ATI RN
ATI Comprehensive 2023 With NGN 180 Questions And Answers Questions
Extract:
A nurse is preparing to remove an IV catheter from the arm of a client who has phlebitis at a peripheral IV site.
Question 1 of 5
Which of the following actions should the nurse plan to take?
Correct Answer: B
Rationale: The correct answer is B: Elevate the affected arm above heart level. Elevating the affected arm helps reduce swelling and promote circulation, aiding in the healing process. By elevating the arm above heart level, the nurse can assist in reducing inflammation and preventing further complications. Applying a cold compress (choice
A) can be helpful for acute injuries, but it may not be the most appropriate initial action. Placing a warm, moist compress (choice
C) can potentially worsen swelling in this case. Massaging the area (choice
D) could aggravate the injury and increase inflammation.
Extract:
A nurse is planning to delegate to an AP the fasting blood glucose testing for a client who has diabetes mellitus.
Question 2 of 5
Which of the following action should the nurse take?
Correct Answer: A
Rationale: The correct answer is A because the nurse should first assess if the AP has the necessary skills to perform the blood glucose test. This step is crucial to ensure patient safety and accurate test results. Helping the AP perform the test (
B) without assessing their skills can lead to errors. Assigning the AP to ask about medication (
C) is not directly related to the task at hand. Having the AP check records (
D) is important but should come after confirming their skills. The other choices are not relevant to the immediate situation.
Extract:
A nurse is caring for a client who is one hour postpartum and unable to urinate.
Question 3 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct action is C: Encourage the client to void in the shower. This option promotes relaxation and can help facilitate urination. Warm water can help relax the muscles and promote voiding without invasive procedures like catheterization (
B) or fundal pressure (
D), which can be uncomfortable and potentially harmful. Voiding in the shower also maintains privacy and dignity for the client.
Choices E, F, and G are not relevant to promoting urination.
Extract:
A nurse is assessing a child who has bacterial pneumonia.
Question 4 of 5
Which of the following manifestations should the nurse expect?
Correct Answer: A
Rationale: The correct answer is A: Fever. When the body is fighting an infection or inflammation, fever is a common manifestation due to the release of pyrogens that reset the body's temperature. Bradycardia (
B) is a slow heart rate, not typically associated with infection. Dry skin (
C) is more indicative of dehydration or a skin condition. Decreased respiratory rate (
D) is not a common manifestation of infection. In this case, fever is the most expected manifestation due to the body's response to an infection.
Extract:
A nurse is caring for a client who speaks a different language than the nurse and is using an interpreter.
Question 5 of 5
Which action should the nurse take when working with the interpreter?
Correct Answer: A
Rationale: The correct answer is A: Speak in a normal voice at a natural pace. This is important because speaking clearly and at a natural pace allows the interpreter to accurately convey the message without missing any information. Using a normal voice also helps maintain a respectful and professional tone during communication.
Choice B is incorrect because using medical jargon may confuse the interpreter and lead to miscommunication.
Choice C is incorrect as the nurse should always address the client directly to establish trust and rapport.
Choice D is incorrect as it restricts the client's ability to express themselves fully.