ATI RN
ATI Comprehensive 2023 With NGN 180 Questions And Answers Questions
Extract:
A nurse is providing teaching about home safety to an adult child of an older adult client who is postoperative following knee replacement surgery.
Question 1 of 5
Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Remove loose rugs from the home to prevent falls. This instruction is essential for promoting safety and preventing accidents, especially for individuals at risk of falls. Loose rugs can be tripping hazards, so removing them reduces the risk of falls. Marking the doorway with tape (choice
A) or placing soft cushions on chairs (choice
C) do not directly address fall prevention. Installing bright overhead lighting only in the bedroom (choice
D) may not address fall hazards in other areas of the home. Overall, removing loose rugs is the most effective and direct way to prevent falls and promote safety at home.
Extract:
A nurse is caring for a child who has cystic fibrosis and requires posterior drainage.
Question 2 of 5
Which action should the nurse take?
Correct Answer: A
Rationale: The correct action for the nurse to take is choice A: Perform the procedure prior to meals. This is because performing procedures prior to meals helps prevent aspiration during feeding. The rationale behind this is that when the stomach is empty, there is reduced risk of regurgitation and aspiration of food particles during the procedure.
Choices B, C, and D are incorrect. Performing chest physiotherapy immediately after feeding can increase the risk of regurgitation and aspiration. Placing the child in a supine position during the procedure can also increase the risk of aspiration. Limiting fluid intake before the procedure is not necessary and may lead to dehydration, which is not recommended.
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 3 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.
Extract:
A charge nurse is teaching a new staff member about factors that increase a client's risk to become violent.
Question 4 of 5
Which risk factor should the nurse include as the best predictor of future violence?
Correct Answer: A
Rationale: The correct answer is A: Previous violent behavior. This is the best predictor of future violence because past behavior is a strong indicator of future actions. Research shows that individuals with a history of violence are more likely to engage in violent behavior again. This pattern of behavior is often consistent over time. Low self-esteem (
B), substance use disorder (
C), and a history of depression (
D) can contribute to violence but are not as reliable predictors as previous violent behavior. These factors may increase the risk of violence but do not have the same level of predictive value as an individual's history of violent behavior.
Extract:
A nurse is speaking with the caregiver of a client who has Alzheimer's disease. The caregiver states, Providing constant care is very stressful and is affecting all areas of my life.
Question 5 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Assist the caregiver to arrange a daycare program for the client. This option promotes respite for the caregiver, preventing burnout and ensuring client’s safety.
Choice B may not provide tangible support.
Choice C may minimize caregiver's concerns.
Choice D may increase caregiver's stress.