ATI RN
ATI Comprehensive 2023 With NGN 180 Questions And Answers Questions
Extract:
A nurse is assessing the grief response of a client whose child died six months ago.
Question 1 of 5
Which client statement should the nurse report as an indication of major depressive disorder?
Correct Answer: E
Rationale: Thoughts of self-harm are a critical indicator of major depressive disorder.
Extract:
A nurse is caring for a client who states he recently purchased lavender oil to use when he gets the flu.
Question 2 of 5
The nurse should recognize which of the following findings as a potential contraindication for using lavender?
Correct Answer: A
Rationale: The correct answer is A: The client has a history of asthma. Lavender oil can trigger asthma symptoms in some individuals due to its potential respiratory irritant properties. Asthma patients may experience worsened breathing difficulties or allergic reactions when exposed to lavender. This contraindication is crucial to consider when using lavender aromatherapy.
Choices B, C, and D are incorrect as they do not specifically relate to potential contraindications with lavender use.
Choice B (client takes furosemide) and choice D (client takes vitamin
C) do not typically interact negatively with lavender.
Choice C (client has a history of alcohol use disorder) is not a direct contraindication for lavender use.
Extract:
The nurse continues to care for the client.
Nurses' Notes
Day 1, 0915:
The client's adult child reports the client has not slept for 2 days and has become obsessed with
cleaning the house and hosting parties. At times the client is overly joyous and has a very
elevated sense of self-confidence. The adult child states that the client has also demonstrated
very impulsive spending habits and expresses concern about the client giving away large sums of
money to others.
The client's speech is very pressured, disorganized, and loud. Client unable to recall the last time
they ate.
Day 1, 0930:
Client questioned about their hallucinations and states that the same person has been following
them around inside and outside the house for days. Client asks the person what they want but
never receives an answer. Client states that this person has never told them to do anything: they
just stare and smile.
Day 1, 1015:
Client's erratic behavior continues with loud outbursts. Continues to get out of bed and pace
around the unit. Prescription received to admit client to inpatient mental health unit.
Question 3 of 5
A nurse on the inpatient mental health unit is planning care for the client. For each potential provider's prescription, click to specify if the prescription is anticipated or contraindicated for the client.
| Potential Prescription | Anticipated | Contraindicated |
|---|---|---|
| Encourage the client to avoid napping during the day. | ||
| Place the client in a room away from the nurses' station. | ||
| Weigh the client each day | ||
| Provide the client with high-calorie fluids every hour. |
Correct Answer: A,D
Rationale: Anticipated prescriptions include avoiding naps (to regulate sleep) and providing high-calorie fluids (for nutrition). Contraindicated prescriptions include isolating the client (which may worsen agitation) and daily weighing (unnecessary unless monitoring weight gain/loss).
Extract:
A nurse is caring for a client.
Laboratory Results
Week 1:
WBC count 8,000/mm³ (5,000 to 10,000/mm³)
Platelets 350,000/mm³ (150,000 to 400,000/mm³)
Potassium 3.7 mEq/L (3.5 to 5 mEq/L)
Week 2:
WBC count 3,800/mm³ (5,000 to 10,000/mm³)
Platelets 150,000/mm³ (150,000 to 400,000/mm³)
Potassium 3.6 mEq/L (3.5 to 5 mEq/L)
Vital Signs
Week 2:
Temperature 38.6° C (101.5° F)
BP 114/56 mm Hg
Heart rate 102/min
Respiratory rate 24/min
Oxygen saturation 93% on room air
Question 4 of 5
A nurse is reviewing the client's electronic medical record. Which of the following findings require follow up?
Correct Answer: C,D
Rationale: Decreased WBC count and elevated temperature suggest infection, requiring follow-up. Potassium levels remain within normal range, so no action is needed.
Extract:
Question 5 of 5
A nurse is teaching a client about advanced directives. Which of the following statements by the client indicate an understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A because a living will is a legal document that specifies a person's preferences for medical treatment in case they are unable to communicate their wishes. This statement indicates an understanding of the purpose of advanced directives.
Choice B is incorrect as advanced directives empower the client to make their own health care decisions.
Choice C is incorrect because advanced directives do not pertain to material possessions but rather to health care decisions.
Choice D is incorrect as a witness is not required for signing a living will.