ATI RN
ATI Comprehensive 2023 With NGN 180 Questions And Answers Questions
Extract:
A nurse is reading a tuberculin skin test for a client who received a protein derivative test 72 hours ago.
Question 1 of 5
Which of the following findings indicate a positive test?
Correct Answer: A
Rationale: The correct answer is A because an induration measuring 10 mm is considered positive for a tuberculin skin test, indicating exposure to tuberculosis. A larger induration size suggests a stronger immune response.
Choice B, a reddened area with no induration, is not specific for a positive test.
Choice C, an induration measuring 3 mm, is below the threshold for positivity.
Choice D, a blister at the injection site, is a sign of irritation rather than a positive test result.
Extract:
A nurse is providing teaching about home safety to an adult child of an older adult client who is postoperative following knee replacement surgery.
Question 2 of 5
Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Remove loose rugs from the home to prevent falls. This instruction is crucial in preventing falls, especially for elderly individuals who may have balance issues. Loose rugs are a common tripping hazard and removing them can significantly reduce the risk of falls. Marking the edges of the doorway with tape (
A) may not be effective in preventing falls as it does not address the actual hazards. Placing soft cushions on all chairs (
C) does not directly address fall prevention and may not be suitable for all individuals. Installing bright overhead lighting in the bedroom only (
D) is important for visibility but does not address other fall risks in the home.
Extract:
A nurse is caring for a client who has heart failure.
Question 3 of 5
Which of the following manifestations should the nurse expect?
Correct Answer: A
Rationale: The correct answer is A: Crackles in the lungs. This manifestation is expected in conditions like heart failure or pneumonia due to fluid accumulation in the lungs. Crackles are abnormal lung sounds heard on auscultation. Bradycardia (
B) is a slow heart rate, not typically associated with these conditions. Dry mucous membranes (
C) can indicate dehydration but are not specific to lung issues. Weight loss (
D) may occur in chronic conditions but is not a direct manifestation of fluid in the lungs.
Therefore, crackles in the lungs are the most likely manifestation to expect in this scenario.
Extract:
Question 4 of 5
A nurse is assessing a client who received hydromorphone 4mg IV 15 min ago. The client has a respiratory rate of 10/min. the nurse should prepare to administer which of the following medications?
Correct Answer: A
Rationale: The correct answer is A: Naloxone. Hydromorphone is an opioid that can cause respiratory depression. The client's low respiratory rate of 10/min indicates potential opioid overdose. Naloxone is an opioid antagonist that reverses the effects of opioids, such as respiratory depression. Administering naloxone can help restore normal breathing in the client. Flumazenil (
B) is used to reverse the effects of benzodiazepines, not opioids. Activated charcoal (
C) is used for toxin ingestion, not opioid overdose. Atropine (
D) is a medication used for bradycardia, not respiratory depression. Diphenhydramine (E) is an antihistamine and is not indicated in this situation.
Question 5 of 5
A nurse is planning care for a school-age child who is 4 hr postoperative following perforated appendicitis. Which of the following actions should the nurse include in the plan of care?
Correct Answer: B
Rationale: The correct answer is B: Administer analgesics on a scheduled basis for the first 24 hr. Postoperative pain management is crucial for the comfort and well-being of the child. Scheduled analgesics help maintain a consistent level of pain relief, preventing peaks and valleys in pain intensity. This approach is especially important in the initial 24 hours following surgery when pain is typically more intense. Offering small amounts of clear liquids 6 hours post-surgery (
Choice
A) may not be appropriate as the child may still be recovering from anesthesia and at risk of nausea or vomiting. Giving cromolyn nebulized solution every 8 hours (
Choice
C) is not indicated for postoperative pain management. Applying a warm compress to the operative site every 4 hours (
Choice
D) may provide some comfort but does not address the underlying need for analgesia.