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 vital sign reading to the nurse for further assessment and intervention to prevent complications such as hypoperfusion to vital organs.
Choices A, B, and C do not pose immediate life-threatening risks and can be addressed during routine care.
Choice D stands out as the priority due to the potential for serious consequences if not addressed promptly.
Extract:
A nurse is planning care for a client who sustained a major burn over 20% of the body.
Question 2 of 5
Which of the following interventions should the nurse include to support the client's nutritional requirements?
Correct Answer: B
Rationale: The correct answer is B: Provide a high-calorie, high-protein diet. This intervention supports the client's nutritional requirements by ensuring they receive adequate energy and protein for healing and overall health. High-calorie intake can prevent malnutrition, while high-protein intake supports tissue repair and immune function. Keeping a calorie count (
A) is helpful but not as crucial as ensuring the client receives enough calories and protein. Encouraging a low-fat diet (
C) is not the priority when aiming to meet nutritional requirements. Restricting oral intake (
D) and providing IV fluids only can lead to malnutrition and should be avoided.
Extract:
A nurse is caring for a client who is receiving radiation therapy and is experiencing anorexia.
Question 3 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A because providing the client with cold foods rather than hot foods can help reduce nausea and vomiting, which are common symptoms of pregnancy. Cold foods are generally better tolerated by pregnant women experiencing morning sickness. Encouraging the client to drink fluids with meals (choice
B) is important, but it is not the most immediate action to alleviate nausea. Offering the client large meals three times a day (choice
C) may worsen nausea, as smaller, more frequent meals are typically recommended. Advising the client to avoid high-protein foods (choice
D) is not necessary unless there are specific contraindications, as protein is important for fetal development.
Extract:
A nurse is teaching dietary guidelines to a client who has celiac disease.
Question 4 of 5
Which of the following food choices is appropriate for this client?
Correct Answer: B
Rationale: The correct answer is B: Potato pancakes. This choice is appropriate as it is likely to be well-tolerated by the client. Potatoes are a good source of carbohydrates and can provide energy. Additionally, potato pancakes are easy to digest and can be a good option for someone with digestive issues. On the other hand, A, C, and D contain grains that may be harder to digest for some individuals, especially if they have digestive concerns. Canned barley soup (
A) may also contain added preservatives and sodium, which may not be ideal for the client's condition. Wheat crackers (
C) can be high in fiber and may be difficult to digest. White flour tortillas (
D) are made from refined grains and may not provide the necessary nutrients for the client.
Extract:
A nurse is collecting a sputum specimen from a client who has tuberculosis.
Question 5 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A because obtaining the specimen immediately upon the client waking up is crucial for accurate results in sputum collection. In the morning, the sputum is usually more concentrated and provides a better sample. Waiting or collecting at other times may lead to diluted or contaminated samples, affecting test results.
Choice B is incorrect as it suggests delaying collection, which could compromise the accuracy of the test.
Choice C is incorrect because the amount specified is too high for sputum collection, risking contamination.
Choice D is incorrect as sterile gloves are not always necessary for sputum collection, regular gloves are usually sufficient.