ATI RN
ATI Comprehensive 2023 With NGN 180 Questions And Answers Questions
Extract:
A nurse is caring for a client who is postoperative following total hip arthroplasty.
Question 1 of 5
Which of the following actions should the nurse take to prevent dislocation of the prosthesis?
Correct Answer: D
Rationale: The correct answer is D: Keep an abduction pillow between the client's legs. Placing an abduction pillow between the client's legs helps maintain proper alignment and prevents dislocation of the prosthesis by keeping the hip joint in a stable position. Elevating the affected leg on a pillow (choice
B) or positioning the knees slightly higher than the hips (choice
C) may not provide the necessary support and alignment for the prosthesis. Raising the head of the bed to a high-fowlers position (choice
A) is unrelated to preventing prosthesis dislocation.
Extract:
History and Physical
6-year-old child
Vomited 3 times in the past 24 hr
Irritable behavior for the past 24 hr
Respiratory infection started 3 days ago
Brudzinski's and Kernig's signs positive
Question 2 of 5
Nurse is planning care for a child during admission to the facility. Which action should the nurse take first?
Correct Answer: D
Rationale: Positive Brudzinski's and Kernig's signs indicate meningitis, making seizure precautions the priority to prevent complications.
Extract:
A nurse is caring for a 9-year-old child at a clinic.
Nurses' Notes
1000:
Child has been brought to the clinic by their parent due to a report of right arm pain. The parent
states that several hours ago the child tripped and fell onto the sidewalk while playing
outside. The child states, "I was running when we were playing. and I tripped over a curb." Child
is supporting their arm across their body.
Assessment
Respirations easy and unlabored, Abdomen non-distended. Right forearm and fingers are
edematous. Ecchymotic area noted on outer aspect of the forearm. Radial pulse +2. Fingers
slightly cool to touch. Child can move fingers and reports a mild "tingling" sensation, Child
verbalizes a pain level of 4 on a scale of 0 to 10, Multiple areas of bruising are noted on lower
extremities in various stages of healing
Vital. Signs
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 3 of 5
Nurse reviews the assessment findings. Which findings require immediate follow-up?
Correct Answer: A,D
Rationale: Edema and coolness in the extremity suggest circulatory impairment, warranting immediate attention.
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 4 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 nurse is planning to delegate to an AP the fasting blood glucose testing for a client who has diabetes mellitus.
Question 5 of 5
Which of the following action should the nurse take?
Correct Answer: A
Rationale: The correct answer is A. The nurse should determine if the AP has the skills to perform the test because it is crucial to ensure that the AP is competent and trained to conduct the blood glucose test safely and accurately. This step is essential for patient safety and quality of care.
Choices B, C, and D are incorrect because they do not address the initial important step of assessing the AP's competency. Helping the AP perform the test (
B), assigning the AP to ask about medication (
C), or having the AP check prior test results (
D) are all tasks that can come after confirming the AP's skill level. It's important to prioritize patient safety by first verifying the AP's ability to perform the test correctly.