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 as it can lead to aspiration, malnutrition, and dehydration. The nurse should prioritize addressing dysphagia to prevent serious complications. Xerostomia (
A) is dry mouth, which can be managed with hydration. Pain level of 6 (
B) is important but not life-threatening. Excoriation of skin (
C) is concerning but not immediately life-threatening compared to dysphagia.
Extract:
Question 2 of 5
A nurse is caring for a client whose child died from cancer. The client states 'it's hard to go on without him'. which of the following questions should the nurse ask the client first?
Correct Answer: D
Rationale: The correct answer is D: Are you thinking about ending your life? This question directly addresses the client's statement about finding it hard to go on without their child, revealing any potential suicidal ideation. It is crucial to assess for suicidal thoughts to ensure the client's safety. Asking about past coping strategies (
A) may be helpful but is not as urgent. Inquiring about family history of suicide (
B) can be relevant but is not the priority in this immediate situation. Involving others in care (
C) is important but not as critical as addressing suicidal ideation.
Extract:
A nurse is preparing to initiate intravenous fluids via pump for a client.
Question 3 of 5
which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Ensure the IV tubing is primed and free of air bubbles before connecting it to the client. Priming removes air, preventing air embolism. Air bubbles can lead to complications. Option A is incorrect as surge protectors are not relevant to IV pump use. Option C is incorrect as the pump should be above heart level to prevent rapid infusion. Option D is incorrect as catheter gauge selection depends on patient needs, not a fixed number.
Extract:
A charge nurse is concerned about a recent increase in facility-acquired catheter infections.
Question 4 of 5
Which action should the nurse take?
Correct Answer: E
Rationale: Regular audits ensure adherence to best practices and reduce infection rates.
Extract:
A nurse manager is updating protocols for the use of belt restraints.
Question 5 of 5
Which of the following guidelines should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: Document the client's condition every 15 minutes. This guideline is crucial to ensure the client's safety and well-being when using restraints. Documenting the client's condition regularly allows the nurse to monitor for any changes or signs of distress promptly. This frequent monitoring helps prevent complications or harm that may arise from the use of restraints.
Explanation for why the other choices are incorrect:
B: Attaching the restraint straps to the side rails of the bed can be dangerous as it may cause entrapment or injury to the client.
C: Using a square knot to secure the restraint is not recommended as it can be difficult to untie quickly in case of an emergency.
D: Ensuring there is at least a 2-inch gap between the restraint and the client's body is incorrect because restraints should be applied securely to prevent the client from slipping out or causing self-harm.