ATI RN
ATI Comprehensive 2023 With NGN 180 Questions And Answers Questions
Extract:
A nurse is caring for a client who is receiving radiation therapy and is experiencing anorexia.
Question 1 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Provide the client with cold foods rather than hot foods. This is because cold foods can help reduce oral mucositis, a common side effect of chemotherapy. Hot foods may worsen oral mucositis by irritating the mucous membranes.
Choice B is incorrect as drinking fluids with meals can dilute stomach acid and impair digestion.
Choice C is incorrect as large meals can be difficult to digest for clients undergoing chemotherapy.
Choice D is incorrect as high-protein foods are essential for tissue repair and maintenance during chemotherapy.
Extract:
The nurse is continuing to care for the client.
History and Physical
Day 1, 0900:
A 52-year-old client brought to emergency department by adult child. Client is alert and oriented
to person and time but does not know where they are. No history of substance use according to
client's adult child. Client exhibits constant movements and poor concentration. Hair and
clothing are unclean. Appears to be listening to unseen others. Skin turgor poor.
Question 2 of 5
The nurse is providing teaching about lithium to the client and client's adult child. Select the 3 statements the nurse should include.
Correct Answer: B,C,E
Rationale: Blurred vision is not typical; lithium takes time to reach therapeutic levels, causes nausea/drowsiness, and often leads to weight gain. A low-sodium diet is contraindicated due to risk of toxicity.
Extract:
Question 3 of 5
A nurse is caring for a client who is in active labor and note the FHR baseline has been 100/min for the past 15 min. The nurse should identify which of the following conditions as a possible cause of fetal bradycardia?
Correct Answer: B
Rationale: The correct answer is B: Fetal anemia. Fetal bradycardia (baseline <110 bpm) can be caused by fetal distress or hypoxia. Fetal anemia reduces oxygen-carrying capacity, leading to compensatory bradycardia. Maternal fever (
A) may indicate infection but typically leads to fetal tachycardia. Maternal hypoglycemia (
C) may affect the fetus, but it usually results in fetal distress rather than bradycardia. Chorioamnionitis (
D) can cause fetal distress and tachycardia due to infection, not bradycardia.
Question 4 of 5
A nurse is performing a neurological examination on a client as part of a complete physical assessment. The nurse should identify that cranial nerve XI(11) is intact when the client performs which of the following actions?
Correct Answer: A
Rationale: The correct answer is A: Shrugs his shoulders. Cranial nerve XI, also known as the accessory nerve, controls the movement of the sternocleidomastoid and trapezius muscles. When the client shrugs his shoulders, the nurse is assessing the function of these muscles, which are innervated by cranial nerve XI. This action indicates the integrity of the nerve.
Other choices are incorrect because:
B: Smiling symmetrically is controlled by cranial nerve VII (facial nerve).
C: Closing eyes tightly is controlled by cranial nerve VII (facial nerve).
D: Identifying a familiar scent is controlled by cranial nerve I (olfactory nerve).
Extract:
A nurse is caring for a client in the emergency department. Nurses' Notes
1100:
The client reports shortness of breath and difficulty sleeping. The client feels tired very quickly
and occasionally feels nauseous. The client reports experiencing intermittent chest tightness and
a cough that is aggravated by exercise. The client has a productive cough and irregular breathing
pattern. Crackles and wheezing present on auscultation. The client has a history of smoking a
pack of cigarettes per day for the past 35 years. There is no clubbing of the fingers. The client
appears anxious.
1130:
Administered albuterol and oxygen per provider's prescription. The client is instructed to perform
pursed-lip breathing.
1230:
The client is breathing with minimal effort and coughing has decreased
Vital Signs 1100:
Temperature 36.8°C (98.2° F) Heart
rate 92/min Respiratory rate 28/min
BP 145/90 mm Hg
Oxygen saturation 87% on room air
1145:
Temperature 36.2° C (97.2" F) Heart
rate 88/min
Respiratory rate 22/min BP
140/90 mm Hg
Oxygen saturation 92% on room air
Question 5 of 5
Which of the following interventions should the nurse include in the plan of care? Select all that apply.
Correct Answer: A,B,F
Rationale:
Correct Answer: A, B, F
Rationale:
A: Increasing oxygen flow rate to 4 L/min is important to improve oxygenation in the client.
B: Assessing the client's breath sounds helps in monitoring respiratory status and detecting abnormalities.
F: Instructing the client to perform diaphragmatic breathing promotes effective breathing and improves lung function.
Incorrect
Choices:
C: Performing chest percussion and vibration is not typically indicated unless specifically ordered by a healthcare provider.
D: Placing the client in a supine position may worsen respiratory distress in some cases.
E: Restricting the client's fluid intake is not necessary for respiratory interventions and may lead to dehydration.