ATI RN
ATI Comprehensive 2023 With NGN 180 Questions And Answers Questions
Extract:
A nurse is caring for a client who speaks a different language than the nurse and is using an interpreter.
Question 1 of 5
Which action should the nurse take when working with the interpreter?
Correct Answer: A
Rationale: The correct answer is A: Speak in a normal voice at a natural pace. When working with an interpreter, the nurse should speak in a normal voice and pace to ensure clear communication. This approach allows the interpreter to accurately convey the message without any distortion. Speaking in a natural manner also helps in building rapport with the client and creating a comfortable environment. Using medical jargon (
B) can lead to misunderstandings as the interpreter may not be familiar with all technical terms. Speaking directly to the interpreter instead of the client (
C) can undermine the client's autonomy and confidentiality. Asking the client to respond only with 'yes' or 'no' answers (
D) limits the information gathered and may not provide a comprehensive understanding of the client's needs.
Extract:
A nurse is caring for a client who has a stool culture that is positive for Clostridium difficile.
Question 2 of 5
Which of the following infection control precautions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B because placing the client in a private room with contact precautions helps prevent the spread of infection to others. This measure includes using personal protective equipment (PPE) and limiting contact with others to contain potential infectious agents. Removing the protective gown in the client's room (
A) is incorrect as it exposes the nurse to potential contamination. Performing hand hygiene with an alcohol-based sanitizer (
C) is important but does not address the isolation of the client. Wearing an N95 mask (
D) is specific to airborne precautions, not contact precautions.
Extract:
A nurse is caring for a 9-year-old child at a clinic.
Nurses' Notes
1000:
Child has been brought to the clinic by their parent due to a report of right arm pain. The parent
states that several hours ago the child tripped and fell onto the sidewalk while playing
outside. The child states, "I was running when we were playing. and I tripped over a curb." Child
is supporting their arm across their body.
Assessment
Respirations easy and unlabored, Abdomen non-distended. Right forearm and fingers are
edematous. Ecchymotic area noted on outer aspect of the forearm. Radial pulse +2. Fingers
slightly cool to touch. Child can move fingers and reports a mild "tingling" sensation, Child
verbalizes a pain level of 4 on a scale of 0 to 10, Multiple areas of bruising are noted on lower
extremities in various stages of healing
Vital. Signs
Temperature 36.8°C (98.2° F)
Heart rate 102/min
Respiratory rate 22/min
BP 100/60 mm Hg
Oxygen saturation 98% on room air
Question 3 of 5
Nurse reviews the assessment findings. Which findings require immediate follow-up?
Correct Answer: A,D
Rationale: Edema and coolness in the extremity suggest circulatory impairment, warranting immediate attention.
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 infants, weak femoral pulses are expected due to the normal physiological transition from fetal to neonatal circulation. This occurs because the ductus arteriosus, which connects the pulmonary artery and the descending aorta, begins to close after birth, leading to decreased blood flow through the ductus and thus weaker femoral pulses. Bounding pulses in the lower extremities (choice
B) would be abnormal and could indicate a cardiac defect. Cyanosis of the hands and feet (choice
C) suggests poor oxygenation. Frequent episodes of bradycardia (choice
D) could indicate a cardiac conduction issue.
Extract:
A nurse is planning care for a client who is scheduled to receive a transfusion of packed RBCs.
Question 5 of 5
Which of the following actions should the nurse plan to take?
Correct Answer: A
Rationale: The correct answer is A: Use a solution of 0.9% sodium chloride to flush the transfusion tubing. This is important to prevent any reactions or interactions between different solutions. Using sodium chloride ensures compatibility and safety during the transfusion process.
Choice B is incorrect because lactated Ringer's solution should not be used to flush the tubing as it can cause adverse reactions.
Choice C is incorrect as a larger gauge IV catheter is recommended for blood transfusions to prevent hemolysis.
Choice D is incorrect as blood transfusions are typically infused over 2-4 hours, not 6 hours, to reduce the risk of complications.