ATI RN
ATI Comprehensive 2023 With NGN 180 Questions And Answers Questions
Extract:
A nurse in an acute care mental health facility is placing a client in seclusion and restraints.
Question 1 of 5
Which of the following actions should the nurse plan to take?
Correct Answer: C
Rationale: The correct answer is C because releasing the restraints every 2 hours to assess circulation is essential in preventing complications such as impaired circulation, skin breakdown, and nerve damage. This action aligns with best practices in restraint use, promoting client safety and well-being. Documenting the client's behavior every 15 minutes (
A) is important but not the priority when dealing with restraint use. Obtaining a prescription for restraints within 4 hours (
B) may be necessary but does not address the ongoing assessment of circulation. Discontinuing restraints only when the provider removes the order (
D) does not ensure timely monitoring of the client's condition.
Extract:
Question 2 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 nurse is teaching a prenatal class about infection prevention at a community center.
Question 3 of 5
Which of the following statements by a client indicates an understanding of the teaching?
Correct Answer: C
Rationale: The correct answer is C: "I should avoid cleaning my cat's litter box during pregnancy." This statement shows understanding of the teaching because it demonstrates awareness of the risk of toxoplasmosis from cat feces during pregnancy.
Toxoplasmosis can harm the developing fetus.
Choice A is incorrect because antibiotics do not treat viruses.
Choice B is incorrect as chickenpox is contagious before and during crusting of sores.
Choice D is incorrect as flu vaccine is recommended during pregnancy to protect both mother and baby.
Extract:
Question 4 of 5
A nurse is assessing a client who has historic personality disorder. Which of the following manifestations should the nurse expect?
Correct Answer: C
Rationale: The correct answer is C: self-centered behavior. Individuals with historic personality disorder typically exhibit a pattern of attention-seeking behavior, exaggerated emotions, and a need for constant admiration. This self-centered behavior is a key characteristic of this disorder.
Choice A, suspicious of others, is more commonly associated with paranoid personality disorder.
Choice B, callousness, is typically seen in individuals with antisocial personality disorder.
Choice D, violating others' rights, is a characteristic of individuals with antisocial personality disorder as well.
Therefore, the most appropriate manifestation to expect in a client with histrionic personality disorder is self-centered behavior.
Extract:
A nurse is caring for a 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.
Nurses Notes
Day 1. 0915
The client's adult child reports the client has not slept for 2 days and has become obsessed with
cleaning the house and hosting parties. At times the client is overly joyous and has a very
elevated sense of self-confidence. The adult child states that the client has also demonstrated
very impulsive spending habits and expresses concern about the client giving away large sums
of money to others
The client's speech is very pressured, disorganized, and loud. Client unable to recall the last time
they ate
Vital Signs
Day 1, 0905:
Temperature 37.1° C (98,8° F)
Heart rate 120/min
Respiratory rate 19/min
BP 138/88 mm Hg
Oxygen saturation 98% on room air
Question 5 of 5
Select the 4 findings that require immediate follow up
Correct Answer: A,B,C,D
Rationale: These findings indicate potential medical emergencies. Hallucinations suggest psychosis, elevated heart rate could indicate mania or other conditions, disrupted sleep patterns may signify mania or delirium, and poor skin turgor points to dehydration.