ATI RN
ATI Comprehensive 2023 With NGN 180 Questions And Answers Questions
Extract:
A nurse is assessing a client who has bipolar disorder and is experiencing a depressive episode.
Question 1 of 5
Which finding should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Feelings of hopelessness or worthlessness. This is a key symptom of depression and is often present in individuals experiencing a depressive episode. It is important for the nurse to recognize this as it can indicate a serious mental health issue that requires intervention.
Choices A, C, D, and E are also common symptoms of depression, but they are not as specific to the core of the condition as feelings of hopelessness or worthlessness. Moving quickly from one idea to the next (
A) may suggest mania or hypomania rather than depression. Decreased energy and fatigue (
C), difficulty concentrating or making decisions (
D), and changes in appetite (E) are also common in depression, but they are not as indicative of the deep emotional distress associated with feelings of hopelessness or worthlessness.
Extract:
A nurse is reporting a client's laboratory test to the provider to obtain a prescription for warfarin.
Question 2 of 5
Which laboratory test should the nurse report?
Correct Answer: A
Rationale: The correct answer is A: INR. The nurse should report the INR (International Normalized Ratio) test because it specifically measures the effectiveness of anticoagulant therapy like warfarin. A high INR indicates a higher risk of bleeding, while a low INR indicates a higher risk of clotting. Reporting the INR can help healthcare providers adjust medication dosage to maintain optimal therapeutic levels.
Incorrect choices:
B: Prothrombin time (PT) is related to INR but is less specific for monitoring anticoagulant therapy.
C: Activated partial thromboplastin time (aPTT) is used to monitor heparin therapy, not warfarin.
D: Platelet count assesses the number of platelets, not the effectiveness of anticoagulant therapy.
E: Hemoglobin and hematocrit levels assess blood volume and oxygen-carrying capacity, not anticoagulant therapy.
Extract:
A nurse is preparing a client for transfer to a long-term care rehabilitation facility following a below-the-knee amputation.
Question 3 of 5
Which action should the nurse take to protect the client's confidentiality?
Correct Answer: E
Rationale: The correct answer is E: Use a secure and private communication method to discuss the client's condition with the receiving facility. This is the best action to protect the client's confidentiality because it ensures that sensitive information is shared in a confidential and secure manner, preventing unauthorized access. Verbal reports (choice
A) can be overheard, risking confidentiality. While ensuring medical records are transferred securely (choice
B) is important, discussing the client's condition directly with the necessary healthcare providers (choice
D) is more immediate and can prevent unnecessary exposure of sensitive information. Giving the client a copy of their medical records (choice
C) can compromise confidentiality if misplaced.
Extract:
A nurse is admitting an older adult client who was transferred from another facility.
Question 4 of 5
Which action should the nurse take to address suspicion of elder abuse?
Correct Answer: C
Rationale: The correct action for the nurse to address suspicion of elder abuse is to report the findings to the appropriate authorities, following facility protocol (
Choice
C). This is because reporting to the authorities is crucial to protect the elderly individual from further harm and ensure that the necessary interventions are implemented.
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Choice A: Privately interviewing the client may jeopardize the safety of the elderly individual and may not be the most effective immediate action.
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Choice B: Documenting the injuries is important but reporting to authorities takes precedence in cases of suspected elder abuse.
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Choice D: Taking photographs of the injuries may be helpful for documentation but should not delay reporting to authorities.
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Choice E: Ensuring the client is not left alone with the suspected abuser is important but is not as urgent as reporting the abuse to the authorities.
In conclusion, reporting the findings to the appropriate authorities is the most critical and immediate action to address suspicion of elder abuse.
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 5 of 5
Which actions should the nurse take to address suspicion of elder abuse?
Correct Answer: A,B,C,D,E
Rationale: The correct actions to address suspicion of elder abuse are A, B, C, D, and E.
A: Privately interviewing the client allows for open communication and confidentiality.
B: Documenting injuries in detail provides objective evidence for reporting and potential legal action.
C: Reporting findings to authorities is crucial to protect the elder and comply with legal obligations.
D: Taking photographs, if permitted, supports documentation and investigation.
E: Ensuring the client is not left alone with the suspected abuser protects the client during the assessment. Each action plays a crucial role in addressing elder abuse comprehensively.