ATI RN
ATI Comprehensive 2023 With NGN 180 Questions And Answers Questions
Extract:
A nurse is preparing a client for transfer to a long-term care rehabilitation facility following a below-the-knee amputation.
Question 1 of 5
Which action should the nurse take to protect the client's confidentiality?
Correct Answer: E
Rationale: Secure communication ensures confidentiality during transfers.
Extract:
The nurse is continuing to care for the client Nurses
Notes
Day 1, 0900:
Client is at 31 weeks of gestation and presents with a severe headache unrelieved by
acetaminophen. Client also reports urinary frequency and decreased fetal movement.
Client is a G3 P2 with one preterm birth.
Day 1, 0930:
Client reports a constant and throbbing headache and rates it as a 6 on a scale of 0 to 10. Denies
visual disturbances. +3 pitting edema in bilateral lower extremities. Patellar reflex 4+ without
the presence of clonus. Client reports occasional nighttime leg cramps. Reports three fetal
movements within the last 30 min, External fetal monitor applied with a baseline FHR 140/min
with occasional accelerations and moderate variability. No uterine contractions noted.
Question 2 of 5
The nurse is reviewing the assessment findings. For each assessment finding, click to specify if the finding is consistent with preeclampsia or HELLP syndrome. Each finding may support more than one disease process.
| Assessment Findings | Preeclampsia | HELLP syndrome |
|---|---|---|
| Hemoglobin | ||
| Alanine aminotransferase (ALT) | ||
| Blood pressure | ||
| Platelet count |
Correct Answer: C,D
Rationale: [
Rationale:
- Blood pressure is a key assessment finding for both preeclampsia and HELLP syndrome. In preeclampsia, hypertension is a hallmark feature, while in HELLP syndrome, it can also be elevated.
- Platelet count is another shared finding. Thrombocytopenia is a common feature of HELLP syndrome, while it can also be decreased in severe cases of preeclampsia.
- Hemoglobin and ALT levels are not specific to either condition, so they do not provide a clear indication of preeclampsia or HELLP syndrome.]
Extract:
The nurse is continuing to care for the client.
History and Physical
Day 1, 0900:
A 52-year-old client brought to emergency department by adult child. Client is alert and oriented
to person and time but does not know where they are. No history of substance use according to
client's adult child. Client exhibits constant movements and poor concentration. Hair and
clothing are unclean. Appears to be listening to unseen others. Skin turgor poor.
Question 3 of 5
The nurse is providing teaching about lithium to the client and client's adult child. Select the 3 statements the nurse should include.
Correct Answer: B,C,E
Rationale: Blurred vision is not typical; lithium takes time to reach therapeutic levels, causes nausea/drowsiness, and often leads to weight gain. A low-sodium diet is contraindicated due to risk of toxicity.
Extract:
A nurse is assessing a client following an esophagogastroduodenoscopy.
Question 4 of 5
Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: The correct answer is A: Abdominal pain. Abdominal pain is a significant finding that could indicate underlying health issues. The nurse should report it to the provider for further evaluation and management. Belching, flatulence, and sore throat are common symptoms that may not require immediate attention. Reporting abdominal pain is crucial for timely intervention.
Extract:
A nurse is teaching a client about family planning using the basal body temperature method.
Question 5 of 5
Which of the following instructions should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A: Take your temperature immediately after waking and before getting out of bed. This is the most accurate time to measure basal body temperature (BBT) for tracking ovulation. BBT should be taken at the same time every morning before any activity to ensure consistency.
Choices B and D are incorrect as they do not specify the correct timing for BBT measurement.
Choice C is incorrect because a rise in body temperature of 0.5-1°F, not 2°F, indicates ovulation.