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 the procedure as it can increase the risk of complications during the procedure. High blood pressure can lead to bleeding, organ damage, or cardiovascular events. Primary glaucoma (
B), history of appendectomy (
C), and iron deficiency anemia (
D) are not contraindications to the procedure as they do not directly impact the safety or success of the procedure. It is important to consider the patient's overall health status and any conditions that may affect the outcome of the procedure.
Extract:
A nurse is planning teaching for a client who has a newly implanted implantable cardioverter/defibrillator.
Question 2 of 5
Which of the following information should the nurse include?
Correct Answer: D
Rationale:
Correct Answer: D - Wear loose fitting clothing
Rationale: After a procedure or surgery, wearing loose fitting clothing helps prevent irritation or discomfort at the site. Tight clothing can rub against the area, causing pain or hindering healing. It allows for better circulation and reduces the risk of complications like swelling or infection.
Summary:
A: Return for MRI - Incorrect, as MRIs should be avoided due to potential interference with implanted devices or foreign objects.
B: Rapid pulse rate - Incorrect, as this is not a typical expectation post-procedure and should be monitored by a healthcare provider.
C: Resume tub baths and swimming - Incorrect, as these activities may pose a risk of infection or disruption to healing, usually advised against in the initial recovery period.
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: Provide the client with cold foods rather than hot foods. This is because cold foods can help reduce oral mucositis, a common side effect of chemotherapy. Hot foods may worsen oral mucositis by irritating the mucous membranes.
Choice B is incorrect as drinking fluids with meals can dilute stomach acid and impair digestion.
Choice C is incorrect as large meals can be difficult to digest for clients undergoing chemotherapy.
Choice D is incorrect as high-protein foods are essential for tissue repair and maintenance during chemotherapy.
Extract:
A nurse is developing a plan of care for a newborn whose mother tested positive for heroin during pregnancy.
Question 4 of 5
Which action should the nurse include in the plan?
Correct Answer: A
Rationale: The correct answer is A: Minimize noise in the newborn's environment. This is important as newborns have sensitive hearing and excessive noise can disrupt their sleep and development. Noise can also lead to stress and overstimulation.
Choice B is incorrect because swaddling should be snug to provide a sense of security and prevent startling reflexes.
Choice C is incorrect as the recommended position for newborns is on their back to reduce the risk of sudden infant death syndrome (SIDS).
Choice D is incorrect because while handling and stimulation are important, they should be done in a gentle and appropriate manner to prevent overstimulation.
Extract:
A nurse is providing preoperative teaching to an older adult client who is scheduled for surgery.
Question 5 of 5
Which of the following actions should the nurse take to promote learning?
Correct Answer: B
Rationale: The correct answer is B: Connect new information with the client's past experiences. This is effective because it helps the client relate to and better understand the new information by linking it to what they already know. This technique enhances memory retention and promotes meaningful learning. Speaking loudly (
A) is not necessary and may cause discomfort. Presenting information using abstract concepts (
C) can lead to confusion and hinder comprehension. Using a specific font size (
D) is unrelated to promoting learning.