ATI RN
ATI Comprehensive 2023 With NGN 180 Questions And Answers Questions
Extract:
A nurse is conducting an initial assessment of a client and notices a discrepancy Between the clients current IV infusion and the information received during the shift's report.
Question 1 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Compare the current infusion with the prescription and the client's medical record. This action is crucial to ensure the correct medication is being administered to the client as per the prescription and to verify the accuracy of the infusion. By comparing the current infusion with the prescription and medical record, the nurse can identify any discrepancies or errors that may have occurred. This step helps prevent medication errors and ensures patient safety.
Other choices are incorrect:
B: Adjust the IV infusion rate to match the information received during the shift report - This action could lead to errors if the information received during the shift report is inaccurate.
C: Stop the infusion immediately and notify the provider - Stopping the infusion without verifying the information could potentially harm the patient if the infusion is actually correct.
D: Document the discrepancy in the client's record and continue monitoring the infusion - While documentation is important, it is not sufficient if there is an actual error in the infusion.
Extract:
Question 2 of 5
A nurse is providing teaching to a client who is 14 weeks of gestation about findings to report to the provider. Which of the following findings should the nurse include in the teaching?
Correct Answer: C
Rationale: The correct answer is C: Swelling of the face. Swelling of the face can be a sign of preeclampsia, a serious condition in pregnancy characterized by high blood pressure and protein in the urine. This finding should be reported to the provider immediately to prevent complications for both the mother and the baby.
Bleeding gums (
A) are common in pregnancy due to hormonal changes and increased blood flow to the gums. Faintness upon rising (
B) can be attributed to postural hypotension, which is common in pregnancy but not typically a serious concern. Urinary frequency (
D) is a common complaint in pregnancy due to the growing uterus putting pressure on the bladder.
In summary, while the other symptoms may be common in pregnancy, swelling of the face is the most concerning finding that could indicate a serious complication like preeclampsia, making it crucial to report to the provider promptly.
Extract:
The nurse is caring for a client who is on bed rest.
Question 3 of 5
The nurse should recognize that which of the following findings is a complication of immobility
Correct Answer: C
Rationale: The correct answer is C: Swollen area on calf. Immobility can lead to blood pooling in the lower extremities, causing swelling, redness, and pain. This is a sign of deep vein thrombosis (DVT), a serious complication of immobility. Increased BP (choice
A) is not typically a direct complication of immobility. Urinary frequency (choice
B) is more related to issues such as urinary tract infections or bladder problems. Other choices are not relevant to complications of immobility.
Extract:
A nurse enters a client's room and sees a small fire in the client's bathroom.
Question 4 of 5
Identify the sequence of steps the nurse should take?
Correct Answer: D
Rationale: The correct answer is D: Activate the facility's fire alarm system. This is the first step the nurse should take in case of a fire emergency to alert everyone in the building and initiate evacuation procedures. By activating the fire alarm system, all occupants including staff and patients will be notified of the fire, allowing for a quicker response from emergency services and a safer evacuation. Closing windows and doors (
A) can help prevent the fire from spreading, but it is not the initial priority. Transporting the client (
B) may put them at risk and should only be done if safe to do so. Using the fire extinguisher (
C) should only be attempted if trained and the fire is small and contained.
Extract:
A nurse is caring for a child who has cystic fibrosis and requires posterior drainage.
Question 5 of 5
Which action should the nurse take?
Correct Answer: A
Rationale: The correct action for the nurse to take is choice A: Perform the procedure prior to meals. This is because performing procedures prior to meals helps prevent aspiration during feeding. The rationale behind this is that when the stomach is empty, there is reduced risk of regurgitation and aspiration of food particles during the procedure.
Choices B, C, and D are incorrect. Performing chest physiotherapy immediately after feeding can increase the risk of regurgitation and aspiration. Placing the child in a supine position during the procedure can also increase the risk of aspiration. Limiting fluid intake before the procedure is not necessary and may lead to dehydration, which is not recommended.