ATI RN
ATI Comprehensive 2023 With NGN 180 Questions And Answers Questions
Extract:
A nurse is teaching a newly licensed nurse about caring for clients in the emergency department.
Question 1 of 5
Which of the following actions should the nurse include when teaching about interacting with a client who is aggravated, pacing, and speaking loudly?
Correct Answer: B
Rationale: The correct answer is B: Tell the client, 'You seem to be very upset.' This response shows empathy and validates the client's feelings, which can help de-escalate the situation. It acknowledges the client's emotions without escalating them further. Initiating seclusion protocol (
A) is inappropriate as it can escalate the situation and is a last resort for safety. Standing directly in front of the client and maintaining eye contact (
C) can be perceived as confrontational and may escalate the situation. Speaking in a firm and authoritative tone (
D) can further aggravate the client and escalate the situation.
Extract:
The nurse is continuing to care for the child
Diagnostic Results
1100:
X-ray of right arm: nondisplaced fracture of radius and ulna at the midpoint.
Assessment
1000:
Child is alert and appears developmentally appropriate for their age and well nourished.
Respirations easy and unlabored. Abdomen nondistended. Right forearm and fingers are
edematous. Ecchymotic area noted on outer aspect of the forearm. Radial pulse +2. Fingers
slightly cool to touch. Child can move fingers and reports a mild "tingling" sensation. Child
verbalizes a pain level of 4 on a scale of 0 to 10. Abrasion noted on right knee. No active
bleeding. Multiple areas of bruising noted on lower extremities in various stages of healing
1145:
Edema in right forearm and fingers is mildly increased. Child states that mild tingling in fingers
is unchanged. Able to move all fingers equally. Radial pulse is equal in both extremities, Right
hand fingers are slightly cooler than left hand fingers.
Question 2 of 5
Select the 3 priority actions that the nurse should take.
Correct Answer: B,C,F
Rationale: Administering pain relief, protecting the abrasion, and elevating the limb reduce swelling and promote comfort.
Extract:
A nurse is consulting A pharmacological reference about medication compatibility prior to administering warfarin to a client.
Question 3 of 5
Which of the following medications should the nurse identify as being incompatible with warfarin?
Correct Answer: A
Rationale: The correct answer is A: Naproxen. Naproxen is a nonsteroidal anti-inflammatory drug (NSAI
D) that can increase the risk of bleeding when taken with warfarin, a blood thinner. Warfarin works by inhibiting clotting factors, and NSAIDs can interfere with this mechanism, leading to an increased risk of bleeding. Metformin, Lisinopril, and Albuterol do not have significant interactions with warfarin, making them compatible.
Extract:
A nurse is admitting an older adult client who was transferring from another facility. The nurse notes pressure ulcers on the clients Coccyx and abrasions around both wrists which of the following actions should the nurse take to address suspicion of elder abuse?
Question 4 of 5
Which actions should the nurse take to address suspicion of elder abuse?
Correct Answer: A,B,C,D,E
Rationale: All these actions are crucial for addressing potential elder abuse. Interviewing the client privately ensures confidentiality, documenting injuries provides evidence, reporting follows legal requirements, photographing aids in documentation, and ensuring safety prevents further harm.
Extract:
Question 5 of 5
A nurse is caring for a client who is in active labor and note the FHR baseline has been 100/min for the past 15 min. The nurse should identify which of the following conditions as a possible cause of fetal bradycardia?
Correct Answer: B
Rationale: The correct answer is B: Fetal anemia. Fetal bradycardia (baseline <110 bpm) can be caused by fetal distress or hypoxia. Fetal anemia reduces oxygen-carrying capacity, leading to compensatory bradycardia. Maternal fever (
A) may indicate infection but typically leads to fetal tachycardia. Maternal hypoglycemia (
C) may affect the fetus, but it usually results in fetal distress rather than bradycardia. Chorioamnionitis (
D) can cause fetal distress and tachycardia due to infection, not bradycardia.