ATI RN
ATI Comprehensive 2023 With NGN 180 Questions And Answers Questions
Extract:
A nurse is collecting a sputum specimen from a client who has tuberculosis.
Question 1 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.
Extract:
A community health nurse is working with a family that is struggling to adapt following the loss of a family member.
Question 2 of 5
Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: The correct answer is B: Determine the roles of individual family members. This is the first action the nurse should take because it helps identify each family member's strengths and capabilities, facilitating effective delegation of tasks. By determining roles, the family can work together efficiently to address the situation. Encouraging specific tasks (choice
A) and establishing a routine (choice
C) may come after roles are determined. Referring the family to a support group (choice
D) is important but not the initial step.
Extract:
A nurse is assessing a child who has bacterial pneumonia.
Question 3 of 5
Which of the following manifestations should the nurse expect?
Correct Answer: A
Rationale: The correct answer is A: Fever. In response to infection, the body releases pyrogens that reset the hypothalamic thermostat leading to fever. This is a common manifestation indicating an immune response. Bradycardia (
B) is unlikely in an infection as the body usually increases heart rate to pump more blood. Dry skin (
C) is not directly related to infection but may occur due to dehydration. Decreased respiratory rate (
D) is uncommon in infections as the body usually increases respiratory rate to meet oxygen demands.
Extract:
A school nurse is teaching a parent about absence seizures.
Question 4 of 5
Which information should the nurse include?
Correct Answer: E
Rationale: The correct answer is E because lip smacking or eye fluttering are common signs of absence seizures. This information is crucial for the nurse to include as it helps in recognizing and distinguishing absence seizures from other types.
Choice A is incorrect as it focuses on the behavioral aspect rather than the physical signs of absence seizures.
Choice B is incorrect as absence seizures can last up to 20 seconds.
Choice C is incorrect as individuals with absence seizures typically do not have memory issues post-seizure.
Choice D is incorrect as some individuals may experience warning signs like a brief aura before an absence seizure.
Extract:
A nurse is caring for a client who is postoperative following total hip arthroplasty.
Question 5 of 5
Which of the following actions should the nurse take to prevent dislocation of the prosthesis?
Correct Answer: D
Rationale: The correct answer is D: Keep an abduction pillow between the client's legs. Placing an abduction pillow between the client's legs helps maintain proper alignment and prevents dislocation of the prosthesis by keeping the hip joint in a stable position. Elevating the affected leg on a pillow (choice
B) or positioning the knees slightly higher than the hips (choice
C) may not provide the necessary support and alignment for the prosthesis. Raising the head of the bed to a high-fowlers position (choice
A) is unrelated to preventing prosthesis dislocation.