ATI RN
ATI Comprehensive 2023 With NGN 180 Questions And Answers Questions
Extract:
A nurse is teaching a client about a variety of stress management techniques.
Question 1 of 5
Which of the following instructions by the nurse is appropriate?
Correct Answer: A
Rationale: The correct answer is A because tightening muscles before relaxing them helps enhance the effectiveness of muscle relaxation techniques. This technique helps individuals become more aware of muscle tension and promotes a deeper sense of relaxation.
Choice B is incorrect as deep breathing exercises are actually beneficial in reducing stress.
Choice C is incorrect as focusing on multiple thoughts can increase stress rather than reducing it.
Choice D is incorrect as bottling up emotions can lead to increased stress and negative health consequences.
Extract:
A nurse is caring for a newborn.
Nurses' Notes
0640:
Weight 4200 gm (9 lb 4 oz), head circumference 35.5 cm (14 in)
Respiratory rate 68/min, with mild grunting.
0650:
Respiratory rate 72/min, with mild grunting
0700:
Respiratory rate 76/min, with moderate grunting and mild intercostal retractions.
Question 2 of 5
The client is at risk for developing------- and----
Correct Answer: B,D
Rationale: Transient tachypnea and hypopycemia are common risks in newborns with respiratory distress.
Extract:
A nurse manager is addressing reports of conflict within a nursing unit.
Question 3 of 5
The nurse should identify which of the following situations as an example of interpersonal conflict?
Correct Answer: D
Rationale: The correct answer is D because interpersonal conflict refers to disagreements between individuals. In this situation, two nurses are in conflict over a client's care plan, indicating a clash of opinions or perspectives. This involves direct interaction and differing views on patient care, highlighting interpersonal conflict.
A is incorrect because submitting a complaint is more of a professional conflict rather than interpersonal. B is incorrect as feeling stressed about an evaluation is an internal conflict, not involving others directly. C is incorrect as disagreements over a policy change involve multiple staff members and organizational dynamics, not just individuals.
Extract:
A nurse in an antepartum unit is caring for a client.
Nurses' Notes
2000:
Client is 38-year-old, G4 P3 at 38 weeks of gestation. Presents for evaluation of labor and
spontaneous rupture of membranes (SROM). Client states, "My water broke a couple of hours
ago and is a greenish color." Client also reports contractions began about 4 hr ago and have
become consistently stronger and closer together.
Electronic fetal monitor applied. Small amount of thin green fluid noted on perineal pad.
Contraction palpated, lasted 40 seconds, moderate in intensity. Fetal heart rate (FHR) 165/min.
Vaginal examination performed: cervix 4 cm dilated, 70% effaced, 0 station, vertex presentation.
Client reports a history of chronic hypertension that has been well-controlled during this
pregnancy. Also, states were diagnosed with gestational diabetes at 28 weeks of gestation.
Vital Signs
2000:
Temperature 36.7° C (98.1° F)
Heart rate 98/min
Respiratory rate 20/min
Blood pressure 128/84 mm Hg
Oxygen saturation 98% on room air
Question 4 of 5
Select the 2 findings that require immediate follow-up.
Correct Answer: C,E
Rationale: An elevated fetal heart rate and meconium-stained amniotic fluid indicate potential distress, necessitating urgent intervention.
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 5 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.