ATI RN
ATI Comprehensive 2023 With NGN 180 Questions And Answers Questions
Extract:
A nurse is planning to delegate to an AP the fasting blood glucose testing for a client who has diabetes mellitus.
Question 1 of 5
Which of the following action should the nurse take?
Correct Answer: A
Rationale: The correct answer is A. The nurse should determine if the AP has the skills to perform the test because it is crucial to ensure that the AP is competent and trained to conduct the blood glucose test safely and accurately. This step is essential for patient safety and quality of care.
Choices B, C, and D are incorrect because they do not address the initial important step of assessing the AP's competency. Helping the AP perform the test (
B), assigning the AP to ask about medication (
C), or having the AP check prior test results (
D) are all tasks that can come after confirming the AP's skill level. It's important to prioritize patient safety by first verifying the AP's ability to perform the test correctly.
Extract:
A nurse is caring for a client in the emergency department. Nurses' Notes
1100:
The client reports shortness of breath and difficulty sleeping. The client feels tired very quickly
and occasionally feels nauseous. The client reports experiencing intermittent chest tightness and
a cough that is aggravated by exercise. The client has a productive cough and irregular breathing
pattern. Crackles and wheezing present on auscultation. The client has a history of smoking a
pack of cigarettes per day for the past 35 years. There is no clubbing of the fingers. The client
appears anxious.
1130:
Administered albuterol and oxygen per provider's prescription. The client is instructed to perform
pursed-lip breathing.
1230:
The client is breathing with minimal effort and coughing has decreased
Vital Signs 1100:
Temperature 36.8°C (98.2° F) Heart
rate 92/min Respiratory rate 28/min
BP 145/90 mm Hg
Oxygen saturation 87% on room air
1145:
Temperature 36.2° C (97.2" F) Heart
rate 88/min
Respiratory rate 22/min BP
140/90 mm Hg
Oxygen saturation 92% on room air
Question 2 of 5
Which of the following interventions should the nurse include in the plan of care? Select all that apply.
Correct Answer: A,B,F
Rationale:
Correct Answer: A, B, F
Rationale:
A: Increasing oxygen flow rate to 4 L/min is important to improve oxygenation in the client.
B: Assessing the client's breath sounds helps in monitoring respiratory status and detecting abnormalities.
F: Instructing the client to perform diaphragmatic breathing promotes effective breathing and improves lung function.
Incorrect
Choices:
C: Performing chest percussion and vibration is not typically indicated unless specifically ordered by a healthcare provider.
D: Placing the client in a supine position may worsen respiratory distress in some cases.
E: Restricting the client's fluid intake is not necessary for respiratory interventions and may lead to dehydration.
Extract:
A nurse is caring for a client
Nurses: Notes
0800:
A client who has bipolar disorder is admitted to the inpatient psychiatric unit. During the
morning assessment, the client reports blurred vision and an increase in urine output. it's noted
that the client is having clonic jerking of upper extremities: Provider notified and laboratory tests
ordered. Skin is warm and dry without rash.
Complete the following sentence by using the list of options.
Question 3 of 5
The nurse understands that the patient has likely developed lithium toxicity and will be monitored for-------
Correct Answer: B
Rationale: The correct answer is B: seizure activity. Lithium toxicity can lead to neurological symptoms, including seizures. Monitoring for seizure activity is crucial to prevent serious complications. Blood glucose levels (
A) are not typically affected by lithium toxicity. Symptoms of infection (
C) and high temperature (
D) are not directly related to lithium toxicity.
Extract:
A nurse is preparing to administer the first dose of cefazolin via intermittent IV infusion to a client.
Question 4 of 5
Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The correct answer is A. Reviewing the client's allergy history should be the first action because it is crucial to ensure the safety of the client and prevent any potential allergic reactions to medications. By identifying any known allergies, the nurse can make informed decisions about the client's care. Monitoring temperature (
B), checking WBC count (
C), and explaining medication purpose (
D) are important steps but not as urgent as ensuring the client's safety by reviewing allergies first.
Extract:
A nurse is preparing to initiate intravenous fluids via pump for a client.
Question 5 of 5
which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Ensure the IV tubing is primed and free of air bubbles before connecting it to the client. Priming removes air, preventing air embolism. Air bubbles can lead to complications. Option A is incorrect as surge protectors are not relevant to IV pump use. Option C is incorrect as the pump should be above heart level to prevent rapid infusion. Option D is incorrect as catheter gauge selection depends on patient needs, not a fixed number.