ATI RN
ATI Comprehensive 2023 With NGN 180 Questions And Answers Questions
Extract:
A nurse is planning care for a client who was receiving continuous internal tube feeding through an open system.
Question 1 of 5
Which intervention should the nurse include in the plan of care?
Correct Answer: E
Rationale: The correct answer is E, replacing the feeding container and tubing every 24 hours. This is essential to prevent bacterial growth and reduce the risk of infection. Placing a formula in the container for 18 hours (
A) may lead to contamination. Flushing the feeding tube with water every 4 to 6 hours (
B) is important but not the priority compared to changing the container. Covering and labeling the container (
C) is good practice but does not address the need for regular replacement. Elevating the head of the bed during feeding (
D) is important for preventing aspiration but not directly related to the equipment hygiene.
Extract:
A nurse is teaching a client about family planning using the basal body temperature method.
Question 2 of 5
Which of the following instructions should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A: Take your temperature immediately after waking and before getting out of bed. This is the most accurate time to measure basal body temperature (BBT) for tracking ovulation. BBT should be taken at the same time every morning before any activity to ensure consistency.
Choices B and D are incorrect as they do not specify the correct timing for BBT measurement.
Choice C is incorrect because a rise in body temperature of 0.5-1°F, not 2°F, indicates ovulation.
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. Monitoring contractions is crucial in pregnancy to detect preterm labor, which can lead to serious complications. Increased fetal movement (
B) is a normal sign of fetal well-being. Hypertension (
C) is a concern but not the most immediate complication. Hypoglycemia (
D) is not a common complication in pregnancy unless the mother has pre-existing diabetes.
Extract:
Question 4 of 5
A nurse is providing teaching to a client who is 14 weeks of gestation about findings to report to the provider. Which of the following findings should the nurse include in the teaching?
Correct Answer: C
Rationale: The correct answer is C: Swelling of the face. Swelling of the face can be a sign of preeclampsia, a serious condition in pregnancy characterized by high blood pressure and protein in the urine. This finding should be reported to the provider immediately to prevent complications for both the mother and the baby.
Bleeding gums (
A) are common in pregnancy due to hormonal changes and increased blood flow to the gums. Faintness upon rising (
B) can be attributed to postural hypotension, which is common in pregnancy but not typically a serious concern. Urinary frequency (
D) is a common complaint in pregnancy due to the growing uterus putting pressure on the bladder.
In summary, while the other symptoms may be common in pregnancy, swelling of the face is the most concerning finding that could indicate a serious complication like preeclampsia, making it crucial to report to the provider promptly.
Extract:
A community health nurse is working with a family that is struggling to adapt following the loss of a family member.
Question 5 of 5
Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: The correct answer is B: Determine the roles of individual family members. This is the first action the nurse should take because it helps identify each family member's strengths and capabilities, facilitating effective delegation of tasks. By determining roles, the family can work together efficiently to address the situation. Encouraging specific tasks (choice
A) and establishing a routine (choice
C) may come after roles are determined. Referring the family to a support group (choice
D) is important but not the initial step.