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. This helps maintain proper alignment and prevents excessive internal rotation of the hip, reducing the risk of dislocation. Elevating the affected leg on a pillow (
B) may not provide adequate support. Raising the head of the bed to a high-fowlers position (
A) and positioning the knees higher than the hips (
C) do not directly address hip alignment.
Extract:
A nurse is planning care for a client who is to receive alteplase recombinant for a thrombus in the coronary artery.
Question 2 of 5
Which of the following actions should the nurse include in the plan of care?
Correct Answer: A
Rationale: The correct answer is A: Observe for bruising of the skin. This is important in assessing for potential complications such as bleeding disorders, which may indicate a need for further intervention. Providing a diet low in protein (
B) is not relevant to the scenario unless specified. Monitoring vital signs every hour for the first 4 hours (
C) may not be necessary unless there are specific concerns. Administering medications intramuscularly (
D) is not indicated without further context.
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 3 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale:
Correct
Answer: A
Rationale: Placing the oxygen tank away from curtains or drapes reduces the risk of fire hazards since oxygen supports combustion. This action ensures a safe environment for the client.
Summary:
B: Storing extra oxygen tanks in a closed closet is a good practice, but not directly related to immediate safety concerns like fire hazards.
C: Laying the oxygen tank on its side when not in use can cause damage to the tank and is not a safe storage method.
D: Increasing the oxygen flow rate without proper assessment can be dangerous and may worsen the client's condition.
Extract:
A nurse manager is addressing reports of conflict within a nursing unit.
Question 4 of 5
The nurse should identify which of the following situations as an example of interpersonal conflict?
Correct Answer: D
Rationale: The correct answer is D because it involves a conflict between two individuals, which is a key characteristic of interpersonal conflict. In this scenario, the conflict arises between two nurses regarding the client's care plan, indicating a disagreement in opinions or approaches. This type of conflict typically involves differences in perspectives, values, or goals between individuals.
Choices A, B, and C do not involve direct conflicts between individuals but rather focus on complaints, stress, and policy disagreements that do not necessarily involve direct interpersonal conflicts.
Therefore, option D is the most appropriate example of interpersonal conflict in this context.
Extract:
A school nurse is performing scoliosis screening.
Question 5 of 5
The nurse should recognize which of the following clinical manifestations as an indication of scoliosis?
Correct Answer: A
Rationale: The correct answer is A. Uneven shoulder and pelvic heights are indicative of scoliosis due to the lateral curvature of the spine. Symmetrical scapulae, equal leg lengths, and straight spinal alignment are not typical signs of scoliosis. Symmetrical scapulae and equal leg lengths suggest normal alignment, while straight spinal alignment does not reflect the characteristic curvature seen in scoliosis cases.
Therefore, identifying uneven shoulder and pelvic heights is crucial in recognizing scoliosis.