ATI RN
ATI Comprehensive 2023 With NGN 180 Questions And Answers Questions
Extract:
A nurse is assessing the fontanels of 8-month-old infant.
Question 1 of 5
which of the following findings should the nurse recognize as an expected finding?
Correct Answer: A
Rationale: The correct answer is A: The anterior fontanel is open. This is an expected finding in infants as the anterior fontanel is a soft spot on the baby's skull that allows for brain growth. It typically closes by 18-24 months. The posterior fontanel closing by 2-3 months makes choice B incorrect.
Choice C, sunken anterior fontanel, indicates dehydration, while choice D, bulging anterior fontanel, can be a sign of increased intracranial pressure, both of which are abnormal findings.
Extract:
Question 2 of 5
A nurse is providing discharge instructions to a client who has a new prescription for haloperidol. Which of the following adverse effects should the nurse instruct the client to report to the provider?
Correct Answer: A
Rationale: The correct answer is A: Shuffling gait. This adverse effect is indicative of extrapyramidal symptoms associated with haloperidol use. It can be a sign of a serious reaction that requires immediate medical attention to prevent further complications. Increased salivation (choice
B) and mild drowsiness (choice
C) are common side effects of haloperidol that usually do not require urgent medical intervention. Weight gain (choice
D) is also a possible side effect but is not considered an urgent issue that needs immediate reporting.
Extract:
A nurse in an antepartum unit is caring for a client.
Nurses' Notes
2000:
Client is 38-year-old, G4 P3 at 38 weeks of gestation. Presents for evaluation of labor and
spontaneous rupture of membranes (SROM). Client states, "My water broke a couple of hours
ago and is a greenish color." Client also reports contractions began about 4 hr ago and have
become consistently stronger and closer together.
Electronic fetal monitor applied. Small amount of thin green fluid noted on perineal pad.
Contraction palpated, lasted 40 seconds, moderate in intensity. Fetal heart rate (FHR) 165/min.
Vaginal examination performed: cervix 4 cm dilated, 70% effaced, 0 station, vertex presentation.
Client reports a history of chronic hypertension that has been well-controlled during this
pregnancy. Also, states were diagnosed with gestational diabetes at 28 weeks of gestation.
Vital Signs
2000:
Temperature 36.7° C (98.1° F)
Heart rate 98/min
Respiratory rate 20/min
Blood pressure 128/84 mm Hg
Oxygen saturation 98% on room air
Question 3 of 5
Select the 2 findings that require immediate follow-up.
Correct Answer: C,E
Rationale: An elevated fetal heart rate and meconium-stained amniotic fluid indicate potential distress, necessitating urgent intervention.
Extract:
A nurse in an antepartum unit is caring for a client.
Nurses' Notes
2000:
Client is 38-year-oid, G4 P3 at 38 weeks of gestation. Presents for evaluation of labor and
spontaneous rupture of membranes (SROM). Client states, "My water broke a couple of hours
ago and is a greenish color.” Client also reports contractions began about 4 hr ago and have
become consistently stronger and closer together.
Electronic fetal monitor applied. Small amount of thin green fluid noted on perineal pad.
Contraction palpated, lasted 40 seconds, moderate in intensity. Fetal heart rate (FHR) 165/min.
Vaginal examination performed: cervix 4 cm dilated, 70% effaced, 0 station, vertex presentation.
Client reports a history of chronic hypertension that has been well-controlled during this
pregnancy. Also states was diagnosed with gestational diabetes at 28 weeks of gestation.
Question 4 of 5
For each potential assessment finding, click to specify if the finding is consistent with chorioamnionitis or preeclampsia. Each finding may support more than one disease process. Note: Each column must have at least 1 response option selected.
| Findings | Chorioamnionitis | Preeclampsia |
|---|---|---|
| Elevated uric acid level | ||
| Blurred vision | ||
| Decreased platelet count | ||
| Purulent amniotic fluid | ||
| Fever |
Correct Answer: B,C,D,E
Rationale: Findings like fever, purulent amniotic fluid, decreased platelets, and elevated uric acid support chorioamnionitis. Blurred vision is more indicative of preeclampsia.
Extract:
A nurse is caring for a client who is 4 days postpartum following a cesarean birth
Nurses’ Notes
Today
0800
Client reports not feeling well with headache, body aches, and chills. Left breast red and tender
with swollen, tender lymph nodes in the left axilla. Incision edges well approximated without
erythema or drainage. Small amount of Lochia rubra noted.
0830
Provider notified of findings. Prescriptions received.
Question 5 of 5
For each potential assessment finding, click to specify if the assessment finding is consistent with mastitis or endometritis.
| Assessment Findings | Mastitis | Endometritis |
|---|---|---|
| Foul-smelling lochia | ||
| Painful, tender breast | ||
| Temperature | ||
| Chills |
Correct Answer: B,C,D
Rationale:
The correct answer is B, C, and D. Painful, tender breast (
B) is consistent with mastitis, an infection of the breast tissue. Temperature (
C) is a common symptom for both mastitis and endometritis, indicating an infection in the body. Chills (
D) are also indicative of an infection and can be present in both mastitis and endometritis. Foul-smelling lochia (
A) is more specific to endometritis, an infection of the uterine lining, rather than mastitis.
Therefore, A is not selected. Other choices (E, F, G) are not relevant to the assessment findings for mastitis or endometritis and should not be selected.