ATI RN
ATI Comprehensive 2023 With NGN 180 Questions And Answers Questions
Extract:
A nurse is reporting a client's laboratory test to the provider to obtain a prescription for warfarin.
Question 1 of 5
Which laboratory test should the nurse report?
Correct Answer: A
Rationale: INR is the key laboratory test for monitoring warfarin therapy.
Extract:
The nurse continues to care for the client.
History and Physical
Day 1, 0900:
A 52-year-old client brought to emergency department by adult child. Client is alert and oriented
to person and time but does not know where they are. No history of substance use according to
client's adult child. Client exhibits constant movements and poor concentration. Hair and
clothing are unclean. Appears to be listening to unseen others. Skin turgor poor.
Question 2 of 5
Fill in the blanks with one condition and one client finding.The client is most likely experiencing---------- as evidenced by the client's--------
Correct Answer: A,E
Rationale: The client exhibits euphoric mood, elevated self-confidence, and impulsive behaviors, which align with mania rather than delirium or other conditions.
Extract:
A nurse is assessing a client who has a possible right pneumothorax.
Question 3 of 5
Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: The correct answer is A: Reduced right-sided breath sounds. This finding is indicative of a possible pneumothorax on the right side. Pneumothorax causes the lung to collapse, resulting in decreased or absent breath sounds on that side. Intercostal retractions (
B) typically indicate increased work of breathing, not specific to pneumothorax. High-pitched stridor (
C) is associated with upper airway obstruction, not pneumothorax. Paradoxical chest movement (
D) is seen in flail chest, not pneumothorax.
Extract:
A nurse is caring for a client of a psychiatric unit
Nurses' Notes
0700
Client is admitted to the unit. They deny suicidal ideations at this time. Client states, "I am an
assistant to a powerful spirit." Client is poorly groomed and has body odor.
0900:
Called to the client's room, Client states, "I cannot believe you put me in a room with spiders on
the wall. " Client requests immediate transfer to another room.
1200:
Psychiatrist is at the bedside evaluating the client. After history and physical, psychiatrist states
that they have diagnosed the client with schizophrenia.
Client is to be started on medication and milieu therapy History and
Physical
0700
Majority of client's history is obtained from client's parent who presents with client today.
According to the parent, client has been acting strangely for a few months. Client's symptoms
have been progressively worsening.
In the last month, the client has been seeing things that are not present and believes that they are
in a close relationship with "a powerful spirit." Client has not been bathing regularly for the last
few weeks.
Client has no significant health history. Client reports that they do not take illicit substances or
drink alcohol. Client's grandparent has a history of schizophrenia
Question 4 of 5
For each potential action, click to specify if the action is indicated or contraindicated for the client.
| Potential Action | Indicated | Contraindicated |
|---|---|---|
| Allow the client to watch TV at high volume | ||
| Ask the client about the content of their hallucinations | ||
| Instruct the client on expected hygiene practices | ||
| Assess the client for suicidal ideation | ||
| Place the client in a room near the activity room |
Correct Answer: B,D
Rationale: []
The correct answers are B and D. Asking the client about the content of their hallucinations is indicated to gather information on their mental state. Assessing the client for suicidal ideation is crucial for risk assessment and intervention. Allowing the client to watch TV at high volume is contraindicated as it may exacerbate hallucinations. Instructing the client on hygiene practices is not directly relevant to addressing their mental health concerns. Placing the client in a room near the activity room does not address the client's specific needs for assessment and intervention.
Extract:
A nurse is caring for a client who was at 33 weeks of gestation following an amniocentesis.
Question 5 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.