ATI RN
ATI Comprehensive 2023 With NGN 180 Questions And Answers Questions
Extract:
A school nurse is teaching a parent about absence seizures.
Question 1 of 5
Which information should the nurse include?
Correct Answer: E
Rationale: The correct answer is E because lip smacking or eye fluttering are common signs of absence seizures. This information is crucial for the nurse to include as it helps in recognizing and distinguishing absence seizures from other types.
Choice A is incorrect as it focuses on the behavioral aspect rather than the physical signs of absence seizures.
Choice B is incorrect as absence seizures can last up to 20 seconds.
Choice C is incorrect as individuals with absence seizures typically do not have memory issues post-seizure.
Choice D is incorrect as some individuals may experience warning signs like a brief aura before an absence seizure.
Extract:
A nurse is providing teaching about home safety to an adult child of an older adult client who is postoperative following knee replacement surgery.
Question 2 of 5
Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Remove loose rugs from the home to prevent falls. This instruction is essential for promoting safety and preventing accidents, especially for individuals at risk of falls. Loose rugs can be tripping hazards, so removing them reduces the risk of falls. Marking the doorway with tape (choice
A) or placing soft cushions on chairs (choice
C) do not directly address fall prevention. Installing bright overhead lighting only in the bedroom (choice
D) may not address fall hazards in other areas of the home. Overall, removing loose rugs is the most effective and direct way to prevent falls and promote safety at home.
Extract:
Nurses' Notes
Day 1, 0915:
The client's adult child reports the client has not slept for 2 days and has become obsessed with
cleaning the house and hosting parties. At times the client is overly joyous and has a very
elevated sense of self-confidence. The adult child states that the client has also demonstrated
very impulsive spending habits and expresses concern about the client giving away large sums
of money to others.
The client's speech is very pressured, disorganized, and loud. Client unable to recall the last time
they ate.
Day 1, 0930:
Client questioned about their hallucinations and states that the same person has been following
them around inside and outside the house for days. Client asks the person what they want but
never receives an answer, Client states that this person has never told them to do anything: they
just stare and smile.
Question 3 of 5
For each assessment finding, click to specify if the finding is consistent with psychosis or mania.
Correct Answer: A,B,C,D,E
Rationale: Both psychosis and mania can present with hallucinations, lack of sleep, excessive spending, disorganized thoughts, and pressured speech. These symptoms overlap but are characteristic of both conditions.
Extract:
A nurse is caring for a client who is one hour postpartum and unable to urinate.
Question 4 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct action is C: Encourage the client to void in the shower. This is the most appropriate choice as it promotes relaxation and can help stimulate urination. By encouraging the client to void in the shower, the warm water and relaxed environment can aid in facilitating the process. Placing the hand in warm water (
A) may provide some comfort but does not directly address the issue of promoting urination. In-and-out catheterization (
B) is invasive and should only be performed if absolutely necessary. Applying fundal pressure (
D) is not recommended as it can cause harm and is not a standard practice for stimulating urination.
Extract:
A nurse is preparing to insert an IV catheter for a client.
Question 5 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.