ATI RN
ATI Comprehensive 2023 With NGN 180 Questions And Answers Questions
Extract:
A nurse is caring for a client who has end-stage kidney disease. The client's adult child asks the nurse about becoming a living kidney donor for her father.
Question 1 of 5
Which of the following conditions in the child's medical history should the nurse identify as a contraindication to the procedure?
Correct Answer: A
Rationale: The correct answer is A: Hypertension. Hypertension is a contraindication to certain procedures due to the risk of complications such as increased bleeding or cardiovascular events. Primary glaucoma, history of appendectomy, and iron deficiency anemia are not contraindications for the procedure mentioned. Glaucoma and appendectomy are unrelated to the procedure, while iron deficiency anemia may not directly impact the safety of the procedure.
Extract:
A nurse is teaching about preventative measures to a female client who has chronic urinary tract infections.
Question 2 of 5
Which of the following interventions should the nurse include in the teaching?
Correct Answer: C
Rationale: The correct answer is C: Urinate immediately after sexual intercourse. This intervention helps prevent urinary tract infections by flushing out bacteria that may have entered the urethra during intercourse. It is important to teach this to promote urinary tract health.
A: Drinking 2 liters of warm water per day is generally good for hydration but not directly related to preventing UTIs.
B: Wiping from back to front can actually introduce bacteria from the rectal area to the urethra, increasing the risk of UTIs.
D: Limiting fluid intake to prevent frequent urination is not recommended as it can lead to dehydration and concentration of urine, potentially worsening UTIs.
Extract:
A nurse is caring for a client who is postoperative following total hip arthroplasty.
Question 3 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. This helps maintain proper alignment and prevents excessive internal rotation of the hip, reducing the risk of dislocation. Elevating the affected leg on a pillow (
B) may not provide adequate support. Raising the head of the bed to a high-fowlers position (
A) and positioning the knees higher than the hips (
C) do not directly address hip alignment.
Extract:
A nurse is planning care for a client who is to receive alteplase recombinant for a thrombus in the coronary artery.
Question 4 of 5
Which of the following actions should the nurse include in the plan of care?
Correct Answer: A
Rationale: The correct answer is A: Observe for bruising of the skin. This is important in assessing for potential complications such as bleeding disorders, which may indicate a need for further intervention. Providing a diet low in protein (
B) is not relevant to the scenario unless specified. Monitoring vital signs every hour for the first 4 hours (
C) may not be necessary unless there are specific concerns. Administering medications intramuscularly (
D) is not indicated without further context.
Extract:
A home care nurse is making a follow up visit with a client who has COPD and is using a compressed oxygen system in his home.
Question 5 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale:
Correct
Answer: A
Rationale: Placing the oxygen tank away from curtains or drapes reduces the risk of fire hazards since oxygen supports combustion. This action ensures a safe environment for the client.
Summary:
B: Storing extra oxygen tanks in a closed closet is a good practice, but not directly related to immediate safety concerns like fire hazards.
C: Laying the oxygen tank on its side when not in use can cause damage to the tank and is not a safe storage method.
D: Increasing the oxygen flow rate without proper assessment can be dangerous and may worsen the client's condition.