Questions 160

ATI RN

ATI RN Test Bank

ATI Comprehensive 2023 With NGN 180 Questions And Answers Questions

Extract:

A home care nurse is making a follow up visit with a client who has COPD and is using a compressed oxygen system in his home.


Question 1 of 5

Which of the following actions should the nurse take?

Correct Answer: A

Rationale: The correct answer is A: Place the oxygen tank away from curtains or drapes. This is important to prevent potential fire hazards as oxygen supports combustion.
Choice B is incorrect because oxygen tanks should be stored in a well-ventilated area, not in a closed closet.
Choice C is incorrect as oxygen tanks should always be stored upright to prevent damage.
Choice D is incorrect as increasing oxygen flow without proper assessment can be dangerous.

Extract:

A nurse is assessing the grief response of a client whose child died six months ago.


Question 2 of 5

Which client statement should the nurse report as an indication of major depressive disorder?

Correct Answer: E

Rationale: Thoughts of self-harm are a critical indicator of major depressive disorder.

Extract:

A nurse in a PACU is transferring care of a client to a nurse on the medical-surgical unit.


Question 3 of 5

Which of the following statements should the nurse include in the hand-off report?

Correct Answer: A

Rationale: The correct statement to include in the hand-off report is A: The estimated blood loss was 250 mL. This information is crucial for continuity of care as it provides important data about the client's condition post-surgery, aiding in monitoring for potential complications. The other choices (B, C,
D) are not as pertinent in a hand-off report as they do not directly impact the client's immediate health status or require immediate attention. Blood loss is a critical factor in assessing a client's postoperative status and can indicate the need for further interventions.
Therefore, including the estimated blood loss in the hand-off report ensures that incoming staff are aware of any potential issues that may arise due to this factor.

Extract:


Question 4 of 5

Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing. 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.

Correct Answer: B

Rationale: Gout is characterized by elevated uric acid levels and responds to dietary modifications. Monitoring uric acid ensures treatment effectiveness.

Extract:

A nurse is teaching a newly licensed nurse about caring for clients in the emergency department.


Question 5 of 5

Which of the following actions should the nurse include when teaching about interacting with a client who is aggravated, pacing, and speaking loudly?

Correct Answer: B

Rationale: The correct answer is B: Tell the client, 'You seem to be very upset.' This response shows empathy and validates the client's feelings, which can help de-escalate the situation. It acknowledges the client's emotions without escalating them further. Initiating seclusion protocol (
A) is inappropriate as it can escalate the situation and is a last resort for safety. Standing directly in front of the client and maintaining eye contact (
C) can be perceived as confrontational and may escalate the situation. Speaking in a firm and authoritative tone (
D) can further aggravate the client and escalate the situation.

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