ATI RN
ATI Comprehensive 2023 With NGN 180 Questions And Answers Questions
Extract:
A nurse is assessing a client who is receiving continuous bladder irrigation following a transurethral resection of the prostate 4 hours ago. The nurse notes pink tinged urine and the drainage bag.
Question 1 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Maintain the irrigation solution rate. This is the appropriate action because sudden changes in irrigation solution rate can lead to complications in catheter irrigation. Consistency is key to prevent disruption in the flow and maintain catheter patency. Increasing the rate (choice
B) can lead to overhydration or pressure build-up. Clamping the catheter (choice
C) can cause obstruction and retention of urine, leading to potential complications. Notifying the provider immediately (choice
D) is not necessary unless there are significant issues or complications. Other choices lack a logical rationale or are potentially harmful. Maintaining the irrigation solution rate ensures proper catheter function and patient safety.
Extract:
A nurse in a prenatal clinic is teaching a client about nonpharmacological pain management during labor.
Question 2 of 5
Which statement indicates understanding of the teaching?
Correct Answer: C
Rationale: Breathing techniques are effective for relaxation during labor.
Extract:
A nurse is teaching about preventative measures to a female client who has chronic urinary tract infections.
Question 3 of 5
Which of the following interventions should the nurse include in the teaching?
Correct Answer: C
Rationale: The correct answer is C: Urinate immediately after sexual intercourse. This intervention helps prevent urinary tract infections by flushing out bacteria that may have entered the urethra during intercourse. Drinking warm water (
A) is not necessary in this context. Wiping back to front (
B) can introduce bacteria into the urinary tract. Limiting fluid intake (
D) is not recommended as it can concentrate urine and increase the risk of UTIs.
Extract:
Nurses' Notes
Day 1, 0915:
The client's adult child reports the client has not slept for 2 days and has become obsessed with
cleaning the house and hosting parties. At times the client is overly joyous and has a very
elevated sense of self-confidence. The adult child states that the client has also demonstrated
very impulsive spending habits and expresses concern about the client giving away large sums
of money to others.
The client's speech is very pressured, disorganized, and loud. Client unable to recall the last time
they ate.
Day 1, 0930:
Client questioned about their hallucinations and states that the same person has been following
them around inside and outside the house for days. Client asks the person what they want but
never receives an answer, Client states that this person has never told them to do anything: they
just stare and smile.
Question 4 of 5
For each assessment finding, click to specify if the finding is consistent with psychosis or mania.
Correct Answer: A,B,C,D,E
Rationale: Both psychosis and mania can present with hallucinations, lack of sleep, excessive spending, disorganized thoughts, and pressured speech. These symptoms overlap but are characteristic of both conditions.
Extract:
A nurse is creating a plan of care for a client who has paranoid personality disorder and refuses to take their medication.
Question 5 of 5
Which of the following interventions should the nurse include in the plan?
Correct Answer: A
Rationale: The correct answer is A: Speak in a neutral tone when addressing the client. This intervention is important as it helps maintain a calm and non-confrontational communication approach, which is crucial when interacting with clients experiencing delusions. Speaking in a neutral tone can prevent escalating the client's anxiety or paranoia, promoting a more open and effective dialogue.
Choice B is incorrect as forcing the client to take medication can lead to resistance and further exacerbate trust issues.
Choice C is incorrect as encouraging the client to discuss their delusions without a neutral tone may reinforce the delusions rather than help the client gain insight.
Choice D is incorrect as using humor may not be appropriate or effective in addressing the client's delusions and could potentially be perceived as insensitive.