ATI RN
ATI Comprehensive 2023 With NGN 180 Questions And Answers Questions
Extract:
A nurse is planning teaching for a client who has a newly implanted implantable cardioverter/defibrillator.
Question 1 of 5
Which of the following information should the nurse include?
Correct Answer: D
Rationale:
Correct Answer: D - Wear loose fitting clothing
Rationale: After a procedure or surgery, wearing loose fitting clothing helps prevent irritation or discomfort at the site. Tight clothing can rub against the area, causing pain or hindering healing. It allows for better circulation and reduces the risk of complications like swelling or infection.
Summary:
A: Return for MRI - Incorrect, as MRIs should be avoided due to potential interference with implanted devices or foreign objects.
B: Rapid pulse rate - Incorrect, as this is not a typical expectation post-procedure and should be monitored by a healthcare provider.
C: Resume tub baths and swimming - Incorrect, as these activities may pose a risk of infection or disruption to healing, usually advised against in the initial recovery period.
Extract:
A nurse is caring for a client who asks for information regarding organ donation.
Question 2 of 5
Which statement should the nurse make?
Correct Answer: E
Rationale: The correct answer is E because the statement ensures the patient that their organ donor status will not affect the medical care provided before death. This is important as it addresses a common concern patients may have about organ donation potentially impacting their current medical treatment.
A: While it is true that organ donation must be documented, this statement does not directly address the patient's concerns about their medical care.
B: This statement is true but does not address the immediate concern about medical care before death.
C: While discussing wishes with family is important, it does not directly address the patient's concerns about medical care.
D: This statement addresses funeral arrangements and body appearance, not the impact on medical care.
E: Correct choice; directly addresses the impact on medical care.
F & G: Not applicable.
Extract:
A nurse is caring for a client in the active phase of labor who has decided to have a natural childbirth.
Question 3 of 5
Which pain management technique should the nurse suggest?
Correct Answer: B
Rationale: Breathing techniques are effective for managing pain during natural childbirth.
Extract:
A nurse is caring for a client who has an implanted venous access port.
Question 4 of 5
Which of the following should the nurse use to assess the port?
Correct Answer: C
Rationale: The correct answer is C: A noncoring needle.
To assess the port, a noncoring needle should be used. This type of needle is specifically designed for accessing ports without causing damage to the septum. Using an Angio catheter (
A) may be too large and cause damage, a butterfly needle (
B) is not designed for port access, and a 25-gauge needle (
D) may be too small and ineffective.
Therefore, a noncoring needle is the most appropriate choice for assessing a port.
Extract:
A nurse is caring for a client who has pneumonia and tells the nurse, “I feel like an elephant is sitting on my chest.†The client is weak and unable to walk.
Question 5 of 5
After the nurse indicates chest pain protocol, which of the following is the priority diagnostic test?
Correct Answer: C
Rationale: The correct answer is C: Chest X-ray. The priority diagnostic test after chest pain protocol is indicated is a chest X-ray. This is because a chest X-ray can quickly identify potential causes of chest pain such as pneumonia, pneumothorax, or pericarditis. It can also help rule out life-threatening conditions like aortic dissection or pulmonary embolism. PT and INR (
A) are tests for monitoring blood clotting, not specific to chest pain evaluation. A 12-lead ECG (
B) is important but typically done after a chest X-ray. D-dimer test (
D) is used to rule out a blood clot, which is not an immediate concern in chest pain evaluation.