ATI RN
ATI Comprehensive 2023 With NGN 180 Questions And Answers Questions
Extract:
A nurse is assessing a 5-year-old child who has diabetes insipidus and is receiving desmopressin.
Question 1 of 5
Which finding should the nurse identify as an indication that the medication is effective?
Correct Answer: C
Rationale: The correct answer is C: Cessation of nocturnal enuresis. This indicates the medication is effective because it shows improvement in the condition being treated, which in this case is nocturnal enuresis. Nocturnal enuresis is the involuntary passage of urine during sleep and it can be a result of various factors such as hormonal imbalance or bladder control issues.
Therefore, if the medication is effective, it should lead to the cessation of this symptom.
Heart rate (
A) and capillary refill (
B) are not necessarily indicators of the effectiveness of the medication in treating nocturnal enuresis. Absence of hypoglycemic episodes (
D) is more related to diabetes management rather than nocturnal enuresis.
Extract:
A nurse is caring for an infant who has coarctation of the aorta.
Question 2 of 5
Which finding should the nurse identify as expected?
Correct Answer: A
Rationale: The correct answer is A: Weak femoral pulses. In pediatric patients, weak femoral pulses are expected due to the normal physiological differences in vascular resistance between upper and lower extremities. This is known as the "femoral pulse lag." Bounding pulses in the lower extremities (choice
B) would be abnormal and could indicate a vascular disorder. Cyanosis of the hands and feet (choice
C) suggests poor perfusion and oxygenation, which is concerning. Frequent episodes of bradycardia (choice
D) could indicate cardiac issues and are not expected in a healthy pediatric patient.
Extract:
A nurse is caring for a client who was at 33 weeks of gestation following an amniocentesis.
Question 3 of 5
Which complication should the nurse monitor for?
Correct Answer: A
Rationale: The correct answer is A: Contractions. Nurses should monitor for contractions as they could indicate preterm labor or other complications. Increased fetal movement (
B) is not necessarily a complication but could be a sign of fetal well-being. Hypertension (
C) is important to monitor but may not be directly related to the current situation. Hypoglycemia (
D) is also important but not typically a primary concern in this situation.
Extract:
A nurse is providing teaching to the parents of a newborn about newborn genetic screening.
Question 4 of 5
Which statement should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A because it accurately states the timing for performing the genetic screening test, which should be after the baby is 24 hours old to ensure accurate results.
Choice B is incorrect because genetic screening may be recommended for all newborns, not just those with a family history.
Choice C is incorrect because babies can eat before the test.
Choice D is incorrect as further testing may be required if the initial results are abnormal.
Extract:
A nurse is developing a plan of care for a newborn whose mother tested positive for heroin during pregnancy.
Question 5 of 5
Which action should the nurse include in the plan?
Correct Answer: A
Rationale: The correct answer is A because minimizing noise in the newborn's environment is crucial for promoting rest and reducing stress. Newborns are highly sensitive to loud noises, which can disrupt their sleep and affect their overall well-being. By creating a quiet environment, the nurse helps the newborn to feel secure and comfortable, promoting better sleep and overall development.
Choice B is incorrect because swaddling the newborn loosely may pose a suffocation risk and restrict movement, which is not recommended.
Choice C is incorrect as positioning the newborn supine with legs extended may increase the risk of sudden infant death syndrome (SIDS).
Choice D is also incorrect as encouraging frequent handling and stimulation can overwhelm the newborn's developing nervous system and lead to increased stress.