ATI RN
ATI Comprehensive 2023 With NGN 180 Questions And Answers Questions
Extract:
A nurse is caring for a client who experienced a traumatic brain injury 72 hours ago.
Question 1 of 5
Which finding should the nurse identify as a potential indication of increased intracranial pressure?
Correct Answer: D
Rationale: The correct answer is D because all the choices are potential indications of increased intracranial pressure.
A: Increasingly severe headache is a common symptom.
B: Bradycardia (slow heart rate) and hypertension (high blood pressure) can occur due to brainstem compression.
C: Dilated, non-reactive pupils indicate pressure on the oculomotor nerve.
Therefore, choosing D encompasses all the possible signs of increased intracranial pressure.
Extract:
A nurse is caring for a client who has diabetes mellitus and is receiving long-acting insulin for blood glucose management.
Question 2 of 5
Which type of insulin should the nurse anticipate administering?
Correct Answer: A
Rationale: The correct answer is A: Glargine insulin. Glargine is a long-acting insulin with a flat and consistent action profile, providing basal insulin coverage. This type of insulin is typically administered once daily at the same time each day to maintain a consistent level of insulin in the body. Regular insulin (
B) is short-acting and is typically taken before meals to cover blood sugar increases from eating. NPH insulin (
C) is intermediate-acting and requires twice daily dosing. Insulin aspart (
D) is a rapid-acting insulin used to control postprandial glucose levels. In this scenario, glargine insulin is the most appropriate choice for basal insulin coverage.
Extract:
A nurse is providing preoperative teaching to a client about the administration of morphine via a PCA pump.
Question 3 of 5
Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A because it demonstrates the client's comprehension of the concept of patient-controlled analgesia (PC
A). By stating "I will receive a limited amount of pain medication when I press the button," the client shows an understanding that the PCA pump delivers a set dose of medication upon activation. This indicates awareness of the mechanism and purpose of the PCA pump.
Choice B is incorrect as it suggests having someone else press the button, which goes against the principle of patient-controlled administration.
Choice C is incorrect because it implies unlimited access to medication, which could lead to overdose.
Choice D is incorrect as it suggests waiting for severe pain, which may compromise effective pain management.
Extract:
A nurse is caring for a client who is receiving radiation therapy and is experiencing anorexia.
Question 4 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Provide the client with cold foods rather than hot foods. This is because cold foods can help reduce oral mucositis, a common side effect of chemotherapy. Hot foods may worsen oral mucositis by irritating the mucous membranes.
Choice B is incorrect as drinking fluids with meals can dilute stomach acid and impair digestion.
Choice C is incorrect as large meals can be difficult to digest for clients undergoing chemotherapy.
Choice D is incorrect as high-protein foods are essential for tissue repair and maintenance during chemotherapy.
Extract:
A nurse is caring for a client who speaks a different language than the nurse and is using an interpreter.
Question 5 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.