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 typically remains open until around 18-24 months of age, allowing for the growth and expansion of the skull bones. It is a normal part of development and closure indicates maturation. The posterior fontanel closes earlier than the anterior fontanel, so option B is incorrect. Option C, sunken anterior fontanel, indicates dehydration, while option D, bulging anterior fontanel, is a sign of increased intracranial pressure, both of which are abnormal findings.
Extract:
A nurse is obtaining the temperature of a newborn.
Question 2 of 5
Which of the following sites should the nurse use?
Correct Answer: B
Rationale: The nurse should use the rectal site for temperature measurement as it provides the most accurate core body temperature reading. Rectal temperature closely reflects internal body temperature, making it the preferred site for assessing critically ill patients or infants who cannot cooperate for oral measurements. Axillary, oral, and tympanic sites may not accurately represent core body temperature due to external factors affecting the readings. Rectal temperature is the gold standard for accurate temperature measurement in certain clinical situations.
Extract:
A nurse is providing care for a client who has esophageal cancer and has received radiation therapy.
Question 3 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 4 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 5 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.