ATI RN
ATI Comprehensive 2023 With NGN 180 Questions And Answers Questions
Extract:
A nurse is caring for a client who has severe hypertension and is to receive nitroprusside via continuous IV infusion.
Question 1 of 5
Which of the following actions should the nurse plan to take?
Correct Answer: C
Rationale: The correct answer is C: Protect IV bag from exposure to light. This is important because certain medications in IV bags can degrade when exposed to light, leading to reduced efficacy or potential harm to the patient. Keeping the IV bag protected helps maintain the integrity of the medication.
Choice A is incorrect because calcium gluconate should be stored properly but doesn't necessarily need to be kept at the bedside at all times.
Choice B is incorrect as monitoring blood pressure every 2 hours may not be necessary for all patients and is not specific to the scenario given.
Choice D is incorrect as attaching an inline filter to the IV tubing may be necessary in certain situations but is not the most relevant action based on the information provided.
Extract:
A hospice nurse is visiting with the son of a client who has terminal cancer. The son reports sleeping very little during the past week due to caring for his mother.
Question 2 of 5
Which of the following responses should the nurse make?
Correct Answer: A
Rationale: The correct answer is A because it acknowledges the caregiver's potential interest in respite care, which can provide them with much-needed rest and support. This response shows empathy and offers a helpful solution.
Choice B is incorrect as it oversimplifies the situation and places undue pressure on the caregiver.
Choice C is incorrect as it may invalidate the caregiver's struggles and emotions, as caregiving can be overwhelming and challenging.
Choice D is incorrect as it emphasizes the importance of strength without addressing the caregiver's need for support and self-care.
Extract:
A nurse is speaking with the caregiver of a client who has Alzheimer's disease. The caregiver states, Providing constant care is very stressful and is affecting all areas of my life.
Question 3 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A because arranging a daycare program for the client allows the caregiver to have a break and attend to their own needs. This promotes self-care, prevents burnout, and ensures the well-being of both the caregiver and the client.
Choice B, advising the caregiver to take time for themselves, is not as effective as it doesn't provide a concrete solution like arranging daycare.
Choice C, encouraging the caregiver to focus on the positive aspects, may be helpful but does not address the need for respite.
Choice D, reminding the caregiver of their loved one depending on them, may increase guilt and stress.
Extract:
A nurse and assistive personnel are assigned a group of clients on the unit.
Question 4 of 5
Which of the following clients should the nurse instruct the AP to report to the nurse?
Correct Answer: D
Rationale: The correct answer is D. A blood pressure of 88/52 mmHg is considered hypotensive and requires immediate attention. The nurse should instruct the AP to report this vital sign reading to the nurse for further assessment and intervention to prevent complications such as hypoperfusion to vital organs.
Choices A, B, and C do not pose immediate life-threatening risks and can be addressed during routine care.
Choice D stands out as the priority due to the potential for serious consequences if not addressed promptly.
Extract:
A nurse is planning care for a client who sustained a major burn over 20% of the body.
Question 5 of 5
Which of the following interventions should the nurse include to support the client's nutritional requirements?
Correct Answer: B
Rationale: The correct answer is B: Provide a high-calorie, high-protein diet. This intervention supports the client's nutritional requirements by ensuring they receive adequate energy and protein for healing and overall health. High-calorie intake can prevent malnutrition, while high-protein intake supports tissue repair and immune function. Keeping a calorie count (
A) is helpful but not as crucial as ensuring the client receives enough calories and protein. Encouraging a low-fat diet (
C) is not the priority when aiming to meet nutritional requirements. Restricting oral intake (
D) and providing IV fluids only can lead to malnutrition and should be avoided.