ATI RN
ATI Comprehensive 2023 With NGN 180 Questions And Answers Questions
Extract:
A nurse is caring for a client who is one hour postpartum and unable to urinate.
Question 1 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct action is C: Encourage the client to void in the shower. This is the most appropriate choice as it promotes relaxation and can help stimulate urination. By encouraging the client to void in the shower, the warm water and relaxed environment can aid in facilitating the process. Placing the hand in warm water (
A) may provide some comfort but does not directly address the issue of promoting urination. In-and-out catheterization (
B) is invasive and should only be performed if absolutely necessary. Applying fundal pressure (
D) is not recommended as it can cause harm and is not a standard practice for stimulating urination.
Extract:
A nurse is caring for a client who is alert and oriented and is receiving continuous ECG monitoring. The cardiac rhythm strips shows a wavy baseline, no distinguishable P waves, and an increased heart rate.
Question 2 of 5
The nurse should identify the cardiac rhythm as which of the following?
Correct Answer: D
Rationale: The correct answer is D: Atrial fibrillation. The nurse should identify the cardiac rhythm as atrial fibrillation because it is characterized by irregular, rapid electrical activity in the atria leading to an irregular, fast heart rate. This can result in poor blood flow and increase the risk of stroke. Ventricular asystole (
A) is the absence of ventricular electrical activity, second-degree heart block (
B) is a conduction disorder where some electrical signals from the atria do not reach the ventricles, and sinus tachycardia (
C) is a fast but regular heart rate originating from the sinus node. These options are incorrect as they do not match the characteristics of atrial fibrillation.
Extract:
A nurse is planning care for a client who is scheduled to receive a transfusion of packed RBCs.
Question 3 of 5
Which of the following actions should the nurse plan to take?
Correct Answer: A
Rationale: The correct answer is A: Use a solution of 0.9% sodium chloride to flush the transfusion tubing. This is important to prevent any reactions or interactions between different solutions. Using sodium chloride ensures compatibility and safety during the transfusion process.
Choice B is incorrect because lactated Ringer's solution should not be used to flush the tubing as it can cause adverse reactions.
Choice C is incorrect as a larger gauge IV catheter is recommended for blood transfusions to prevent hemolysis.
Choice D is incorrect as blood transfusions are typically infused over 2-4 hours, not 6 hours, to reduce the risk of complications.
Extract:
The nurse is continuing to care for the client.
Provider Prescriptions Day 1,
1030
Admit to obstetrical unit.
Serum magnesium level per facility policy 24 hr urine
for total protein and creatinine Insert indwelling
urinary catheter Continuous external fetal monitoring
Administer loading dose of magnesium sulfate 4 g via Intermittent IV bolus over 20 min
followed by a maintenance dose of 2 g/hr
Lactated Ringer's 50 ml/tr via continuous iV infusion Betamethasone
12 mg IM X2 doses given 24 hr apart
Labetalol 20 mg IV bolus now, then 100 mg PO twice dally starting at 2000 Vital signs every 30
min
Acetaminophen 650 mg PO every 6 hr PRN pain Hourly intake and
output
Question 4 of 5
The provider has admitted the client to the inpatient obstetrics unit and written prescriptions based on the client's condition. The action the nurse should take first is------followed by ----------
Correct Answer: C,D
Rationale: First, checking the client's blood pressure (
C) is crucial to assess the client's immediate condition and determine if there are any signs of hypertensive crisis that require immediate intervention. Administering labetalol (
D) is the next step if the blood pressure is elevated, as this medication helps lower blood pressure in cases of preeclampsia or hypertension, which could pose a risk to both the client and the fetus. Evaluating the fetal heart rate (
A) is important but can be done after stabilizing the client's blood pressure. Monitoring urine output (
B) is important for assessing renal function but is not as urgent as addressing blood pressure. Starting continuous IV infusion (E) and inserting a urinary catheter (F) may be necessary later but are not the immediate priority in this situation.
Extract:
A nurse is collecting a sputum specimen from a client who has tuberculosis.
Question 5 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A because it is crucial to obtain the sputum specimen immediately upon the client waking up. This is because sputum produced in the morning is more concentrated and provides a better sample for analysis. Waiting could lead to a diluted sample that may not accurately reflect the client's condition.
Choice B is incorrect as delaying specimen collection could compromise the accuracy of the results.
Choice C is incorrect as it does not specify the optimal timing for specimen collection.
Choice D is incorrect as sterile gloves are not necessary for sputum collection.