ATI RN
ATI Comprehensive 2023 With NGN 180 Questions And Answers Questions
Extract:
A nurse is providing preoperative teaching to an older adult client who is scheduled for surgery.
Question 1 of 5
Which of the following actions should the nurse take to promote learning?
Correct Answer: B
Rationale: The correct answer is B: Connect new information with the client's past experiences. This promotes learning by linking new concepts to existing knowledge, aiding in retention and understanding. Speaking loudly (
A) may not enhance learning and can be off-putting. Presenting information abstractly (
C) may confuse the client. Using a 12 point font (
D) is a formatting preference and does not directly impact learning.
Extract:
A nurse manager is updating protocols for the use of belt restraints.
Question 2 of 5
Which of the following guidelines should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: Document the client's condition every 15 minutes. This guideline is crucial for monitoring the client's status, detecting any changes promptly, and ensuring their safety. Documenting every 15 minutes allows for timely intervention and assessment.
Choice B is incorrect because attaching restraint straps to the side rails can lead to entrapment and harm.
Choice C is incorrect as a square knot is not recommended for securing restraints due to the risk of difficulty in quick release during emergencies.
Choice D is incorrect as a 2-inch gap between the restraint and the client's body can increase the risk of injury or self-removal.
Extract:
A nurse in a PACU is transferring care of a client to a nurse on the medical-surgical unit.
Question 3 of 5
Which of the following statements should the nurse include in the hand-off report?
Correct Answer: A
Rationale: The correct answer is A: The estimated blood loss was 250 mL. This statement is important for the receiving nurse to know as it provides crucial information about the client's condition post-surgery. It helps in monitoring for signs of hemorrhage or other complications. The other choices (B, C,
D) are not essential for the hand-off report as they do not directly impact the client's immediate care or safety.
Choice B is subjective and not a clinical observation.
Choice C is about the client's family, which is not pertinent to the client's medical status.
Choice D is a general safety measure and not specific to the client's condition.
Extract:
A nurse in a long-term care facility is admitting a client with dementia.
Question 4 of 5
Which of the following actions should the nurse take to reduce the risk for client injury?
Correct Answer: C
Rationale: The correct answer is C: Raise the side rails up when the client is in bed. This action helps prevent falls and injuries by providing a physical barrier to keep the client from rolling out of bed. Keeping the television on (choice
A) does not directly address client safety. Placing the bedside table at the foot of the bed (choice
B) may not prevent falls or injuries. Assisting the client to the toilet frequently (choice
D) is important for personal care but does not directly reduce the risk for client injury.
Extract:
A nurse in an acute care mental health facility is placing a client in seclusion and restraints.
Question 5 of 5
Which of the following actions should the nurse plan to take?
Correct Answer: C
Rationale: The correct answer is C: Release the restraints every 2 hours to assess circulation. This action is essential to prevent complications related to impaired circulation and tissue damage. Releasing the restraints allows the nurse to assess the client's circulation, skin integrity, and comfort. It promotes safety and prevents potential harm.
Choice A (Document the client's behavior every 15 minutes) is not the best action as it focuses on behavior rather than safety and circulation.
Choice B (Obtain a prescription for restraints within 4 hours) is not necessary as restraints should only be used if all other options have been exhausted.
Choice D (Discontinue restraints only when the provider removes the order) is incorrect as the nurse should assess the client's condition independently and not solely rely on provider orders.