ATI RN
ATI Comprehensive 2023 With NGN 180 Questions And Answers Questions
Extract:
A nurse is planning care for a client who has acute appendicitis.
Question 1 of 5
Which of the following actions should the nurse plan to take?
Correct Answer: C
Rationale: The correct answer is C: keep the client on NPO status. This action is necessary to ensure the client's safety before a procedure that requires an empty stomach. Placing the client's head of bed flat (
A) could cause aspiration. Applying heat to the client's abdomen (
B) may not be indicated and could worsen the condition. Administering a laxative (
D) is not appropriate without a specific indication. The other choices are not provided, but keeping the client NPO is the priority to prevent complications during the procedure.
Extract:
Question 2 of 5
A nurse is assessing a client who is postoperative and has a history of pulmonary embolism. Which of the following findings is the priority for the nurse to report to the provider?
Correct Answer: A
Rationale: The correct answer is A: Dyspnea. Dyspnea in a client with a history of pulmonary embolism is a critical finding as it could indicate a recurrence or worsening of a pulmonary embolism, which is a life-threatening emergency. The nurse should report this immediately to the provider for further evaluation and intervention to prevent complications. Pain at the surgical site (
B) is expected postoperatively and can be managed with pain medication. Mild nausea (
C) is a common postoperative symptom that may not require immediate intervention. A temperature of 37.5°C (99.5°F) (
D) is a low-grade fever that may be due to the body's response to surgery and is not as concerning as dyspnea in this context.
Extract:
A nurse is caring for a client of a psychiatric unit
Nurses' Notes
0700
Client is admitted to the unit. They deny suicidal ideations at this time. Client states, "I am an
assistant to a powerful spirit." Client is poorly groomed and has body odor.
0900:
Called to the client's room, Client states, "I cannot believe you put me in a room with spiders on
the wall. " Client requests immediate transfer to another room.
1200:
Psychiatrist is at the bedside evaluating the client. After history and physical, psychiatrist states
that they have diagnosed the client with schizophrenia.
Client is to be started on medication and milieu therapy History and
Physical
0700
Majority of client's history is obtained from client's parent who presents with client today.
According to the parent, client has been acting strangely for a few months. Client's symptoms
have been progressively worsening.
In the last month, the client has been seeing things that are not present and believes that they are
in a close relationship with "a powerful spirit." Client has not been bathing regularly for the last
few weeks.
Client has no significant health history. Client reports that they do not take illicit substances or
drink alcohol. Client's grandparent has a history of schizophrenia
Question 3 of 5
For each potential action, click to specify if the action is indicated or contraindicated for the client.
| Potential Action | Indicated | Contraindicated |
|---|---|---|
| Allow the client to watch TV at high volume | ||
| Ask the client about the content of their hallucinations | ||
| Instruct the client on expected hygiene practices | ||
| Assess the client for suicidal ideation | ||
| Place the client in a room near the activity room |
Correct Answer: B,D
Rationale: []
The correct answers are B and D. Asking the client about the content of their hallucinations is indicated to gather information on their mental state. Assessing the client for suicidal ideation is crucial for risk assessment and intervention. Allowing the client to watch TV at high volume is contraindicated as it may exacerbate hallucinations. Instructing the client on hygiene practices is not directly relevant to addressing their mental health concerns. Placing the client in a room near the activity room does not address the client's specific needs for assessment and intervention.
Extract:
A home health nurse is planning care for a client who has Alzheimer's disease.
Question 4 of 5
Which of the following actions should the nurse include in the plan of care?
Correct Answer: D
Rationale: The correct answer is D: Place locks at the top of exterior doors. This action is important in the plan of care to ensure the safety of the individual, especially if they have a condition like dementia. Placing locks at the top of exterior doors can prevent the individual from wandering off or getting into potentially dangerous situations. Encouraging physical activity prior to bedtime (
A) may disrupt sleep patterns. Replacing carpet with hardwood floors (
B) may not be necessary for safety. Wearing clothing with zippers instead of buttons (
C) is not as critical for safety as securing exterior doors.
Extract:
A nurse is teaching a client about family planning using the basal body temperature method.
Question 5 of 5
Which of the following instructions should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A: Take your temperature immediately after waking and before getting out of bed. This is the most accurate time to measure basal body temperature (BBT) for tracking ovulation. BBT should be taken at the same time every morning before any activity to ensure consistency.
Choices B and D are incorrect as they do not specify the correct timing for BBT measurement.
Choice C is incorrect because a rise in body temperature of 0.5-1°F, not 2°F, indicates ovulation.