ATI RN
ATI Comprehensive 2023 With NGN 180 Questions And Answers Questions
Extract:
A nurse is developing a plan of care for a newborn whose mother tested positive for heroin during pregnancy.
Question 1 of 5
Which action should the nurse include in the plan?
Correct Answer: A
Rationale: The correct answer is A: Minimize noise in the newborn's environment. This is important as newborns have sensitive hearing and excessive noise can disrupt their sleep and development. Noise can also lead to stress and overstimulation.
Choice B is incorrect because swaddling should be snug to provide a sense of security and prevent startling reflexes.
Choice C is incorrect as the recommended position for newborns is on their back to reduce the risk of sudden infant death syndrome (SIDS).
Choice D is incorrect because while handling and stimulation are important, they should be done in a gentle and appropriate manner to prevent overstimulation.
Extract:
Question 2 of 5
A nurse is planning care for a group of clients and is working with one licensed practical nurse (LPN) and one assistive personnel (AP). Which of the following actions should the nurse take first to manage her time effectively?
Correct Answer: B
Rationale: The correct answer is B: Determine goals of the day. This is the first step the nurse should take to manage time effectively because it allows for prioritization and organization of tasks. By setting goals, the nurse can identify essential activities and allocate time accordingly. Delegating tasks to the AP (
A) can come after determining goals. Scheduling daily activities (
C) and developing an hourly time frame for tasks (
D) can be more detailed steps that follow after setting goals. Option E, F, and G are not applicable in this context. In summary, determining goals of the day helps the nurse prioritize, organize, and manage time effectively.
Extract:
A nurse is assessing a client who is receiving continuous bladder irrigation following a transurethral resection of the prostate 4 hours ago. The nurse notes pink tinged urine and the drainage bag.
Question 3 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Maintain the irrigation solution rate. This is the appropriate action because sudden changes in irrigation solution rate can lead to complications in catheter irrigation. Consistency is key to prevent disruption in the flow and maintain catheter patency. Increasing the rate (choice
B) can lead to overhydration or pressure build-up. Clamping the catheter (choice
C) can cause obstruction and retention of urine, leading to potential complications. Notifying the provider immediately (choice
D) is not necessary unless there are significant issues or complications. Other choices lack a logical rationale or are potentially harmful. Maintaining the irrigation solution rate ensures proper catheter function and patient safety.
Extract:
A nurse is caring for a client who has pneumonia and tells the nurse, “I feel like an elephant is sitting on my chest.†The client is weak and unable to walk.
Question 4 of 5
After the nurse indicates chest pain protocol, which of the following is the priority diagnostic test?
Correct Answer: C
Rationale: The correct answer is C: Chest X-ray. The priority diagnostic test after chest pain protocol is indicated is a chest X-ray. This is because a chest X-ray can quickly identify potential causes of chest pain such as pneumonia, pneumothorax, or pericarditis. It can also help rule out life-threatening conditions like aortic dissection or pulmonary embolism. PT and INR (
A) are tests for monitoring blood clotting, not specific to chest pain evaluation. A 12-lead ECG (
B) is important but typically done after a chest X-ray. D-dimer test (
D) is used to rule out a blood clot, which is not an immediate concern in chest pain evaluation.
Extract:
A nurse is collecting a sputum specimen from a client who has tuberculosis.
Question 5 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A because it is crucial to obtain the sputum specimen immediately upon the client waking up. This is because sputum produced in the morning is more concentrated and provides a better sample for analysis. Waiting could lead to a diluted sample that may not accurately reflect the client's condition.
Choice B is incorrect as delaying specimen collection could compromise the accuracy of the results.
Choice C is incorrect as it does not specify the optimal timing for specimen collection.
Choice D is incorrect as sterile gloves are not necessary for sputum collection.