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 action is to protect the IV bag from exposure to light (
Choice
C) to prevent photochemical degradation of the medication inside, which can reduce its effectiveness or cause potential harm to the patient. Keeping calcium gluconate at the client's bedside (
Choice
A) is not necessary unless specifically indicated. Monitoring blood pressure every 2 hours (
Choice
B) is important but not directly related to IV bag exposure to light. Attaching an inline filter to the IV tubing (
Choice
D) is a good practice to prevent particulate matter from entering the patient's bloodstream but is not the most critical action in this scenario.
Extract:
A nurse is caring for a client who is near the end of life and is on complete bed rest. The client states that he needs to have a bowel movement and the nurse offers a bed pan. The client states 'I've always used the bathroom'
Question 2 of 5
Which of the following responses should the nurse make?
Correct Answer: A
Rationale: The correct response is A: "Tell me what concerns you about the bedpan." This answer shows active listening and empathy, encouraging the patient to express their concerns, leading to better understanding and addressing of their needs.
Choice B assumes the patient can walk to the bathroom, which may not be the case.
Choice C involves another healthcare professional unnecessarily.
Choice D is directive and may not consider the patient's feelings or preferences.
Extract:
A nurse is caring for a client
Nurses: Notes
0800:
A client who has bipolar disorder is admitted to the inpatient psychiatric unit. During the
morning assessment, the client reports blurred vision and an increase in urine output. it's noted
that the client is having clonic jerking of upper extremities: Provider notified and laboratory tests
ordered. Skin is warm and dry without rash.
Complete the following sentence by using the list of options.
Question 3 of 5
The nurse understands that the patient has likely developed lithium toxicity and will be monitored for-------
Correct Answer: B
Rationale: The correct answer is B: seizure activity. Lithium toxicity can lead to neurological symptoms, including seizures. Monitoring for seizure activity is crucial to prevent serious complications. Blood glucose levels (
A) are not typically affected by lithium toxicity. Symptoms of infection (
C) and high temperature (
D) are not directly related to lithium toxicity.
Extract:
A nurse is caring for a newborn.
Nurses' Notes
0640:
Weight 4200 gm (9 lb 4 oz), head circumference 35.5 cm (14 in)
Respiratory rate 68/min, with mild grunting.
0650:
Respiratory rate 72/min, with mild grunting
0700:
Respiratory rate 76/min, with moderate grunting and mild intercostal retractions.
Question 4 of 5
The client is at risk for developing------- and----
Correct Answer: B,D
Rationale: Transient tachypnea and hypopycemia are common risks in newborns with respiratory distress.
Extract:
The nurse is caring for a client who is on bed rest.
Question 5 of 5
The nurse should recognize that which of the following findings is a complication of immobility
Correct Answer: C
Rationale: The correct answer is C: Swollen area on calf. Immobility can lead to blood pooling in the lower extremities, causing swelling, redness, and pain. This is a sign of deep vein thrombosis (DVT), a serious complication of immobility. Increased BP (choice
A) is not typically a direct complication of immobility. Urinary frequency (choice
B) is more related to issues such as urinary tract infections or bladder problems. Other choices are not relevant to complications of immobility.