ATI RN
ATI Comprehensive 2023 With NGN 180 Questions And Answers Questions
Extract:
A home health nurse is planning care for a client who has Alzheimer's disease.
Question 1 of 5
Which of the following actions should the nurse include in the plan of care?
Correct Answer: D
Rationale: The correct answer is D: Place locks at the top of exterior doors. This action is important in the plan of care to ensure the safety of the individual, especially if they have a condition like dementia. Placing locks at the top of exterior doors can prevent the individual from wandering off or getting into potentially dangerous situations. Encouraging physical activity prior to bedtime (
A) may disrupt sleep patterns. Replacing carpet with hardwood floors (
B) may not be necessary for safety. Wearing clothing with zippers instead of buttons (
C) is not as critical for safety as securing exterior doors.
Extract:
A nurse is caring for a child who has cystic fibrosis and requires posterior drainage.
Question 2 of 5
Which action should the nurse take?
Correct Answer: A
Rationale: The correct action for the nurse to take is choice A: Perform the procedure prior to meals. This is because performing procedures prior to meals helps prevent aspiration during feeding. The rationale behind this is that when the stomach is empty, there is reduced risk of regurgitation and aspiration of food particles during the procedure.
Choices B, C, and D are incorrect. Performing chest physiotherapy immediately after feeding can increase the risk of regurgitation and aspiration. Placing the child in a supine position during the procedure can also increase the risk of aspiration. Limiting fluid intake before the procedure is not necessary and may lead to dehydration, which is not recommended.
Extract:
A nurse is assessing a child who has bacterial pneumonia.
Question 3 of 5
Which of the following manifestations should the nurse expect?
Correct Answer: A
Rationale: The correct answer is A: Fever. In response to infection, the body releases pyrogens that reset the hypothalamic thermostat leading to fever. This is a common manifestation indicating an immune response. Bradycardia (
B) is unlikely in an infection as the body usually increases heart rate to pump more blood. Dry skin (
C) is not directly related to infection but may occur due to dehydration. Decreased respiratory rate (
D) is uncommon in infections as the body usually increases respiratory rate to meet oxygen demands.
Extract:
A nurse is caring for a client who has severe hypertension and is to receive nitroprusside via continuous IV infusion.
Question 4 of 5
Which of the following actions should the nurse plan to take?
Correct Answer: C
Rationale: The correct action is to protect the IV bag from exposure to light (
Choice
C) to prevent photochemical degradation of the medication inside, which can reduce its effectiveness or cause potential harm to the patient. Keeping calcium gluconate at the client's bedside (
Choice
A) is not necessary unless specifically indicated. Monitoring blood pressure every 2 hours (
Choice
B) is important but not directly related to IV bag exposure to light. Attaching an inline filter to the IV tubing (
Choice
D) is a good practice to prevent particulate matter from entering the patient's bloodstream but is not the most critical action in this scenario.
Extract:
A nurse is assessing a 5-year-old child who has diabetes insipidus and is receiving desmopressin.
Question 5 of 5
Which finding should the nurse identify as an indication that the medication is effective?
Correct Answer: C
Rationale: The correct answer is C: Cessation of nocturnal enuresis. This is because the medication's effectiveness is best indicated by the resolution of the targeted symptom, which in this case is nocturnal enuresis. This outcome directly demonstrates that the medication is successfully addressing the underlying issue.
Choices A, B, and D are not relevant indicators of the medication's effectiveness in this scenario. Heart rate and capillary refill time are not directly related to the medication's intended effect on nocturnal enuresis. Absence of hypoglycemic episodes is also unrelated as it pertains to a different medical condition.