ATI RN
ATI Comprehensive 2023 With NGN 180 Questions And Answers Questions
Extract:
A nurse is creating a plan of care for a client who has paranoid personality disorder and refuses to take their medication.
Question 1 of 5
Which of the following interventions should the nurse include in the plan?
Correct Answer: A
Rationale: The correct answer is A: Speak in a neutral tone when addressing the client. This intervention is important as it helps maintain a calm and non-confrontational communication approach, which is crucial when interacting with clients experiencing delusions. Speaking in a neutral tone can prevent escalating the client's anxiety or paranoia, promoting a more open and effective dialogue.
Choice B is incorrect as forcing the client to take medication can lead to resistance and further exacerbate trust issues.
Choice C is incorrect as encouraging the client to discuss their delusions without a neutral tone may reinforce the delusions rather than help the client gain insight.
Choice D is incorrect as using humor may not be appropriate or effective in addressing the client's delusions and could potentially be perceived as insensitive.
Extract:
A community health nurse is working with a family that is struggling to adapt following the loss of a family member.
Question 2 of 5
Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: The correct answer is B: Determine the roles of individual family members. This is the first action the nurse should take because it helps identify each family member's strengths and capabilities, facilitating effective delegation of tasks. By determining roles, the family can work together efficiently to address the situation. Encouraging specific tasks (choice
A) and establishing a routine (choice
C) may come after roles are determined. Referring the family to a support group (choice
D) is important but not the initial step.
Extract:
The nurse is continuing to care for the client. Nurses'
Notes
Day 1, 0900:
Client is at 31 weeks of gestation and presents with a severe headache unrelieved by
acetaminophen. Client also reports urinary frequency and decreased fetal movement.
Client is a G3 P2 with one preterm birth.
Day 1, 0930:
Client reports a constant and throbbing headache and rates it as a 6 on a scale of 0 to 10. Denies
visual disturbances, +3 pitting edema in bilateral lower extremities. Patellar reflex 4+ without
the presence of clonus. Client reports occasional nighttime leg cramps. Reports three fetal
movements within the last 30 min. External fetal monitor applied with a baseline FHR 140/min
with occasional accelerations and moderate variability. No uterine contractions noted.
The nurse is initiating the client's plan of care. Which of the following Interventions should the
nurse plan to implement?
Question 3 of 5
The nurse is initiating the client's plan of care. Which of the following Interventions should the nurse plan to implement?
Correct Answer: A,B,C,D,E,F
Rationale: The correct answer includes a comprehensive approach to the client's care:
A) Providing a low-stimulation environment promotes rest and healing,
B) Maintaining bed rest may be necessary for certain conditions,
C) Giving antihypertensive medication addresses specific medical needs,
D) Administering betamethasone is a common intervention for various conditions, E) Monitoring intake and output hourly is crucial for assessing fluid balance, and F) Obtaining a 24 hr urine specimen helps in evaluating kidney function. These interventions cover a range of physiological and psychological aspects of care, making them essential for the client's well-being.
Choices G is incorrect as performing vaginal examinations every 12 hours is not a standard or appropriate intervention unless indicated for a specific reason.
Extract:
A nurse is providing teaching to the parents of a newborn about newborn genetic screening.
Question 4 of 5
Which statement should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A: The test should be performed after your baby is 24 hours old. This statement is important because genetic screening tests are more accurate when performed after the baby is at least 24 hours old. Testing too early can lead to false results.
Choice B is incorrect as genetic screening may be recommended for all newborns regardless of family history.
Choice C is incorrect as babies can eat before the test.
Choice D is incorrect as further testing may be necessary if the first test is abnormal.
Extract:
An occupational health nurse is providing teaching to a group of factory workers about proper lifting techniques.
Question 5 of 5
Which statement should the nurse make?
Correct Answer: B
Rationale: The correct answer is B: Keep the object close to your body when lifting. This is the safest method as it reduces the strain on the back muscles and spine during lifting. By keeping the object close, the center of gravity is maintained, minimizing the risk of injury.
Choice A is incorrect as bending at the waist can strain the lower back.
Choice C is incorrect as twisting while lifting can lead to back injuries.
Choice D is incorrect as lifting heavy objects quickly can increase the risk of muscle strain and injury.