ATI RN
ATI Comprehensive 2023 With NGN 180 Questions And Answers Questions
Extract:
The nurse is discussing discharge plans with an older adult client who lives alone and has left sided weakness following a stroke
Question 1 of 5
Which of the following information is the priority for the nurse to discuss?
Correct Answer: B
Rationale: The correct answer is B because obtaining an alert system for help in case of a fall is the priority. This is crucial for immediate assistance and safety in case of emergencies. Discussing support groups (
A) can be beneficial but is not as urgent. Providing transportation resources (
C) and choosing a home physical therapy agency (
D) are important but not immediate priorities compared to ensuring immediate help in case of a fall.
Extract:
Provider Prescriptions
1030:
Obtain x-rays of right arm, wrist, and elbow.
Question 2 of 5
Drag words from the choices below to fill in each blank.Nurse should anticipate a prescription for--------and-------
Correct Answer: C,D
Rationale: Pain medication and limb immobilization are standard for managing fractures, reducing discomfort and promoting healing.
Extract:
A nurse is caring for a 75-year-old client who is admitted to the medical-surgical unit
Nurses' Notes
Today
0700:
Received change of shift report. Client is 2 days postoperative following a hysterectomy and
they have not yet ambulated with physical therapy due to significant postoperative pain. Per
change of shift report, pain medications have been adjusted and pain has improved. Client
currently reports pain level as 2 on a scale of 0 to 10.
0900:
Ambulating in hallway with the assistance of physical therapy.
1000:
Return to bed with siderails up x 2, but not wearing sequential compression devices because they
"hurt too much." Applied antiembolism stockings.
1400:
Client notified nurse that right leg is warm and painful. Assessment reveals unilateral right lower
extremity swelling and warmth below the knee. Provider notified.
Laboratory Results
Today
1430:
WBC count 10,500/mm³ (5,000 to 10,000/mm³)
Hgb 11.1 g/dL (12 to 16 g/dL)
Hct 34% (37% to 47%6)
Platelet count 250,000/mm³ (150,000 to 400,000/mm³)
Coagulation studies:
PT 11.5 seconds (11 to 12.5 seconds)
INR 0.9 (0.8 to 1.1)
History and Physical
3 days ago:
Past medical history: Type 2 diabetes mellitus, hypertension
Surgical history: Cesarean birth x 2 as a young adult
Social history: Has smoked 1 pack of cigarettes per day for 4 years, drinks socially, does not
exercise.
Weight: 121,3 kg (267.4 lb)
Vital Signs
Today
0800
Temperature 37° C (98.6" F)
Heart rate 97/min
Respiratory rate 18/min
BP 138/78 mm Hg
Question 3 of 5
Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing.
Correct Answer: C
Rationale: Unilateral swelling and warmth suggest deep vein thrombosis (DVT), requiring assessment for ischemia.
Extract:
Question 4 of 5
A charge nurse is monitoring a newly licensed nurse who is caring for a client who is receiving total parenteral nutrition (TPN). which of the following statements by the newly licensed nurse indicates an understanding of the procedure?
Correct Answer: A
Rationale: Answer A is correct because TPN bags and IV tubing should be changed every 24 hours to prevent bacterial growth and contamination, ensuring the client's safety. This statement indicates the nurse understands the importance of maintaining aseptic technique in TPN administration.
Choice B is incorrect as obtaining the client's weight every other day is not directly related to the TPN procedure.
Choice C is incorrect as monitoring the client's blood glucose every eight hours is important but not specific to TPN administration.
Choice D is incorrect as increasing the rate of TPN infusion without proper orders can lead to complications such as hyperglycemia or fluid overload.
Extract:
A nurse is caring for a client who is pregnant. Nurses'
Notes
Day 1, 0900:
Client is at 31 weeks of gestation and presents with a severe headache unrelieved by
acetaminophen. Client also reports urinary frequency and decreased fetal movement.
Client is a G3 P2 with one preterm birth.
Vital Signs Day
1, 0900:
Temperature (oral) 36.9°C (98,4° F) Heart
rate 72/min
Respiratory rate 16/min BP
162/112 mm Hg
Oxygen saturation 97% on room air
Diagnostic Results Day 1,
1000:
Appearance cloudy (clear) Color
yellow (yellow)
pH 5.9 (4.6 to 8)
Protein 3+ (negative)
Specific gravity 1.013 (1.005 to 1.03) Leukocyte esterase
negative (negative)
Nitrites negative (negative) Ketones
negative (negative) Crystals negative
(negative) Casts negative (negative)
Glucose trace (negative) WBC 5 (0
t0 4)
WBC casts none (none)
RBC 1 (less than or equal to 2) RBC
casts none (none)
Question 5 of 5
The nurse is reviewing the client's medical record. Select 4 findings that indicate a potential prenatal complication.
Correct Answer: A,C,F,G
Rationale: The correct answers are A, C, F, and G. A high urine protein level indicates possible preeclampsia, a serious prenatal complication. Elevated blood pressure is also a sign of preeclampsia. Headaches can be a symptom of hypertension or preeclampsia. Gravida/parity helps assess the client's obstetric history, which can indicate potential complications. Fetal activity, urine ketones, and respiratory rate are not direct indicators of prenatal complications.