ATI RN
ATI Comprehensive 2023 With NGN 180 Questions And Answers Questions
Extract:
A nurse is caring for a client
Nurses: Notes
0800:
A client who has bipolar disorder is admitted to the inpatient psychiatric unit. During the
morning assessment, the client reports blurred vision and an increase in urine output. it's noted
that the client is having clonic jerking of upper extremities: Provider notified and laboratory tests
ordered. Skin is warm and dry without rash.
Complete the following sentence by using the list of options.
Question 1 of 5
The nurse understands that the patient has likely developed lithium toxicity and will be monitored for-------
Correct Answer: B
Rationale: The correct answer is B: seizure activity. Lithium toxicity can lead to neurological symptoms, including seizures. Monitoring for seizure activity is crucial to prevent serious complications. Blood glucose levels (
A) are not typically affected by lithium toxicity. Symptoms of infection (
C) and high temperature (
D) are not directly related to lithium toxicity.
Extract:
Admission Assessment
Client reports new onset of fever and discomfort in their joints and increase malaise. No relevant
medical history. Client is alert to person, place, time, and situation. Reports generalized pain as 4
on a scale of 0 to 10. Macular rash present on cheeks bilateral. Lungs clear anterior and posterior.
Bowel sounds active in all 4 quadrants. Last bowel movement 1 day ago. Skin warm, dry, and
intact. Capillary refill less than 3 seconds. A 20-gauge IV saline lock inserted in back left hand
Question 2 of 5
Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing.
Correct Answer: B,C
Rationale: Increased fluid intake and contact precautions are essential for managing systemic lupus erythematosus.
Extract:
A nurse is caring for a client who has end-stage kidney disease. The client's adult child asks the nurse about becoming a living kidney donor for her father.
Question 3 of 5
Which of the following conditions in the child's medical history should the nurse identify as a contraindication to the procedure?
Correct Answer: A
Rationale: The correct answer is A: Hypertension. Hypertension is a contraindication to the procedure as it can increase the risk of complications during the procedure. High blood pressure can lead to bleeding, organ damage, or cardiovascular events. Primary glaucoma (
B), history of appendectomy (
C), and iron deficiency anemia (
D) are not contraindications to the procedure as they do not directly impact the safety or success of the procedure. It is important to consider the patient's overall health status and any conditions that may affect the outcome of the procedure.
Extract:
A nurse is assessing a client who has type one diabetes myelitis and was administered insulin lispro 1 hour ago.
Question 4 of 5
Which of the following manifestations indicates that the client might be experiencing hypoglycemia?
Correct Answer: A
Rationale: The correct answer is A: Confusion. Hypoglycemia is characterized by low blood sugar levels, leading to neuroglycopenic symptoms like confusion. Increased thirst (
B) and frequent urination (
C) are more indicative of hyperglycemia. Flushed skin (
D) is not typically associated with hypoglycemia.
Extract:
A nurse in an acute care mental health facility is placing a client in seclusion and restraints.
Question 5 of 5
Which of the following actions should the nurse plan to take?
Correct Answer: C
Rationale: The correct answer is C because releasing the restraints every 2 hours to assess circulation is essential in preventing complications such as impaired circulation, skin breakdown, and nerve damage. This action aligns with best practices in restraint use, promoting client safety and well-being. Documenting the client's behavior every 15 minutes (
A) is important but not the priority when dealing with restraint use. Obtaining a prescription for restraints within 4 hours (
B) may be necessary but does not address the ongoing assessment of circulation. Discontinuing restraints only when the provider removes the order (
D) does not ensure timely monitoring of the client's condition.