ATI RN
ATI Comprehensive 2023 With NGN 180 Questions And Answers Questions
Extract:
A nurse is caring for a client who has placenta previa.
Question 1 of 5
Which finding should the nurse expect?
Correct Answer: B
Rationale: Painless, bright red vaginal bleeding is a classic sign of placenta previa.
Extract:
A nurse is preparing to insert an IV catheter for a client.
Question 2 of 5
Which of the following actions should the nurse plan to take?
Correct Answer: D
Rationale: The correct answer is D: Choose a vein that is palpable and straight. This is because selecting a palpable and straight vein makes it easier to insert the needle successfully, reducing the risk of complications such as infiltration or hematoma. Elevating the client's arm prior to insertion (
A) may help with venous return but doesn't directly impact vein selection. Selecting a site on the client's dominant arm (
B) is not necessary; either arm can be used. Applying a tourniquet below the venipuncture site (
C) can help with vein visualization but doesn't ensure proper vein selection.
Extract:
Question 3 of 5
A charge nurse is teaching a newly licensed nurse about medication Administration. Which of the following information should the charge nurse include?
Correct Answer: C
Rationale: The correct answer is C: Read medication labels at least two times prior to administration. This is crucial to ensure the right medication is given to the right patient in the right dose and route. Reading the label twice helps to minimize errors.
Choice A is incorrect because the focus should be on accuracy rather than the number of clients.
Choice B is important but does not directly address medication safety.
Choice D is important for patient safety but is specific to adverse events, not medication administration.
Extract:
A nurse in an acute care mental health facility is placing a client in seclusion and restraints.
Question 4 of 5
Which of the following actions should the nurse plan to take?
Correct Answer: C
Rationale: The correct answer is C because releasing the restraints every 2 hours to assess circulation is essential in preventing complications such as impaired circulation, skin breakdown, and nerve damage. This action aligns with best practices in restraint use, promoting client safety and well-being. Documenting the client's behavior every 15 minutes (
A) is important but not the priority when dealing with restraint use. Obtaining a prescription for restraints within 4 hours (
B) may be necessary but does not address the ongoing assessment of circulation. Discontinuing restraints only when the provider removes the order (
D) does not ensure timely monitoring of the client's condition.
Extract:
A nurse is planning care for a client who is to receive alteplase recombinant for a thrombus in the coronary artery.
Question 5 of 5
Which of the following actions should the nurse include in the plan of care?
Correct Answer: A
Rationale: The correct answer is A: Observe for bruising of the skin. This is important in assessing for signs of potential bleeding, which could indicate a complication. Monitoring for bruising can help detect early signs of internal bleeding, especially in patients at risk due to certain medical conditions or medication use. Providing a diet low in protein (
B) is not relevant to the question and could potentially harm the patient's nutritional status. Monitoring vital signs every hour for the first 4 hours (
C) may not be necessary unless there are specific indications for frequent monitoring. Administering medications intramuscularly (
D) is not directly related to observing for bruising and may not be the priority in this situation.