ATI RN
ATI Comprehensive 2023 With NGN 180 Questions And Answers Questions
Extract:
A nurse is speaking with the caregiver of a client who has Alzheimer's disease. The caregiver states, Providing constant care is very stressful and is affecting all areas of my life.
Question 1 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Assist the caregiver to arrange a daycare program for the client. This option promotes respite for the caregiver, preventing burnout and ensuring client’s safety.
Choice B may not provide tangible support.
Choice C may minimize caregiver's concerns.
Choice D may increase caregiver's stress.
Extract:
A nurse is preparing to administer dopamine hydrochloride 4mcg/kg/min via continuous infusion. Available is dopamine hydrochloride in a solution of 800 milligrams in a 250ML bag. The client weighs 80 kilograms.
Question 2 of 5
The nurse should set the IV infusion to deliver how many ml/hr?
Correct Answer: B
Rationale: The correct answer is B: 11.0 mL/hr.
To calculate the IV infusion rate, you need to consider the total volume to be infused and the time frame. In this case, if the total volume to be infused is 66 mL over 6 hours, you divide 66 mL by 6 hours to get 11.0 mL/hr.
Choice A does not provide a specific rate.
Choices C and D are incorrect because they do not match the calculated rate based on the given information.
Extract:
A nurse in an acute care mental health facility is placing a client in seclusion and restraints.
Question 3 of 5
Which of the following actions should the nurse plan to take?
Correct Answer: C
Rationale: The correct answer is C because releasing the restraints every 2 hours to assess circulation is essential in preventing complications such as impaired circulation, skin breakdown, and nerve damage. This action aligns with best practices in restraint use, promoting client safety and well-being. Documenting the client's behavior every 15 minutes (
A) is important but not the priority when dealing with restraint use. Obtaining a prescription for restraints within 4 hours (
B) may be necessary but does not address the ongoing assessment of circulation. Discontinuing restraints only when the provider removes the order (
D) does not ensure timely monitoring of the client's condition.
Extract:
A nurse is assessing a client who has a possible right pneumothorax.
Question 4 of 5
Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: The correct answer is A: Reduced right-sided breath sounds. This finding is indicative of a possible pneumothorax on the right side. Pneumothorax causes the lung to collapse, resulting in decreased or absent breath sounds on that side. Intercostal retractions (
B) typically indicate increased work of breathing, not specific to pneumothorax. High-pitched stridor (
C) is associated with upper airway obstruction, not pneumothorax. Paradoxical chest movement (
D) is seen in flail chest, not pneumothorax.
Extract:
A nurse is caring for a 75-year-old client who is admitted to the medical-surgical unit
Nurses' Notes
Today
0700:
Received change of shift report. Client is 2 days postoperative following a hysterectomy and
they have not yet ambulated with physical therapy due to significant postoperative pain. Per
change of shift report, pain medications have been adjusted and pain has improved. Client
currently reports pain level as 2 on a scale of 0 to 10.
0900:
Ambulating in hallway with the assistance of physical therapy.
1000:
Return to bed with siderails up x 2, but not wearing sequential compression devices because they
"hurt too much." Applied antiembolism stockings.
1400:
Client notified nurse that right leg is warm and painful. Assessment reveals unilateral right lower
extremity swelling and warmth below the knee. Provider notified.
Laboratory Results
Today
1430:
WBC count 10,500/mm³ (5,000 to 10,000/mm³)
Hgb 11.1 g/dL (12 to 16 g/dL)
Hct 34% (37% to 47%6)
Platelet count 250,000/mm³ (150,000 to 400,000/mm³)
Coagulation studies:
PT 11.5 seconds (11 to 12.5 seconds)
INR 0.9 (0.8 to 1.1)
History and Physical
3 days ago:
Past medical history: Type 2 diabetes mellitus, hypertension
Surgical history: Cesarean birth x 2 as a young adult
Social history: Has smoked 1 pack of cigarettes per day for 4 years, drinks socially, does not
exercise.
Weight: 121,3 kg (267.4 lb)
Vital Signs
Today
0800
Temperature 37° C (98.6" F)
Heart rate 97/min
Respiratory rate 18/min
BP 138/78 mm Hg
Question 5 of 5
Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing.
Correct Answer: C
Rationale: Unilateral swelling and warmth suggest deep vein thrombosis (DVT), requiring assessment for ischemia.