ATI RN
ATI Comprehensive 2023 With NGN 180 Questions And Answers Questions
Extract:
A nurse in the emergency department is caring for a client who is actively bleeding from a stab wound to the thigh.
Question 1 of 5
Which action should the nurse take?
Correct Answer: A
Rationale: The correct answer is A. Applying direct pressure to the wound with thick dressing material is the most appropriate action to control bleeding. It helps to compress the blood vessels, slowing down the bleeding. Elevating the leg (choice
B) may not be enough to stop severe bleeding. Applying a tourniquet (choice
C) should only be done as a last resort for life-threatening bleeding as it can lead to tissue damage. Applying ice packs (choice
D) constricts blood vessels, potentially trapping harmful substances in the wound. It is crucial to address the immediate bleeding before considering other actions.
Extract:
A nurse is caring for a client who experienced a traumatic brain injury 72 hours ago.
Question 2 of 5
Which finding should the nurse identify as a potential indication of increased intracranial pressure?
Correct Answer: D
Rationale: The correct answer is D, "All of the above." Increasingly severe headache is a common symptom of increased intracranial pressure due to brain tissue compression. Bradycardia and hypertension can occur as a result of increased intracranial pressure affecting the autonomic nervous system. Dilated, non-reactive pupils may indicate brainstem compression.
Therefore, all of these findings are potential indications of increased intracranial pressure.
Choices A, B, and C all individually point towards different manifestations of increased intracranial pressure, making them incorrect if considered in isolation.
Extract:
A nurse is assessing a 5-year-old child who has diabetes insipidus and is receiving desmopressin.
Question 3 of 5
Which finding should the nurse identify as an indication that the medication is effective?
Correct Answer: C
Rationale: The correct answer is C: Cessation of nocturnal enuresis. This indicates the medication is effective because it shows improvement in the condition being treated, which in this case is nocturnal enuresis. Nocturnal enuresis is the involuntary passage of urine during sleep and it can be a result of various factors such as hormonal imbalance or bladder control issues.
Therefore, if the medication is effective, it should lead to the cessation of this symptom.
Heart rate (
A) and capillary refill (
B) are not necessarily indicators of the effectiveness of the medication in treating nocturnal enuresis. Absence of hypoglycemic episodes (
D) is more related to diabetes management rather than nocturnal enuresis.
Extract:
A nurse is caring for an infant who has coarctation of the aorta.
Question 4 of 5
Which finding should the nurse identify as expected?
Correct Answer: A
Rationale: The correct answer is A: Weak femoral pulses. In pediatric patients, weak femoral pulses are expected due to the normal physiological differences in vascular resistance between upper and lower extremities. This is known as the "femoral pulse lag." Bounding pulses in the lower extremities (choice
B) would be abnormal and could indicate a vascular disorder. Cyanosis of the hands and feet (choice
C) suggests poor perfusion and oxygenation, which is concerning. Frequent episodes of bradycardia (choice
D) could indicate cardiac issues and are not expected in a healthy pediatric patient.
Extract:
A nurse is caring for a client who was at 33 weeks of gestation following an amniocentesis.
Question 5 of 5
Which complication should the nurse monitor for?
Correct Answer: A
Rationale: The correct answer is A: Contractions. Nurses should monitor for contractions as they could indicate preterm labor or other complications. Increased fetal movement (
B) is not necessarily a complication but could be a sign of fetal well-being. Hypertension (
C) is important to monitor but may not be directly related to the current situation. Hypoglycemia (
D) is also important but not typically a primary concern in this situation.