ATI RN
ATI Comprehensive 2023 With NGN 180 Questions And Answers Questions
Extract:
A nurse and assistive personnel are assigned a group of clients on the unit.
Question 1 of 5
Which of the following clients should the nurse instruct the AP to report to the nurse?
Correct Answer: D
Rationale: The correct answer is D. A blood pressure of 88/52 mmHg is considered hypotensive and requires immediate attention. The nurse should instruct the AP to report this client to the nurse promptly for further assessment and intervention to prevent potential complications such as shock.
Choice A is incorrect because not receiving compression stockings, while important, does not pose an immediate threat to the client's health.
Choice B is incorrect as assisting a client to the restroom is within the scope of the AP's duties and does not require immediate attention from the nurse.
Choice C is incorrect as eating only 50% of a meal does not indicate an urgent issue that needs to be reported to the nurse.
Extract:
A nurse is caring for a client who states he recently purchased lavender oil to use when he gets the flu.
Question 2 of 5
The nurse should recognize which of the following findings as a potential contraindication for using lavender?
Correct Answer: A
Rationale: The correct answer is A: The client has a history of asthma. Lavender oil can trigger asthma symptoms in some individuals due to its potential respiratory irritant properties. Asthma patients may experience worsened breathing difficulties or allergic reactions when exposed to lavender. This contraindication is crucial to consider when using lavender aromatherapy.
Choices B, C, and D are incorrect as they do not specifically relate to potential contraindications with lavender use.
Choice B (client takes furosemide) and choice D (client takes vitamin
C) do not typically interact negatively with lavender.
Choice C (client has a history of alcohol use disorder) is not a direct contraindication for lavender use.
Extract:
A nurse is providing preoperative teaching to a client about the administration of morphine via a PCA pump.
Question 3 of 5
Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A because it demonstrates the client's comprehension of the concept of patient-controlled analgesia (PC
A). By stating "I will receive a limited amount of pain medication when I press the button," the client shows an understanding that the PCA pump delivers a set dose of medication upon activation. This indicates awareness of the mechanism and purpose of the PCA pump.
Choice B is incorrect as it suggests having someone else press the button, which goes against the principle of patient-controlled administration.
Choice C is incorrect because it implies unlimited access to medication, which could lead to overdose.
Choice D is incorrect as it suggests waiting for severe pain, which may compromise effective pain management.
Extract:
The nurse is caring for a client who is on bed rest.
Question 4 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:
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 5 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.