased lavender oil to use when he gets the flu.
Question 1 of 5
The nurse should recognize which of the following findings as a potential contraindication for using lavender?
Correct Answer: A
Rationale: The correct answer is A: The client has a history of asthma. Lavender oil can trigger asthma symptoms in some individuals due to its potential respiratory irritant properties. Asthma patients may experience worsened breathing difficulties or allergic reactions when exposed to lavender. This contraindication is crucial to consider when using lavender aromatherapy.
Choices B, C, and D are incorrect as they do not specifically relate to potential contraindications with lavender use.
Choice B (client takes furosemide) and choice D (client takes vitamin
C) do not typically interact negatively with lavender.
Choice C (client has a history of alcohol use disorder) is not a direct contraindication for lavender use.
Extract:
A nurse is caring for a client who is postoperative following total hip arthroplasty.
Question 2 of 5
Which of the following actions should the nurse take to prevent dislocation of the prosthesis?
Correct Answer: D
Rationale: The correct answer is D: Keep an abduction pillow between the client's legs. Placing an abduction pillow between the client's legs helps maintain proper alignment and prevents dislocation of the prosthesis by keeping the hip joint in a stable position. Elevating the affected leg on a pillow (choice
B) or positioning the knees slightly higher than the hips (choice
C) may not provide the necessary support and alignment for the prosthesis. Raising the head of the bed to a high-fowlers position (choice
A) is unrelated to preventing prosthesis dislocation.
Extract:
A nurse is caring for an infant who has coarctation of the aorta.
Question 3 of 5
Which finding should the nurse identify as expected?
Correct Answer: A
Rationale: The correct answer is A: Weak femoral pulses. In infants, weak femoral pulses are expected due to the normal physiological transition from fetal to neonatal circulation. This occurs because the ductus arteriosus, which connects the pulmonary artery and the descending aorta, begins to close after birth, leading to decreased blood flow through the ductus and thus weaker femoral pulses. Bounding pulses in the lower extremities (choice
B) would be abnormal and could indicate a cardiac defect. Cyanosis of the hands and feet (choice
C) suggests poor oxygenation. Frequent episodes of bradycardia (choice
D) could indicate a cardiac conduction issue.
Extract:
A nurse and assistive personnel are assigned a group of clients on the unit.
Question 4 of 5
Which of the following clients should the nurse instruct the AP to report to the nurse?
Correct Answer: D
Rationale: The correct answer is D. A blood pressure of 88/52 mmHg is considered hypotensive and requires immediate attention. The nurse should instruct the AP to report this client to the nurse promptly for further assessment and intervention to prevent potential complications such as shock.
Choice A is incorrect because not receiving compression stockings, while important, does not pose an immediate threat to the client's health.
Choice B is incorrect as assisting a client to the restroom is within the scope of the AP's duties and does not require immediate attention from the nurse.
Choice C is incorrect as eating only 50% of a meal does not indicate an urgent issue that needs to be reported to the nurse.
Extract:
A nurse is planning care for a client who has acute appendicitis.
Question 5 of 5
Which of the following actions should the nurse plan to take?
Correct Answer: C
Rationale: The correct answer is C: keep the client on NPO status. This action is necessary to ensure the client's safety before a procedure that requires an empty stomach. Placing the client's head of bed flat (
A) could cause aspiration. Applying heat to the client's abdomen (
B) may not be indicated and could worsen the condition. Administering a laxative (
D) is not appropriate without a specific indication. The other choices are not provided, but keeping the client NPO is the priority to prevent complications during the procedure.