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 by promoting venous return, improving circulation, and reducing edema. This action is crucial in managing inflammation and promoting healing. Applying a cold compress (choice
A) may help with pain initially but does not address swelling effectively. Placing a warm compress (choice
C) can worsen inflammation by increasing blood flow. Massaging the area (choice
D) can further aggravate inflammation and should be avoided.
Extract:
A nurse is obtaining the temperature of a newborn.
Question 2 of 5
Which of the following sites should the nurse use?
Correct Answer: B
Rationale: The nurse should use the rectal site for temperature measurement because it provides the most accurate core body temperature. The rectal site closely reflects internal temperature and is recommended for infants, young children, and unconscious patients. Axillary, oral, and tympanic sites can be influenced by external factors, resulting in less accurate readings. Rectal temperature is considered the gold standard for accurate measurement in certain patient populations.
Extract:
Question 3 of 5
A nurse is caring for a client whose child died from cancer. The client states 'it's hard to go on without him'. which of the following questions should the nurse ask the client first?
Correct Answer: D
Rationale: The correct answer is D: Are you thinking about ending your life? This question directly addresses the client's statement about finding it hard to go on without their child, revealing any potential suicidal ideation. It is crucial to assess for suicidal thoughts to ensure the client's safety. Asking about past coping strategies (
A) may be helpful but is not as urgent. Inquiring about family history of suicide (
B) can be relevant but is not the priority in this immediate situation. Involving others in care (
C) is important but not as critical as addressing suicidal ideation.
Extract:
A nurse is teaching about preventative measures to a female client who has chronic urinary tract infections.
Question 4 of 5
Which of the following interventions should the nurse include in the teaching?
Correct Answer: C
Rationale: The correct answer is C: Urinate immediately after sexual intercourse. This intervention helps prevent urinary tract infections by flushing out bacteria that may have entered the urethra during intercourse. Drinking warm water (
A) is not necessary in this context. Wiping back to front (
B) can introduce bacteria into the urinary tract. Limiting fluid intake (
D) is not recommended as it can concentrate urine and increase the risk of UTIs.
Extract:
A nurse is planning care for a client who was receiving continuous internal tube feeding through an open system.
Question 5 of 5
Which intervention should the nurse include in the plan of care?
Correct Answer: E
Rationale: The correct answer is E, replacing the feeding container and tubing every 24 hours. This is essential to prevent bacterial growth and reduce the risk of infection. Placing a formula in the container for 18 hours (
A) may lead to contamination. Flushing the feeding tube with water every 4 to 6 hours (
B) is important but not the priority compared to changing the container. Covering and labeling the container (
C) is good practice but does not address the need for regular replacement. Elevating the head of the bed during feeding (
D) is important for preventing aspiration but not directly related to the equipment hygiene.