ATI RN
ATI Comprehensive 2023 With NGN 180 Questions And Answers Questions
Extract:
A nurse is teaching a client about family planning using the basal body temperature method.
Question 1 of 5
Which of the following instructions should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A: Take your temperature immediately after waking and before getting out of bed. This is the most accurate time to measure basal body temperature (BBT) for tracking ovulation. BBT should be taken at the same time every morning before any activity to ensure consistency.
Choices B and D are incorrect as they do not specify the correct timing for BBT measurement.
Choice C is incorrect because a rise in body temperature of 0.5-1°F, not 2°F, indicates ovulation.
Extract:
A nurse is assessing a client following an esophagogastroduodenoscopy.
Question 2 of 5
Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: The correct answer is A: Abdominal pain. Abdominal pain is a significant finding that could indicate underlying health issues. The nurse should report it to the provider for further evaluation and management. Belching, flatulence, and sore throat are common symptoms that may not require immediate attention. Reporting abdominal pain is crucial for timely intervention.
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 was diagnosed with gestational diabetes at 28 weeks of gestation.
2020:
Contractions occurring every 4 to 5 min, lasting 40 to 60 seconds. Small amount of bloody show
noted when changing disposable pad on bed. Client rates contraction pain as a 5 on a scale of 0
to 10, breathing well through contractions., FHR 168/min, minimal variability. Client denies
epigastric pain or visual disturbances. Trace of edema noted to bilateral lower extremities.
2230:
Contractions occurring every 2.5 to 3 minutes, lasting 60 to 70 seconds. Epidural placed by
anesthesiologist. Client rates pain with contractions as a 3 on a scale of 0 to 10. FHR 150/min
with moderate variability. Accelerations present, no decelerations noted.
Vital Signs
2230:
Temperature 38° C (100.4° F)
Heart rate 88/min
Respiratory rate 16/min
Blood pressure 122/80 mm Hg
Oxygen saturation 98% on room air
Question 3 of 5
Select the findings that indicate the interventions have been effective.
Correct Answer: A,C
Rationale: Effective pain relief (client rates pain as 3) and normal FHR patterns indicate successful interventions.
Extract:
A nurse is providing preoperative teaching to an older adult client who is scheduled for surgery.
Question 4 of 5
Which of the following actions should the nurse take to promote learning?
Correct Answer: B
Rationale: The correct answer is B: Connect new information with the client's past experiences. This is effective because it helps the client relate to and better understand the new information by linking it to what they already know. This technique enhances memory retention and promotes meaningful learning. Speaking loudly (
A) is not necessary and may cause discomfort. Presenting information using abstract concepts (
C) can lead to confusion and hinder comprehension. Using a specific font size (
D) is unrelated to promoting learning.
Extract:
A school nurse is teaching a parent about absence seizures.
Question 5 of 5
Which information should the nurse include?
Correct Answer: E
Rationale: The correct answer is E because lip smacking or eye fluttering are common signs of absence seizures. This information is crucial for the nurse to include as it helps in recognizing and distinguishing absence seizures from other types.
Choice A is incorrect as it focuses on the behavioral aspect rather than the physical signs of absence seizures.
Choice B is incorrect as absence seizures can last up to 20 seconds.
Choice C is incorrect as individuals with absence seizures typically do not have memory issues post-seizure.
Choice D is incorrect as some individuals may experience warning signs like a brief aura before an absence seizure.