ATI RN
ATI Comprehensive 2023 With NGN 180 Questions And Answers Questions
Extract:
A nurse is providing care for a client who has esophageal cancer and has received radiation therapy.
Question 1 of 5
Which of the following findings should the nurse identify as the priority?
Correct Answer: D
Rationale: The correct answer is D: Dysphagia. Dysphagia poses the highest risk of aspiration, malnutrition, and dehydration. Priority is given to life-threatening or potentially life-threatening issues. Xerostomia (
A) is uncomfortable but not immediately life-threatening. Pain level (
B) can be managed with medication. Excoriation of the skin (
C) can be treated topically.
Extract:
A nurse is assessing a client who has type one diabetes myelitis and was administered insulin lispro 1 hour ago.
Question 2 of 5
Which of the following manifestations indicates that the client might be experiencing hypoglycemia?
Correct Answer: A
Rationale: The correct answer is A: Confusion. Hypoglycemia is a condition characterized by low blood sugar levels, leading to symptoms like confusion due to the brain not receiving enough glucose for energy. Increased thirst and frequent urination are more indicative of hyperglycemia (high blood sugar levels). Flushed skin is not a common manifestation of hypoglycemia.
Extract:
A nurse is caring for a client who has a stool culture that is positive for Clostridium difficile.
Question 3 of 5
Which of the following infection control precautions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Place the client in a private room with contact precautions. This is the most appropriate infection control measure for preventing the spread of infections. Placing the client in a private room helps to prevent transmission to other individuals. Contact precautions involve using gloves and gowns when in contact with the client or their environment, further reducing the risk of transmission.
Choices A, C, and D are incorrect. Removing the protective gown while in the client's room (
A) increases the risk of contamination. Hand hygiene using an alcohol-based sanitizer (
C) is important but alone is not sufficient for contact precautions. Wearing an N95 mask when entering the client's room (
D) is not necessary unless the client has airborne precautions.
Extract:
A nurse is providing preoperative teaching to a client about the administration of morphine via a PCA pump.
Question 4 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 shows the client understands the concept of patient-controlled analgesia (PC
A) pump, where they will receive a limited amount of pain medication when they press the button. This indicates the client knows they have control over their pain relief.
Choice B is incorrect as having someone else press the button goes against the purpose of PCA, which is for the patient to self-administer medication.
Choice C is incorrect because unlimited medication can lead to overdose.
Choice D is incorrect as waiting for severe pain can lead to ineffective pain management.
Extract:
A nurse is caring for a client who is alert and oriented and is receiving continuous ECG monitoring. The cardiac rhythm strips shows a wavy baseline, no distinguishable P waves, and an increased heart rate.
Question 5 of 5
The nurse should identify the cardiac rhythm as which of the following?
Correct Answer: D
Rationale: The correct answer is D: Atrial fibrillation. In atrial fibrillation, the atria quiver instead of contracting effectively, leading to an irregular and rapid heart rate. This can be identified on an ECG by the absence of distinct P waves and irregular R-R intervals. Ventricular asystole (
A) is the absence of ventricular contractions, second-degree heart block (
B) is characterized by intermittent conduction block between the atria and ventricles, and sinus tachycardia (
C) is a regular rapid heart rate originating from the sinus node.