ATI RN
ATI Comprehensive 2023 With NGN 180 Questions And Answers Questions
Extract:
A nurse is planning care for a client who is scheduled to receive a transfusion of packed RBCs.
Question 1 of 5
Which of the following actions should the nurse plan to take?
Correct Answer: A
Rationale: The correct answer is A: Use a solution of 0.9% sodium chloride to flush the transfusion tubing. This is important to prevent any reactions or interactions between different solutions. Using sodium chloride ensures compatibility and safety during the transfusion process.
Choice B is incorrect because lactated Ringer's solution should not be used to flush the tubing as it can cause adverse reactions.
Choice C is incorrect as a larger gauge IV catheter is recommended for blood transfusions to prevent hemolysis.
Choice D is incorrect as blood transfusions are typically infused over 2-4 hours, not 6 hours, to reduce the risk of complications.
Extract:
A nurse is assessing a client who has a possible right pneumothorax.
Question 2 of 5
Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: The correct answer is A: Reduced right-sided breath sounds. This finding is indicative of a possible pneumothorax on the right side. Pneumothorax causes the lung to collapse, resulting in decreased or absent breath sounds on that side. Intercostal retractions (
B) typically indicate increased work of breathing, not specific to pneumothorax. High-pitched stridor (
C) is associated with upper airway obstruction, not pneumothorax. Paradoxical chest movement (
D) is seen in flail chest, not pneumothorax.
Extract:
A nurse is caring for a client who speaks a different language than the nurse and is using an interpreter.
Question 3 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. When working with an interpreter, the nurse should speak in a normal voice and pace to ensure clear communication. This approach allows the interpreter to accurately convey the message without any distortion. Speaking in a natural manner also helps in building rapport with the client and creating a comfortable environment. Using medical jargon (
B) can lead to misunderstandings as the interpreter may not be familiar with all technical terms. Speaking directly to the interpreter instead of the client (
C) can undermine the client's autonomy and confidentiality. Asking the client to respond only with 'yes' or 'no' answers (
D) limits the information gathered and may not provide a comprehensive understanding of the client's needs.
Extract:
A nurse is caring for a 9-year-old child at a clinic.
Vital Signs
1000:
Temperature 36.8° C (98.2° F)
Heart rate 102/min|
Respiratory rate 22/min
BP 100/60 mm Hg
Oxygen saturation 98% on room air
Question 4 of 5
Nurse determines that the assessment findings are consistent with which of the following conditions?Click to specify if the assessment findings are consistent with a sprain, a fracture, or a dislocation.
| Assessment Findings | Sprain | Fracture | Dislocation |
|---|---|---|---|
| Edema | |||
| Ecchymosis | |||
| Pain level | |||
| Sensation |
Correct Answer: A,B,C,D
Rationale: Edema, ecchymosis, pain, and altered sensation are common in sprains, fractures, and dislocations.
Extract:
A nurse is caring for a client who is one hour postpartum and unable to urinate.
Question 5 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 is the most appropriate choice as it promotes relaxation and can help stimulate urination. By encouraging the client to void in the shower, the warm water and relaxed environment can aid in facilitating the process. Placing the hand in warm water (
A) may provide some comfort but does not directly address the issue of promoting urination. In-and-out catheterization (
B) is invasive and should only be performed if absolutely necessary. Applying fundal pressure (
D) is not recommended as it can cause harm and is not a standard practice for stimulating urination.