ATI RN
ATI Comprehensive 2023 With NGN 180 Questions And Answers Questions
Extract:
A nurse is caring for an infant who has coarctation of the aorta.
Question 1 of 5
Which finding should the nurse identify as expected?
Correct Answer: A
Rationale: The correct answer is A: Weak femoral pulses. In infants, weak femoral pulses are expected due to the normal physiological transition from fetal to neonatal circulation. This occurs because the ductus arteriosus, which connects the pulmonary artery and the descending aorta, begins to close after birth, leading to decreased blood flow through the ductus and thus weaker femoral pulses. Bounding pulses in the lower extremities (choice
B) would be abnormal and could indicate a cardiac defect. Cyanosis of the hands and feet (choice
C) suggests poor oxygenation. Frequent episodes of bradycardia (choice
D) could indicate a cardiac conduction issue.
Extract:
A nurse in a clinic is planning care for a child who has ADHD and is taking atomoxetine
Question 2 of 5
Which of the following laboratory values should the nurse monitor?
Correct Answer: A
Rationale: The correct answer is A: Liver function tests. The liver plays a crucial role in metabolism, detoxification, and protein synthesis. Monitoring liver function tests, such as alanine aminotransferase (ALT) and aspartate aminotransferase (AST), can help assess liver health and detect liver diseases like hepatitis. This is important in patients with liver dysfunction or those taking medications that can affect liver function.
The other choices are not as relevant in this context.
B: Kidney function tests mainly focus on assessing renal function, not liver function.
C: Hemoglobin and hematocrit are markers of blood health, not specific to liver function.
D: Serum sodium and potassium levels are related to electrolyte balance, not liver function.
Extract:
Admission Assessment
Client reports new onset of fever and discomfort in their joints and increase malaise. No relevant
medical history. Client is alert to person, place, time, and situation. Reports generalized pain as 4
on a scale of 0 to 10. Macular rash present on cheeks bilateral. Lungs clear anterior and posterior.
Bowel sounds active in all 4 quadrants. Last bowel movement 1 day ago. Skin warm, dry, and
intact. Capillary refill less than 3 seconds. A 20-gauge IV saline lock inserted in back left hand
Question 3 of 5
Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing.
Correct Answer: B,C
Rationale: Increased fluid intake and contact precautions are essential for managing systemic lupus erythematosus.
Extract:
A nurse is developing a plan of care for a newborn whose mother tested positive for heroin during pregnancy.
Question 4 of 5
Which action should the nurse include in the plan?
Correct Answer: A
Rationale: The correct answer is A: Minimize noise in the newborn's environment. This is important as newborns have sensitive hearing and excessive noise can disrupt their sleep and development. Noise can also lead to stress and overstimulation.
Choice B is incorrect because swaddling should be snug to provide a sense of security and prevent startling reflexes.
Choice C is incorrect as the recommended position for newborns is on their back to reduce the risk of sudden infant death syndrome (SIDS).
Choice D is incorrect because while handling and stimulation are important, they should be done in a gentle and appropriate manner to prevent overstimulation.
Extract:
A nurse is teaching a newly licensed nurse about caring for clients in the emergency department.
Question 5 of 5
Which of the following actions should the nurse include when teaching about interacting with a client who is aggravated, pacing, and speaking loudly?
Correct Answer: B
Rationale: The correct answer is B: Tell the client, 'You seem to be very upset.' This response shows empathy and validates the client's feelings, which can help de-escalate the situation. It acknowledges the client's emotions without escalating them further. Initiating seclusion protocol (
A) is inappropriate as it can escalate the situation and is a last resort for safety. Standing directly in front of the client and maintaining eye contact (
C) can be perceived as confrontational and may escalate the situation. Speaking in a firm and authoritative tone (
D) can further aggravate the client and escalate the situation.