ATI RN
ATI Comprehensive 2023 With NGN 180 Questions And Answers Questions
Extract:
A nurse is caring for a client who has a stool culture that is positive for Clostridium difficile.
Question 1 of 5
Which of the following infection control precautions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B because placing the client in a private room with contact precautions helps prevent the spread of infection to others. This measure includes using personal protective equipment (PPE) and limiting contact with others to contain potential infectious agents. Removing the protective gown in the client's room (
A) is incorrect as it exposes the nurse to potential contamination. Performing hand hygiene with an alcohol-based sanitizer (
C) is important but does not address the isolation of the client. Wearing an N95 mask (
D) is specific to airborne precautions, not contact precautions.
Extract:
A nurse is teaching a prenatal class about infection prevention at a community center.
Question 2 of 5
Which of the following statements by a client indicates an understanding of the teaching?
Correct Answer: C
Rationale: The correct answer is C: "I should avoid cleaning my cat's litter box during pregnancy." This statement shows understanding of the teaching because it demonstrates awareness of the risk of toxoplasmosis from cat feces during pregnancy.
Toxoplasmosis can harm the developing fetus.
Choice A is incorrect because antibiotics do not treat viruses.
Choice B is incorrect as chickenpox is contagious before and during crusting of sores.
Choice D is incorrect as flu vaccine is recommended during pregnancy to protect both mother and baby.
Extract:
A nurse is caring for a client in the emergency department. Nurses' Notes
1100:
The client reports shortness of breath and difficulty sleeping. The client feels tired very quickly
and occasionally feels nauseous. The client reports experiencing intermittent chest tightness and
a cough that is aggravated by exercise. The client has a productive cough and irregular breathing
pattern. Crackles and wheezing present on auscultation. The client has a history of smoking a
pack of cigarettes per day for the past 35 years. There is no clubbing of the fingers. The client
appears anxious.
1130:
Administered albuterol and oxygen per provider's prescription. The client is instructed to perform
pursed-lip breathing.
1230:
The client is breathing with minimal effort and coughing has decreased
Vital Signs 1100:
Temperature 36.8°C (98.2° F) Heart
rate 92/min Respiratory rate 28/min
BP 145/90 mm Hg
Oxygen saturation 87% on room air
1145:
Temperature 36.2° C (97.2" F) Heart
rate 88/min
Respiratory rate 22/min BP
140/90 mm Hg
Oxygen saturation 92% on room air
Question 3 of 5
Which of the following interventions should the nurse include in the plan of care? Select all that apply.
Correct Answer: A,B,F
Rationale:
Correct Answer: A, B, F
Rationale:
A: Increasing oxygen flow rate to 4 L/min is important to improve oxygenation in the client.
B: Assessing the client's breath sounds helps in monitoring respiratory status and detecting abnormalities.
F: Instructing the client to perform diaphragmatic breathing promotes effective breathing and improves lung function.
Incorrect
Choices:
C: Performing chest percussion and vibration is not typically indicated unless specifically ordered by a healthcare provider.
D: Placing the client in a supine position may worsen respiratory distress in some cases.
E: Restricting the client's fluid intake is not necessary for respiratory interventions and may lead to dehydration.
Extract:
The nurse is continuing to care for the client.
Provider Prescriptions
Day 1, 1100:
Lithium carbonate 600 mg PO BID
Question 4 of 5
The nurse is assessing the client. Which of the following findings indicate an improvement in the client's condition? Select all that apply.
Correct Answer: A,B,C,D
Rationale: Improved behaviors include engaging in quiet activities, sleeping adequately, consuming fluids, and napping appropriately. Listening to unseen others indicates ongoing psychosis.
Extract:
A nurse is caring for a client who is receiving radiation therapy and is experiencing anorexia.
Question 5 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Provide the client with cold foods rather than hot foods. This is because cold foods can help reduce oral mucositis, a common side effect of chemotherapy. Hot foods may worsen oral mucositis by irritating the mucous membranes.
Choice B is incorrect as drinking fluids with meals can dilute stomach acid and impair digestion.
Choice C is incorrect as large meals can be difficult to digest for clients undergoing chemotherapy.
Choice D is incorrect as high-protein foods are essential for tissue repair and maintenance during chemotherapy.