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: obtaining an alert system to get help in case of a fall. This is the priority for the nurse to discuss because falls can lead to serious injuries, so having a system in place to quickly get help is crucial for the patient's safety. Reviewing support groups (
A) is important but not as urgent as fall prevention. Transportation resources (
C) and home physical therapy agency (
D) are important but secondary to immediate safety concerns.
Extract:
A nurse in a family health clinic is caring for a client who requests information regarding the correct use of condoms.
Question 2 of 5
Which of the following statements should the nurse make?
Correct Answer: A
Rationale: The correct answer is A. This statement is correct because implanted contraceptive methods, like hormonal implants, do not protect against sexually transmitted diseases (STDs), so using condoms is necessary for dual protection.
Choice B is incorrect as petroleum-based lubricants can weaken condoms.
Choice C is incorrect because a condom should fit comfortably, not snugly, to prevent breakage.
Choice D is incorrect because condoms are more effective for birth control when used with spermicide.
Extract:
A nurse is assessing the fontanels of 8-month-old infant.
Question 3 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 4 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 5 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.