ATI RN
ATI Comprehensive 2023 With NGN 180 Questions And Answers Questions
Extract:
A nurse is caring for a client who is receiving brachytherapy for endometrial cancer.
Question 1 of 5
Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Place the client's soiled bed linens in a biohazard bag outside the client's room. This action is crucial for infection control as it prevents the spread of pathogens. Soiled linens can contain infectious agents, so placing them in a biohazard bag ensures proper containment. Option A is incorrect as it does not address infection control measures. Option C is incorrect unless there is a specific need for isolation precautions. Option D is incorrect as radioactive sources should be disposed of following specific guidelines, not in regular trash.
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 2 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 school nurse is performing scoliosis screening.
Question 3 of 5
The nurse should recognize which of the following clinical manifestations as an indication of scoliosis?
Correct Answer: A
Rationale: The correct answer is A: Uneven shoulder and pelvic heights. Scoliosis is characterized by a lateral curvature of the spine, leading to uneven shoulder and pelvic heights. This is a classic clinical manifestation of scoliosis, as the spine's abnormal curvature causes the body to tilt to one side, resulting in the uneven alignment of the shoulders and pelvis. Symmetrical scapulae (
B), equal leg lengths (
C), and straight spinal alignment (
D) are not indicative of scoliosis, as scoliosis specifically involves a lateral, often S-shaped, curvature of the spine.
Extract:
A nurse is providing care for a client who has esophageal cancer and has received radiation therapy.
Question 4 of 5
Which of the following findings should the nurse identify as the priority?
Correct Answer: D
Rationale: The correct answer is D: Dysphagia. Dysphagia poses the highest risk as it can lead to aspiration, malnutrition, and dehydration. The nurse should prioritize addressing dysphagia to prevent serious complications. Xerostomia (
A) is dry mouth, which can be managed with hydration. Pain level of 6 (
B) is important but not life-threatening. Excoriation of skin (
C) is concerning but not immediately life-threatening compared to dysphagia.
Extract:
Question 5 of 5
A nurse is assessing a client who is postoperative and has a history of pulmonary embolism. Which of the following findings is the priority for the nurse to report to the provider?
Correct Answer: A
Rationale: The correct answer is A: Dyspnea. Dyspnea in a client with a history of pulmonary embolism is a critical finding as it could indicate a recurrence or worsening of a pulmonary embolism, which is a life-threatening emergency. The nurse should report this immediately to the provider for further evaluation and intervention to prevent complications. Pain at the surgical site (
B) is expected postoperatively and can be managed with pain medication. Mild nausea (
C) is a common postoperative symptom that may not require immediate intervention. A temperature of 37.5°C (99.5°F) (
D) is a low-grade fever that may be due to the body's response to surgery and is not as concerning as dyspnea in this context.