ATI RN
ATI Comprehensive 2023 With NGN 180 Questions And Answers Questions
Extract:
A nurse is admitting an older adult client who was transferring from another facility. The nurse notes pressure ulcers on the clients Coccyx and abrasions around both wrists which of the following actions should the nurse take to address suspicion of elder abuse?
Question 1 of 5
Which actions should the nurse take to address suspicion of elder abuse?
Correct Answer: A,B,C,D,E
Rationale: All these actions are crucial for addressing potential elder abuse. Interviewing the client privately ensures confidentiality, documenting injuries provides evidence, reporting follows legal requirements, photographing aids in documentation, and ensuring safety prevents further harm.
Extract:
A nurse in a family health clinic is caring for a client who requests information regarding the correct use of condoms.
Question 2 of 5
Which of the following statements should the nurse make?
Correct Answer: A
Rationale: The correct answer is A because it emphasizes the importance of using condoms in addition to implanted contraceptive methods to prevent STDs. This is crucial for dual protection.
Choice B is incorrect as petroleum-based lubricants can damage condoms.
Choice C is incorrect as condoms should not be tight to avoid breakage.
Choice D is incorrect as condoms are more effective for birth control when used with spermicides.
Extract:
A nurse is providing care for a client following a thoracentesis.
Question 3 of 5
If the client develops a pneumothorax, which of the following assessment findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Pain on inhalation chest pain that worsens when you breathe or pleuritic pain. In a pneumothorax, air collects in the pleural space, causing lung collapse and chest pain that worsens with breathing. Stridor (
A) is associated with upper airway obstruction, not pneumothorax. Friction rub (
C) is more indicative of pleurisy. Bradycardia (
D) is not a typical finding in pneumothorax.
Extract:
A home care nurse is caring for a client who has advancing multiple sclerosis.
Nurses' Notes
2 weeks ago:
Client reports depression is increasing as they are unable to participate in activities they once
enjoyed because of the advancing multiple sclerosis. Even getting up to the wheelchair is "just
too much" for them.
Today:
Home health aide reported client will not permit turning or position changes. Client states, "I can
only get comfortable curled on my left side, I'm not moving."
Question 4 of 5
Select the 5 complications the client is at risk for.
Correct Answer: C,D,E,F,H
Rationale: Immobility increases risks of urinary stasis, contractures, atelectasis, and pressure injuries.
Extract:
A nurse is caring for a newborn.
Nurses' Notes
0640:
Weight 4200 gm (9 lb 4 oz), head circumference 35.5 cm (14 in)
Respiratory rate 68/min, with mild grunting.
0650:
Respiratory rate 72/min, with mild grunting
0700:
Respiratory rate 76/min, with moderate grunting and mild intercostal retractions.
Question 5 of 5
The client is at risk for developing------- and----
Correct Answer: B,D
Rationale: Transient tachypnea and hypopycemia are common risks in newborns with respiratory distress.