ATI RN
ATI Comprehensive 2023 With NGN 180 Questions And Answers Questions
Extract:
A nurse is developing a nutritional care plan for a client who has COPD and severe dyspnea.
Question 1 of 5
Which action should the nurse include in the plan?
Correct Answer: B
Rationale: The correct answer is B: Provide small, frequent meals to reduce fatigue and improve intake. This option is the most appropriate because small, frequent meals can help prevent fatigue and improve nutrient intake by ensuring a steady supply of energy throughout the day. Offering three large meals (option
A) may overwhelm the client and lead to fatigue. Encouraging fluid intake before or after meals (option
C) may cause early satiety and reduce food intake. Offering high-calorie, nutrient-dense foods (option
D) can be beneficial, but the frequency of meals is more crucial in this scenario. Monitoring weight (option E) is important but does not directly address the issue of fatigue and intake.
Extract:
A nurse is caring for a client in the active phase of labor who has decided to have a natural childbirth.
Question 2 of 5
Which pain management technique should the nurse suggest?
Correct Answer: B
Rationale: The correct answer is B: Encourage the use of breathing techniques to manage pain. Breathing techniques help in pain management by promoting relaxation, reducing anxiety, and increasing oxygen flow. This can help the laboring individual cope better with contractions. Other choices are less effective for pain management in labor. A: Hydrotherapy can be beneficial, but breathing techniques are more universally applicable. C: Massage and counterpressure can help, but may not be as effective as breathing techniques during labor. D: Positioning changes are helpful, but breathing techniques are more directly focused on pain management. E: Relaxation techniques like visualization are useful, but breathing techniques are more specifically targeted at managing pain.
Extract:
A nurse is assessing a client who has bipolar disorder and is experiencing a depressive episode.
Question 3 of 5
Which finding should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Feelings of hopelessness or worthlessness. This is a key symptom of depression and is often present in individuals experiencing a depressive episode. It is important for the nurse to recognize this as it can indicate a serious mental health issue that requires intervention.
Choices A, C, D, and E are also common symptoms of depression, but they are not as specific to the core of the condition as feelings of hopelessness or worthlessness. Moving quickly from one idea to the next (
A) may suggest mania or hypomania rather than depression. Decreased energy and fatigue (
C), difficulty concentrating or making decisions (
D), and changes in appetite (E) are also common in depression, but they are not as indicative of the deep emotional distress associated with feelings of hopelessness or worthlessness.
Extract:
A nurse is reporting a client's laboratory test to the provider to obtain a prescription for warfarin.
Question 4 of 5
Which laboratory test should the nurse report?
Correct Answer: A
Rationale: The correct answer is A: INR. The nurse should report the INR (International Normalized Ratio) test because it specifically measures the effectiveness of anticoagulant therapy like warfarin. A high INR indicates a higher risk of bleeding, while a low INR indicates a higher risk of clotting. Reporting the INR can help healthcare providers adjust medication dosage to maintain optimal therapeutic levels.
Incorrect choices:
B: Prothrombin time (PT) is related to INR but is less specific for monitoring anticoagulant therapy.
C: Activated partial thromboplastin time (aPTT) is used to monitor heparin therapy, not warfarin.
D: Platelet count assesses the number of platelets, not the effectiveness of anticoagulant therapy.
E: Hemoglobin and hematocrit levels assess blood volume and oxygen-carrying capacity, not anticoagulant therapy.
Extract:
A nurse is preparing a client for transfer to a long-term care rehabilitation facility following a below-the-knee amputation.
Question 5 of 5
Which action should the nurse take to protect the client's confidentiality?
Correct Answer: E
Rationale: The correct answer is E: Use a secure and private communication method to discuss the client's condition with the receiving facility. This is the best action to protect the client's confidentiality because it ensures that sensitive information is shared in a confidential and secure manner, preventing unauthorized access. Verbal reports (choice
A) can be overheard, risking confidentiality. While ensuring medical records are transferred securely (choice
B) is important, discussing the client's condition directly with the necessary healthcare providers (choice
D) is more immediate and can prevent unnecessary exposure of sensitive information. Giving the client a copy of their medical records (choice
C) can compromise confidentiality if misplaced.